虚拟现实对心脏康复中焦虑和功能能力的影响：系统评价与荟萃分析。
The impact of Virtual Reality on Anxiety and Functional Capacity in Cardiac Rehabilitation: A Systematic Review and Meta-analysis.
作者信息
Bashir Zubair, Misquith Chelsea, Shahab Ahmed, Has Phinnara, Bukhari Syed
机构信息
Department of Medicine, Alpert Medical School of Brown University, Providence, RI, USA.
Brown University Library, Brown University, Providence, RI, USA.
出版信息
Curr Probl Cardiol. 2023 May;48(5):101628. doi: 10.1016/j.cpcardiol.2023.101628. Epub 2023 Jan 31.
BACKGROUND
The overall utilization of cardiac rehabilitation (CR) is low despite its proven benefits in secondary prevention. Virtual reality (VR), a novel method of rehabilitation, may increase overall compliance. The purpose of this systematic review and meta-analysis is to synthesize evidence and report whether the addition of VR leads to an improvement in anxiety and functional capacity (FC) compared to standard CR.
METHODS
A comprehensive search strategy was used to search the online databases for the randomized controlled trials (RCTs) on VR-CR. Statistical analysis was performed using Stata SE version 17.0 (College Station, TX) and RevMan5.
RESULTS
A total of 747 study participants were part of 7 studies included in the meta-analysis. Three studies were part of the narrative synthesis. Anxiety showed significant improvement in VR-CR compared to standard CR (SMD -0.32, 95% CI -0.61, -0.03). There was no significant improvement in FC between VR-CR and the standard CR (SMD 0.077, 95% CI -1.24, 1.32).
CONCLUSION
VR-CR significantly improved CR-related anxiety compared to standard CR. However, no significant improvement in FC was found in VR-CR compared to the standard CR. Further studies are needed to assess the impact of non-immersive and immersive VR on FC.
背景
尽管心脏康复（CR）在二级预防中已被证明有益，但其总体利用率仍然较低。虚拟现实（VR）作为一种新型康复方法，可能会提高总体依从性。本系统评价和荟萃分析的目的是综合证据，并报告与标准CR相比，添加VR是否能改善焦虑和功能能力（FC）。
方法
采用全面的检索策略，在在线数据库中检索关于VR-CR的随机对照试验（RCT）。使用Stata SE 17.0版本（德克萨斯州大学站）和RevMan5进行统计分析。
结果
共有747名研究参与者纳入了荟萃分析中的7项研究。三项研究纳入了叙述性综述。与标准CR相比，VR-CR中的焦虑有显著改善（标准化均数差-0.32，95%置信区间-0.61，-0.03）。VR-CR与标准CR之间的FC没有显著改善（标准化均数差0.077，95%置信区间-1.24，1.32）。
结论
与标准CR相比，VR-CR显著改善了与CR相关的焦虑。然而，与标准CR相比，VR-CR中的FC没有显著改善。需要进一步研究来评估非沉浸式和沉浸式VR对FC的影响。
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