虚拟现实和增强现实用于减轻骨科患者及医护人员的焦虑：一项系统综述
Virtual and augmented reality for anxiety reduction in orthopedic patients and providers: a systematic review.
作者信息
Namazi Negarsadat, Khani Yashar, Salmannezhad Amirhossein, Behdadfard Mohammad, Safaee Ehsan, Nouroozi Mohammad, Mehrvar Amir
机构信息
Student Research Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Student Research Committee, Qazvin University of Medical Sciences, Qazvin, Iran.
出版信息
J Orthop Surg Res. 2025 Mar 31;20(1):327. doi: 10.1186/s13018-025-05690-7.
BACKGROUND
Anxiety impacts patients and healthcare providers during orthopedic procedures, yet virtual reality (VR) and augmented reality (AR) effectiveness remains inconsistently reported, lacking systematic synthesis in this setting. This review addresses this gap.
METHODS
Per PRISMA guidelines (PROSPERO: CRD42024553394), we searched PubMed, Scopus, Web of Science, and Embase in March 2024 for studies on VR/AR/mixed reality (MR) interventions for anxiety in orthopedic procedures. Data were narratively synthesized; bias assessed via RoB-2 and ROBINS-I.
RESULTS
Twenty-four studies (16 RCTs, 8 cohort, n = 1714) showed VR (22 studies) and AR (2 studies) significantly reduced anxiety across procedure phases, notably in pediatrics. Healthcare providers (HCPs) reported lower anxiety and higher confidence with VR. Satisfaction rose, anesthetic use dropped, though inconsistent tools and methods limited comparisons.
CONCLUSION
VR/AR reduce pediatric anxiety in orthopedics, with less conclusive adult/HCP benefits. Clinicians could adopt preoperative VR. Research needs standardized tools and adult-focused RCTs.
背景
在骨科手术过程中，焦虑会影响患者和医护人员，然而虚拟现实（VR）和增强现实（AR）的有效性报告并不一致，在这种情况下缺乏系统的综合分析。本综述旨在填补这一空白。
方法
根据PRISMA指南（PROSPERO：CRD42024553394），我们于2024年3月在PubMed、Scopus、科学网和Embase上搜索了关于VR/AR/混合现实（MR）干预措施用于骨科手术中焦虑症的研究。对数据进行了叙述性综合分析；通过RoB-2和ROBINS-I评估偏倚。
结果
24项研究（16项随机对照试验、8项队列研究，n = 1714）表明，VR（22项研究）和AR（2项研究）在整个手术阶段均显著降低了焦虑，尤其是在儿科患者中。医护人员报告使用VR时焦虑程度较低且信心较高。满意度提高，麻醉剂使用减少，不过工具和方法不一致限制了比较。
结论
VR/AR可降低儿科骨科手术中的焦虑，对成人/医护人员的益处不太明确。临床医生可采用术前VR。研究需要标准化工具和以成人为重点的随机对照试验。
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