虚拟现实技术在分娩疼痛管理中应用效果的Meta分析  

The application effect of virtual reality in labor pain management:a Meta analysis

作　　者：徐佳 王红燕[1] 钟文娟[2] 韩永红 Xu Jia;Wang Hongyan;Zhong Wenjuan;Han Yonghong(Department of Gynecology,Women′s Hospital School of Medicine Zhejiang University,Hangzhou 310000,China;College of Health Science and Nursing,Wuhan Polytechnic University,Wuhan 430000,China;Department of Oncology,the Central Hospital of Wuhan,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430000,China)

机构地区：[1]浙江大学医学院附属妇产科医院妇科,杭州310000 [2]武汉轻工大学医学与健康学院,武汉430000 [3]华中科技大学同济医学院附属武汉市中心医院肿瘤科,武汉430000

出　　处：《中国实用护理杂志》2022年第32期2548-2555,共8页Chinese Journal of Practical Nursing

摘　　要：目的采用Meta分析方法评价虚拟现实技术在分娩疼痛管理中的应用效果。方法计算机检索从建库至2021年7月的PubMed(Medline)、Web of Science、The Cochrane Library、Embase、CINAHL、中国知网、万方数据库、中国生物医学文献数据库、维普数据库,搜集关于虚拟现实技术对分娩疼痛影响的随机对照试验。由2名研究人员独立筛选文献,提取资料并评价纳入研究的偏倚风险后,采用Comprehensive Meta-Analysis(CMA)V3软件进行Meta分析。结果共纳入8项随机对照试验,共658例受试者。Meta分析显示:虚拟现实技术组在缓解产妇分娩疼痛(MD=-1.13,95%CI-1.59~-0.67,P<0.01),尤其分娩活跃期疼痛(MD=-1.20,95%CI-1.96~-0.45,P<0.01)、缩短第一产程时间(MD=-0.93,95%CI-1.51~-0.34,P<0.01)、减轻焦虑情绪(SMD=-1.54,95%CI-2.22~-0.85,P<0.01)方面均优于常规护理组;但2组在分娩潜伏期疼痛评分(MD=-0.41,95%CI-1.30~0.47,P>0.05)和第二产程时间(MD=-0.37,95%CI-3.27~2.53,P>0.05)上的差异无统计学意义。结论现有证据显示,虚拟现实技术能有效地缓解分娩疼痛、缩短第一产程时间、减轻焦虑情绪。但因纳入研究数量和质量受限,其结论还需今后更多设计严谨的大样本多中心的随机对照试验研究予以验证。Objective To evaluate the application effect of virtual reality in labor pain management by Meta analysis.Methods The randomized controlled trials on the impact of virtual reality on labor pain was searched by PubMed(Medline),Web of Science,The Cochrane Library,Embase,CINAHL,China National Knowledge Infrastructure(CNKI),Wanfang database,Chinese biomedical database,and VIP database from their inception until July 2021.Two reviewers independently screened literature,extracted data and assessed the risk of bais of included studies.Meta-analysis was performed using the Comprehensive Meta-Analysis(CMA)software Version 3.Results Totally,658 pregnant women were identified in the search,which were narrowed down to 8 studies.The results of Meta-analysis showed that the virtual reality group decreased the labor pain compared with the normal nursing group(MD=-1.13,95%CI-1.59 to-0.67,P<0.01),especially during the active phase of labor(MD=-1.20,95%CI-1.96 to-0.45,P<0.01).Besides,compared with the normal nursing group,the virtual reality group had a shorter first stage duration of labor(MD=-0.93,95%CI-1.51 to-0.34,P<0.01)and a lower level of anxiety(SMD=-1.54,95%CI-2.22 to-0.85,P<0.01).However,there was no significant difference between two groups in the pain scores during the latent phase of labor(MD=-0.41,95%CI-1.30 to 0.47,P>0.05)and the second stage duration of labor(MD=-0.37,95%CI-3.27 to 2.53,P>0.05).Conclusions The findings of this Meta-analysis showed that the virtual reality significantly reduced the labor pain,shorted the first stage labor duration and lowered anxiety level.However,due to the limited quantity and quality of the included studies,its conclusions need to be verified by more large sample multicenter randomized controlled trials with rigorous design in the future.

关 键 词：产程 焦虑 META分析 虚拟现实 分娩疼痛 

分 类 号：TP391.9[自动化与计算机技术—计算机应用技术] R714.3[自动化与计算机技术—计算机科学与技术]