基于虚拟现实技术的分娩镇痛法在自然分娩产妇中应用的范围综述  

Effects of labor analgesia based on virtual reality in natural childbirth parturients: a scoping review

作　　者：肖燕 蒋璐 苏琼[1] Xiao Yan;Jiang Lu;Su Qiong(Public Health Department,the Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China)

机构地区：[1]重庆医科大学附属第二医院公共卫生科,重庆400010

出　　处：《中华现代护理杂志》2024年第16期2233-2240,共8页Chinese Journal of Modern Nursing

摘　　要：目的对基于虚拟现实技术的分娩镇痛法在自然分娩产妇中的应用效果进行范围审查,全面了解虚拟现实技术的干预要素、结局指标、应用效果及局限性,为医务人员开展相关研究和临床实践提供参考。方法以Arksey和O'Malley的范围综述方法为框架,系统检索PubMed、Embase、Web of Science、Cochrane Library、Scopus、EBSCO、中国知网、维普网、万方数据库、中国生物医学文献数据库等数据库,检索时限为建库至2023年8月9日。由2名研究人员按照纳入标准和排除标准独立筛选文献、提取资料,并进行汇总和分析。结果共纳入15篇文献,基于虚拟现实技术的分娩镇痛法干预内容多为自然景观型,干预时长多为每次10~30 min,结局指标为疼痛和心理状况相关指标等。基于虚拟现实技术的分娩镇痛法有助于减轻产妇分娩疼痛、缓解负性情绪、缩短产程时间及提高产妇满意度等。未有文献报告严重不良事件的发生,产妇接受度较好。结论基于虚拟现实技术的分娩镇痛法在产妇中应用可行且效果较好。未来仍需进一步开展大样本、高质量的随机对照试验进一步验证干预效果,为制定基于虚拟现实技术的个性化干预方案提供依据。Objective To conduct a scoping review on the effectiveness of labor analgesia based on virtual reality in natural childbirth parturients,comprehensively understand the intervention elements,outcome indicators,effects,and limitations of virtual reality,so as to provide reference for medical and nursing staff to carry out research and clinical practice.Methods Based on Arksey and O'Malley's scope review method,the database were systematically searched,including PubMed,Embase,Web of Science,Cochrane Library,Scopus,EBSCO,China National Knowledge Infrastructure,VIP,WanFang Data,and China Biology medicine disc.The search period was from database establishment to August 9,2023.Two researchers independently screened literature and extracted data based on inclusion and exclusion criteria,and summarized and analyzed the data.Results A total of 15 articles were included.The intervention content of labor analgesia based on virtual reality was mostly natural landscape type,with intervention duration of 10 to 30 minutes each time,and outcome indicators such as pain and psychological status.The labor analgesia based on virtual reality could help alleviate labor pain,relieve negative emotions,shorten labor process time,and increase parturient satisfaction.There was no literature reporting the occurrence of serious adverse events,and the acceptance of parturients was well.Conclusions The application of virtual reality for childbirth labor in parturients is feasible and effective.Further large-scale,high-quality randomized controlled trials are still needed to verify the intervention effectiveness,providing a basis for developing personalized intervention plans based on virtual reality.

关 键 词：综述 虚拟现实 自然分娩 产妇 产科护理 疼痛 

分 类 号：R473.71[医药卫生—护理学]