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女性对分娩中使用虚拟现实的看法:定性系统评价和荟萃综合。

Women's perceptions of the use of virtual reality during childbirth: A qualitative systematic review and meta-synthesis.

机构信息

Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; National University Health System, Singapore.

Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; West China Hospital, Sichuan University / Medicine and Engineering Interdisciplinary Research Laboratory of Nursing & Materials, Sichuan University, China.

出版信息

Midwifery. 2024 Dec;139:104184. doi: 10.1016/j.midw.2024.104184. Epub 2024 Sep 11.

Abstract

BACKGROUND

Childbearing women often resort to pharmacotherapies for pain and anxiety management during childbirth, despite their adverse effects. Virtual reality has emerged as an alternative, but a comprehensive synthesis of women's experiences with virtual reality during labor is lacking, hindering validation of its perceived effects.

AIM

To synthesize the best available evidence of women's perceptions of the use of virtual reality during childbirth.

METHODS

From the beginning until December 31, 2023, a comprehensive search was conducted across nine databases (PubMed, Embase, Cochrane Library, CINAHL, MEDLINE, PsycINFO, Web of Science, Scopus, and ProQuest Dissertations and Theses Global), with no restrictions on publication year but limited to English language only. Qualitative findings focusing on women's experiences with virtual reality during childbirth were included. Two reviewers independently screened studies, extracted data, and appraised quality. Data synthesis followed the Joanna Briggs Institute (JBI) Manual for Evidence Synthesis and thematic analysis framework, with evidence assessed through GRADE-CERQual.

RESULTS

Eight studies were included, revealing a central theme: "The Journey of Childbirth through the Lens of Virtual Reality", supported by four themes: collective experiences and sentiments; labor pain and anxiety mitigation; Contentment and enthusiasm for subsequent utilization; and preferences and improvements.

CONCLUSION

This qualitative systematic review explored women's unique experiences with virtual reality during childbirth. It highlighted the need for ongoing research and collaborative efforts in healthcare to enhance virtual reality interventions, ensuring their efficacy in obstetrics for competent childbirth management.

摘要

背景

尽管药物疗法存在不良反应,但分娩期间,产妇常采用药物疗法来缓解疼痛和焦虑。虚拟现实技术已成为一种替代方法,但目前缺乏对产妇在分娩期间使用虚拟现实技术体验的综合分析,从而难以验证其感知效果。

目的

综合现有最佳证据,阐明产妇对分娩时使用虚拟现实技术的看法。

方法

从开始到 2023 年 12 月 31 日,全面检索了 9 个数据库(PubMed、Embase、Cochrane 图书馆、CINAHL、MEDLINE、PsycINFO、Web of Science、Scopus 和 ProQuest Dissertations and Theses Global),对发表年份没有限制,但仅限于英文文献。纳入了重点关注产妇在分娩期间使用虚拟现实技术体验的定性研究。两名评审员独立筛选研究、提取数据和评估质量。采用 Joanna Briggs 研究所(JBI)证据综合手册和主题分析框架进行数据综合,使用 GRADE-CERQual 评估证据。

结果

纳入了 8 项研究,揭示了一个核心主题:“虚拟现实视角下的分娩之旅”,由四个主题支持:集体体验和感受;减轻分娩疼痛和焦虑;对后续使用的满意和热情;以及偏好和改进。

结论

本定性系统评价探讨了产妇在分娩期间使用虚拟现实技术的独特体验。它强调了在医疗保健领域需要持续研究和协作努力,以增强虚拟现实干预措施,确保其在产科领域对分娩管理的有效性。

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