探索虚拟现实训练在产科手术及患者护理中的效果——一项系统综述
Exploring the Efficacy of Virtual Reality Training in Obstetric Procedures and Patient Care-A Systematic Review.
作者信息
Visan Ioana Gabriela, Toma Cristian Valentin, Petca Razvan, Petrescu George E D, Noditi Aniela-Roxana, Petca Aida
机构信息
Department of Obstetrics and Gynecology, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Department of Urology, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.
出版信息
Healthcare (Basel). 2025 Apr 1;13(7):784. doi: 10.3390/healthcare13070784.
BACKGROUND
As technology continues to shape society, younger generations are increasingly accustomed to its integration into daily life, making it mandatory for medical educators to adopt innovative tools like virtual reality (VR). This systematic review examines the efficacy of VR in obstetric training and patient care, focusing on its impact on educational engagement, procedural skill acquisition, and pain management in obstetric patients.
METHODS
A systematic review of the current literature was conducted using databases: PubMed, Web of Science, Science Direct, Scopus, Embase, The Cochrane Library, and Clinicaltrials.gov analyzing randomized controlled studies on VR's use in obstetric training and patient care. Inclusion criteria focused on studies evaluating VR's role in enhancing clinical skills, and pain and anxiety management during labor and procedures. Only randomized controlled trials published in English were considered. The risk of bias was assessed using RoB 2 for RCTs. Data extraction and quality appraisal were performed independently by two reviewers.
RESULTS
A total of 18 studies met the inclusion criteria. Among them, 13 studies focused on VR for pain relief and anxiety reduction, and 5 studies on medical training and skill acquisition. Most studies used immersive VR headsets, while some utilized interactive VR or serious gaming platforms. Adverse effects such as motion sickness and visual discomfort were reported in a few cases but did not significantly impact participant engagement.
CONCLUSIONS
VR holds the potential to improve obstetric training and patient care by aligning with the learning preferences of younger generations and enhancing both educational and patient care experiences. However, heterogeneity in sample sizes, participants, and intervention types limits generalizability. Further large-scale, high-quality RCTs are needed to validate findings and standardize VR applications in obstetrics. This review was registered in PROSPERO (Registration ID: CRD42024619197).
背景
随着科技持续塑造社会,年轻一代越来越习惯于将其融入日常生活,这使得医学教育工作者必须采用虚拟现实(VR)等创新工具。本系统评价考察了VR在产科培训和患者护理中的效果,重点关注其对教育参与度、操作技能习得以及产科患者疼痛管理的影响。
方法
使用以下数据库对当前文献进行系统评价:PubMed、科学引文索引、Science Direct、Scopus、Embase、考克兰图书馆和Clinicaltrials.gov,分析关于VR在产科培训和患者护理中应用的随机对照研究。纳入标准聚焦于评估VR在提高临床技能以及分娩和操作过程中疼痛与焦虑管理方面作用的研究。仅考虑以英文发表的随机对照试验。使用RoB 2对随机对照试验进行偏倚风险评估。数据提取和质量评估由两名评价者独立进行。
结果
共有18项研究符合纳入标准。其中,13项研究聚焦于VR缓解疼痛和减轻焦虑,5项研究关注医学培训和技能习得。大多数研究使用沉浸式VR头戴设备,而一些研究利用交互式VR或严肃游戏平台。少数案例报告了诸如晕动病和视觉不适等不良反应,但未对参与者的参与度产生显著影响。
结论
VR有潜力通过契合年轻一代的学习偏好并提升教育和患者护理体验来改善产科培训和患者护理。然而,样本量、参与者和干预类型的异质性限制了普遍性。需要进一步开展大规模、高质量的随机对照试验来验证研究结果并规范VR在产科中的应用。本评价已在国际前瞻性系统评价注册库(PROSPERO)注册(注册号:CRD42024619197)。