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虚拟现实减轻癌症患者的疼痛、疲劳和情绪困扰:一项范围综述。

Virtual Reality to Reduce Pain, Fatigue, and Emotional Distress in People With Cancer: A Scoping Review.

作者信息

Cuñado-Pradales Rebeca, Soto-Ruiz Nelia, Escalada-Hernández Paula, San Martín-Rodríguez Leticia, García-Vivar Cristina

机构信息

Author Affiliations: Santos Reyes Hospital, Castilla y León Regional Health Management, Aranda de Duero, Castilla y León (Ms Cuñado-Pradales); Department of Health Sciences, Public University of Navarre (UPNA), Pamplona, Navarra (Drs Soto-Ruiz, Escalada-Hernández, San Martín-Rodríguez, and García-Vivar); and IdiSNA, Navarra Institute for Health Research, Pamplona (Drs Soto-Ruiz, Escalada-Hernández, San Martín-Rodríguez, and García-Vivar), Spain.

出版信息

Cancer Nurs. 2024 Sep 2. doi: 10.1097/NCC.0000000000001401.

DOI:10.1097/NCC.0000000000001401
PMID:39221925
Abstract

BACKGROUND

Cancer and its treatments cause symptoms such as pain, fatigue, and emotional distress, which affect the quality of life of patients at different stages of cancer. Virtual reality (VR) has emerged as a promising alternative for addressing these symptoms by immersing patients in a virtual environment that isolates them from reality.

OBJECTIVE

To describe the existing evidence on the use of VR to improve pain, fatigue, and emotional distress in people with cancer at different stages of the cancer trajectory.

METHODS

A scoping review was conducted following the PRISMA-ScR (Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews) guidelines. Search was conducted in PubMed and CINAHL until October 2023.

RESULTS

Twenty-three primary studies related to the study topic were identified, and the following information was collected: type of VR (immersive vs nonimmersive) used in oncology services, purpose (distraction, training, or relaxation), devices used (head-mounted display, headset, or virtual controller), and the environment simulated (natural environment, skill games, or educational environment). The effects of VR on pain, fatigue, and emotional distress are described, highlighting its ability to mitigate these symptoms in the short term.

CONCLUSIONS

Virtual reality has been shown to be an effective technique for reducing pain, fatigue, and emotional distress in people with cancer in the short term.

IMPLICATIONS FOR PRACTICE

Nurses can use VR as a complementary tool to promote virtual environments that improve the care for and therefore the quality of life of people with cancer.

摘要

背景

癌症及其治疗会引发疼痛、疲劳和情绪困扰等症状,这些症状会影响癌症不同阶段患者的生活质量。虚拟现实(VR)已成为一种有前景的替代方法,通过将患者沉浸在一个使其与现实隔绝的虚拟环境中来解决这些症状。

目的

描述关于使用VR改善癌症不同阶段患者疼痛、疲劳和情绪困扰的现有证据。

方法

按照PRISMA-ScR(系统评价和Meta分析扩展的范围综述优先报告项目)指南进行范围综述。截至2023年10月,在PubMed和CINAHL中进行检索。

结果

确定了23项与该研究主题相关的主要研究,并收集了以下信息:肿瘤服务中使用的VR类型(沉浸式与非沉浸式)、目的(分散注意力、训练或放松)、使用的设备(头戴式显示器、头戴式耳机或虚拟控制器)以及模拟的环境(自然环境、技能游戏或教育环境)。描述了VR对疼痛、疲劳和情绪困扰的影响,强调了其在短期内减轻这些症状的能力。

结论

虚拟现实已被证明是短期内减轻癌症患者疼痛、疲劳和情绪困扰的有效技术。

对实践的启示

护士可以将VR作为一种辅助工具,来营造虚拟环境,从而改善对癌症患者的护理并提高其生活质量。

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