Tian Qi, Xu Mengmeng, Yu Lin, Yang Shu, Zhang Wei
Authors' Affiliation: Nursing School, Jilin University, Changchun, China.
Cancer Nurs. 2023;46(5):E276-E287. doi: 10.1097/NCC.0000000000001099. Epub 2022 Apr 11.
Breast cancer patients experience a range of disease- and treatment-related symptoms that seriously threaten their quality of life. Virtual reality (VR), an emerging complementary and integrative therapy, has been increasingly applied in clinical practice. However, there is insufficient evidence to support the effectiveness of VR-based interventions on symptom management in breast cancer patients.
This article aimed to systematically examine the effects of VR on breast cancer-related symptom management.
The PubMed, EMBASE, Cochrane Library, Web of Science, CINAHL, CNKI, Wan Fang, and VIP databases were comprehensively searched for randomized controlled trials (RCTs) and quasi-RCTs published up to April 10, 2021. Studies using VR-based interventions to manage breast cancer-related symptoms were included. Two investigators independently reviewed and extracted data and evaluated methodological quality. RevMan 5.3 was used for meta-analysis, and heterogeneity was evaluated using Higgins' I2 (%) statistic.
Eight RCTs and 6 quasi-RCTs with 797 participants were included. Virtual reality-based interventions significantly improved symptoms of anxiety, depression, pain, cognitive function, and shoulder range of motion in breast cancer patients, but no significant improvements in grip and upper extremity function were observed.
Virtual reality-based interventions had a positive effect on symptom management for breast cancer patients.
Health professionals, especially nurses, can apply VR in clinical practice to reduce symptoms and improve the quality of life of breast cancer patients. More studies are needed to draw higher quality conclusions and explore the best interventions and cost-effectiveness of VR.
乳腺癌患者会经历一系列与疾病和治疗相关的症状，这些症状严重威胁着他们的生活质量。虚拟现实（VR）作为一种新兴的补充和综合疗法，已越来越多地应用于临床实践。然而，目前尚无足够证据支持基于VR的干预措施对乳腺癌患者症状管理的有效性。
本文旨在系统地研究VR对乳腺癌相关症状管理的影响。
全面检索了PubMed、EMBASE、Cochrane图书馆、Web of Science、CINAHL、中国知网、万方和维普数据库，以查找截至2021年4月10日发表的随机对照试验（RCT）和半随机对照试验。纳入使用基于VR的干预措施来管理乳腺癌相关症状的研究。两名研究人员独立审查和提取数据，并评估方法学质量。使用RevMan 5.3进行荟萃分析，并使用Higgins' I2（%）统计量评估异质性。
纳入了8项RCT和6项半随机对照试验，共797名参与者。基于虚拟现实的干预措施显著改善了乳腺癌患者的焦虑、抑郁、疼痛、认知功能和肩关节活动范围等症状，但未观察到握力和上肢功能有显著改善。
基于虚拟现实的干预措施对乳腺癌患者的症状管理有积极作用。
卫生专业人员，尤其是护士，可以在临床实践中应用VR来减轻症状，提高乳腺癌患者的生活质量。需要更多的研究来得出更高质量的结论，并探索VR的最佳干预措施和成本效益。
