虚拟现实技术对维持性血液透析患者影响的Meta分析  

Meta-analysis of the influence of virtual reality technology on maintenance hemodialysis patients

作　　者：朱妍[1] 吴会军[1] 张仲华[1] 马骏 鄢建军[1] 王李胜 ZHU Yan;WU Huijun;ZHANG Zhonghua;MA Jun;YAN Jianjun;WANG Lisheng(Blood Purification Center,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院血液净化中心,武汉430030

出　　处：《中国临床护理》2024年第7期407-411,共5页Chinese Clinical Nursing

基　　金：华中科技大学同济医学院附属同济医院科研基金护理专项一般项目(编号:2023D29)。

摘　　要：目的评价虚拟现实技术用于维持性血液透析患者的效果分析。方法计算机检索Cochrane Library、PubMed、Embase、Web of Science、CINAHL、中国知网、中国生物医学文献数据库、维普数据库、万方数据库中关于虚拟现实技术用于维持性血液透析患者的随机对照试验和类实验性研究,由2名研究人员独立进行文献筛选和资料提取,根据纳入和排除标准进行评估,并进行交叉核对。采用RevMan 5.4软件对纳入的文献进行Meta分析。结果最终纳入文献7篇,共涉及315例患者。Meta分析结果显示,虚拟现实技术可以显著改善血液透析患者生活质量中的生理功能[MD=11.68,95%CI(5.38,17.98),P<0.01]、生理职能[MD=18.41,95%CI(9.93,26.89),P<0.01]、躯体疼痛[MD=8.75,95%CI(2.12,15.37),P=0.01]、一般健康状况[MD=9.23,95%CI(3.77,14.68),P<0.01]、精力[MD=11.90,95%CI(5.71,18.08),P<0.01]、精神健康[MD=19.14,95%CI(8.80,29.47),P<0.01];虚拟现实技术能够改善身体功能中的60 s内坐-站-坐次数[MD=4.61,95%CI(0.41,8.82),P=0.03]。结论虚拟现实技术能够改善维持性血液透析患者总体生活质量以及部分身体功能,但对抑郁的影响并不显著。Objective To evaluate the application effect of virtual reality technology in maintenance hemodialysis patients.Methods Randomized controlled trials and quasi-experiments of the effect of virtual reality technology on maintenance hemodialysis patients were searched in the Cochrane Library,PubMed,Embase,Web of Science,CINAHL,China National Knowledge Infrastructure,Chinese Biomedical Literature Database,VIP Database,and Wanfang Database.Literature screening,data extraction and quality evaluation were conducted by two researchers independently.Then,the meta-analysis was performed using the RevMan 5.4 software.Results Seven articles were finally included,involving a total of 315 patients.Meta-analysis results show that virtual reality technology can significantly improve the physiological functions[MD=11.68,95%CI(5.38,17.98),P<0.01],physiological functions[MD=18.41,95%CI(9.93,26.89),P<0.01],general health status[MD=9.23,95%CI(3.77,14.68),P<0.01],vitality[MD=11.90,95%CI(5.71,18.08),P<0.01]and mental health[MD=19.14,95%CI(8.80,29.47),P<0.01],but significantly relieve body pain[MD=8.75,95%CI(2.12,15.37),P=0.01].Moreover,significant improvement was observed in such physical function as the number of sitting-standing-sitting within 60 seconds[MD=4.61,95%CI(0.41,8.82),P=0.03].Conclusion Virtual reality technology can improve the life quality and some physical functions of maintenance hemodialysis patients,but the effect on depression is not obvious.

关 键 词：虚拟现实 维持性血液透析 META分析 生活质量 身体功能 

分 类 号：R473.5[医药卫生—护理学]