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虚拟现实对儿童包皮环切术中疼痛和焦虑的影响:一项系统评价和荟萃分析。

Effects of Virtual Reality on Pain and Anxiety During Children's Circumcision: A Systematic Review and Meta-Analysis.

作者信息

Chen Su-Ru, Yamaji Noyuri, Wang Chia-Hui, Pan Chieh-Hsin, Wu Yu-Lin

机构信息

Post-Baccalaureate Program in Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan.

Institute of Clinical Epidemiology, Showa University, Tokyo, Japan; Department of Family Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; Global Health Nursing, Graduate School of Nursing Science, St. Luke's International University, Tokyo, Japan.

出版信息

Pain Manag Nurs. 2024 Dec;25(6):652-658. doi: 10.1016/j.pmn.2024.06.007. Epub 2024 Jul 10.

DOI:10.1016/j.pmn.2024.06.007
PMID:38991908
Abstract

BACKGROUND

Circumcision-a common pediatric procedure-can cause significant pain and anxiety. Virtual reality has been proposed as a nonpharmacological intervention to alleviate these negative experiences.

OBJECTIVE

This systematic review and meta-analysis was conducted to evaluate the effects of virtual reality interventions on pain and anxiety in children undergoing circumcision.

METHODS

This study comprehensively searched PubMed, Embase, and Cochrane Library for articles published from database inception to October 2, 2023. Randomized controlled trials that investigated the effects of virtual reality interventions on pain and anxiety during circumcision in children were included. The Cochrane risk-of-bias tool was used to appraise the included studies. The primary outcomes were pain and anxiety scores.

RESULTS

Three randomized controlled trials and four data sets involving a total of 224 children were included in our meta-analysis. Virtual reality interventions significantly reduced children's pain and anxiety scores.

CONCLUSIONS

Virtual reality interventions are promising nonpharmacological strategies for alleviating children's pain and anxiety during circumcision. Pediatric healthcare professionals use virtual reality interventions to create a child-friendly and healthy healthcare environment.

摘要

背景

包皮环切术——一种常见的儿科手术——会引起严重的疼痛和焦虑。虚拟现实已被提议作为一种非药物干预措施来减轻这些负面体验。

目的

进行这项系统评价和荟萃分析,以评估虚拟现实干预对接受包皮环切术儿童的疼痛和焦虑的影响。

方法

本研究全面检索了从数据库建立到2023年10月2日发表在PubMed、Embase和Cochrane图书馆上的文章。纳入了调查虚拟现实干预对儿童包皮环切术中疼痛和焦虑影响的随机对照试验。使用Cochrane偏倚风险工具对纳入的研究进行评估。主要结局是疼痛和焦虑评分。

结果

我们的荟萃分析纳入了三项随机对照试验和四个数据集,共涉及224名儿童。虚拟现实干预显著降低了儿童的疼痛和焦虑评分。

结论

虚拟现实干预是减轻儿童包皮环切术中疼痛和焦虑的有前景的非药物策略。儿科医疗保健专业人员使用虚拟现实干预来营造一个对儿童友好的健康医疗环境。

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