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虚拟现实在乳腺癌幸存者中的作用:一项范围综述。

The role of virtual reality in breast cancer survivors: A scoping review.

作者信息

Ma Zhuyue, Sun Li, Zhang Yuanyuan

机构信息

Jiangsu Province Hospital of Chinese Medicine & Affiliated Hospital of Nanjing University of Chinese Medicine, 210029, China.

Jiangsu Province Hospital of Chinese Medicine & Affiliated Hospital of Nanjing University of Chinese Medicine, 211100, China.

出版信息

Prev Med Rep. 2025 Mar 14;53:103032. doi: 10.1016/j.pmedr.2025.103032. eCollection 2025 May.

DOI:10.1016/j.pmedr.2025.103032
PMID:40242002
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12003002/
Abstract

OBJECTIVE

This scoping review aims to analyze features, functions, and effectiveness evaluation of VR in the application of breast cancer care.

METHODS

A scoping review was conducted based on the framework suggested by Arksey and O'Malley. Eight electronic databases (i.e., PubMed, EMBASE, Cochrane Library, Web of Science, CINAHL, CNKI, China Wanfang Database, and China Biology Medicine disc.) was searched. Articles published from inception till 01 April 2024.

RESULTS

After screening 16,606 articles, a total of 21 papers were included. 10 immersive VR studies and 8 non-immersive VR studies. The main themes identified included the classification and function of VR, content elements of VR for Breast cancer care (e.g., symptoms, rehabilitation, and education), and evaluation of the effectiveness of VR (e.g., clinical outcomes, experience, adverse effects).

CONCLUSION

VR in 2 categories has potential applicability in symptom, rehabilitation, and educational management, with high satisfaction and acceptance by most patients. However, the current application of VR in breast cancer is limited, and there is still a need to optimize VR component design and focus on its long-term impact on patients and related stakeholders in the future.

摘要

目的

本综述旨在分析虚拟现实(VR)在乳腺癌护理应用中的特征、功能及效果评估。

方法

基于阿克西和奥马利提出的框架进行综述。检索了八个电子数据库(即PubMed、EMBASE、Cochrane图书馆、科学网、护理学与健康领域数据库、中国知网、中国万方数据库和中国生物医学光盘数据库)。检索了从数据库建库至2024年4月1日发表的文章。

结果

在筛选了16606篇文章后,共纳入21篇论文。其中10项沉浸式VR研究和8项非沉浸式VR研究。确定的主要主题包括VR的分类和功能、用于乳腺癌护理的VR的内容要素(如症状、康复和教育)以及VR效果评估(如临床结果、体验、不良反应)。

结论

两类VR在症状、康复和教育管理方面具有潜在适用性,大多数患者满意度和接受度较高。然而,目前VR在乳腺癌中的应用有限,未来仍需优化VR组件设计,并关注其对患者及相关利益相关者的长期影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9140/12003002/70fb08b584f3/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9140/12003002/70fb08b584f3/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9140/12003002/70fb08b584f3/gr1.jpg

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本文引用的文献

1
The Efficacy of Internet-Based Cognitive Behavioral Therapy for Patients With Breast Cancer: A Systematic Review and Meta-Analysis.基于互联网的认知行为疗法对乳腺癌患者的疗效:系统评价和荟萃分析。
Integr Cancer Ther. 2024 Jan-Dec;23:15347354241293449. doi: 10.1177/15347354241293449.
2
Navigating the Metaverse: A New Virtual Tool with Promising Real Benefits for Breast Cancer Patients.探索元宇宙:一种对乳腺癌患者具有切实潜在益处的新型虚拟工具。
J Clin Med. 2024 Jul 25;13(15):4337. doi: 10.3390/jcm13154337.
3
Current Trends and Beyond Conventional Approaches: Advancements in Breast Cancer Surgery through Three-Dimensional Imaging, Virtual Reality, Augmented Reality, and the Emerging Metaverse.
当前趋势及超越传统方法:通过三维成像、虚拟现实、增强现实和新兴的元宇宙实现乳腺癌手术的进展
J Clin Med. 2024 Feb 5;13(3):915. doi: 10.3390/jcm13030915.
4
Tailored Psychological Interventions to Manage Body Image: An Opinion Study on Breast Cancer Survivors.针对身体意象管理的定制化心理干预:乳腺癌幸存者的观点研究。
Int J Environ Res Public Health. 2023 Feb 8;20(4):2991. doi: 10.3390/ijerph20042991.
5
Mindfulness-based stress reduction and cognitive function among breast cancer survivors: A randomized controlled trial.正念减压疗法对乳腺癌幸存者认知功能的影响:一项随机对照试验。
Cancer. 2022 Jul 1;128(13):2520-2528. doi: 10.1002/cncr.34209. Epub 2022 Apr 6.
6
The benefits and acceptability of virtual reality interventions for women with metastatic breast cancer in their homes; a pilot randomised trial.虚拟现实干预对居家转移性乳腺癌女性的益处和可接受性:一项初步随机试验。
BMC Cancer. 2022 Apr 2;22(1):360. doi: 10.1186/s12885-021-09081-z.
7
State-of-the-Art Review on Immersive Virtual Reality Interventions for Colonoscopy-Induced Anxiety and Pain.关于沉浸式虚拟现实干预结肠镜检查所致焦虑和疼痛的最新综述
J Clin Med. 2022 Mar 17;11(6):1670. doi: 10.3390/jcm11061670.
8
Impact of virtual embodiment and exercises on functional ability and range of motion in orthopedic rehabilitation.虚拟化身与运动对骨科康复中功能能力和活动范围的影响。
Sci Rep. 2022 Mar 23;12(1):5046. doi: 10.1038/s41598-022-08917-3.
9
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BMJ Open. 2022 Mar 17;12(3):e051808. doi: 10.1136/bmjopen-2021-051808.
10
Virtual reality-based distraction on pain, performance, and anxiety during and after moderate-vigorous intensity cycling.基于虚拟现实的分散注意力对中高强度踏车运动过程中和运动后疼痛、表现和焦虑的影响。
Physiol Behav. 2022 Jun 1;250:113779. doi: 10.1016/j.physbeh.2022.113779. Epub 2022 Mar 11.