虚拟现实技术在儿童疼痛管理中应用效果的系统评价再评价  

Re-evaluation of systematic reviews of application effect of virtual reality technology in pain management of children

作　　者：孙亚军[1] 杨辉[2] 闫敏[1] 孟桂芝 祝静潇 Sun Yajun;Yang Hui;Yan Min;Meng Guizhi;Zhu Jingxiao(Fifth Department of Pediatrics,Liaocheng Second People's Hospital,Liaocheng 252600,China;Nursing Department,Liaocheng Second People's Hospital,Liaocheng 252600,China)

机构地区：[1]聊城市第二人民医院小儿五科,聊城252600 [2]聊城市第二人民医院护理部,聊城252600

出　　处：《中华现代护理杂志》2023年第26期3613-3619,共7页Chinese Journal of Modern Nursing

摘　　要：目的对虚拟现实技术在儿童疼痛管理中有效性的系统评价进行再评价。方法计算机检索中国知网、万方数据库、维普网、中国生物医学文献数据库、Cochrane Library、PubMed、Embase、CINAHL和Web of Science中关于虚拟现实技术对儿童疼痛管理效果的系统评价,检索时间均为建库至2022年11月4日。由2名研究者独立进行文献筛选和资料提取,并运用系统评价方法学质量评价工具(AMSTAR 2)清单对纳入的研究进行方法学质量评价,采用证据质量分级和推荐强度(GRADE)系统对证据质量等级进行评价。结果共纳入14篇系统评价。AMSTAR 2评价结果显示,2篇系统评价的方法学质量评价为低,12篇系统评价的方法学质量评价为极低。应用GRADE对结局指标进行证据质量评价,结果显示纳入的26个结局指标中,23.08%(6/26)为中等证据,76.92%(20/26)为低级证据,无证据质量显示为高级。结论虚拟现实技术能够缓解儿童疼痛的结论尚缺乏高质量的证据支持。系统评价的方法学质量和证据质量较低,未来需开展更规范、严谨的研究,进一步验证虚拟现实技术在儿童疼痛管理中的应用效果。Objective To re-evaluate the systematic reviews of the effectiveness of virtual reality technology in pain management in children.Methods Using computers to search for systematic reviews of the effectiveness of virtual reality technology in pain management for pediatric patients in China National Knowledge Infrastructure(CNKI),Wanfang Database,VIP,China Biology Medicine disc,Cochrane Library,PubMed,Embase,CINAHL and Web of Science.The retrieval period was from the establishment of the databases to November 4,2022.Literature screening and data extraction were conducted independently by two researchers,methodological quality evaluation was performed for the included studies using the A Measurement Tool to Assess Systematic Reviews 2(AMSTAR 2)checklist,and the evidence quality rating was evaluated using Grades of Recommendations Assessment,Development and Evaluation(GRADE)system.Results A total of 14 systematic reviews were included.AMSTAR 2 evaluation results showed that the methodological quality of 2 systematic reviews was low,and 12 were extremely low.GRADE was used to evaluate the quality of evidence of the outcome indicators,and the results showed that among the 26 outcome indicators included,23.08%(6/26)were medium evidence,76.92%(20/26)were low evidence,and the quality of no evidence was high.Conclusions There is a lack of high-quality evidence to support the conclusion that virtual reality technology can relieve pain in children.The methodological quality and evidence quality of systematic reviews are low,and more standardized and rigorous studies need to be carried out in the future to further verify the application effect of virtual reality technology in pain management of children.

关 键 词：儿童 虚拟现实技术 疼痛 系统评价再评价 循证护理 

分 类 号：R473.72[医药卫生—护理学]