虚拟现实技术在外科术后患者疼痛管理中应用的Meta分析  

Effects of virtual reality technology in postoperative pain management for surgical patients:a Meta-analysis

作　　者：曹灿灿 魏力[2] 路明惠 徐嵩[1] 柴倩文 王艳梅 Cao Cancan;Wei Li;Lu Minghui;Xu Song;Chai Qianwen;Wang Yanmei(Department of Lung Tumor Surgery,Tianjin Medical University General Hospital,Tianjin 300052,China;Nursing Department,Tianjin Medical University General Hospital Airport Hospital,Tianjin 300308,China)

机构地区：[1]天津医科大学总医院肺部肿瘤外科,天津300052 [2]天津医科大学总医院空港医院护理部,天津300308

出　　处：《中华现代护理杂志》2024年第30期4144-4151,共8页Chinese Journal of Modern Nursing

基　　金：国家自然科学基金(82172776)。

摘　　要：目的探讨虚拟现实(VR)技术在外科术后患者疼痛管理中的应用效果。方法计算机检索PubMed、Web of Science等8个数据库,搜集关于VR技术缓解外科术后患者疼痛的研究,检索时限为建库至2023年11月19日。由2名研究人员独立筛选文献、提取资料并开展文献质量评价,使用RevMan 5.4软件进行Meta分析。结果纳入18篇文献。Meta分析结果显示,VR技术能降低患者术后静息状态下疼痛评分[MD=-1.13,95%CI(-1.29,-0.96),P<0.001]、术后12 h疼痛评分[MD=-0.49,95%CI(-0.73,-0.24),P<0.001]、术后24 h疼痛评分[MD=-0.73,95%CI(-0.92,-0.54)、P<0.001]、术后48 h疼痛评分[MD=-0.69,95%CI(-0.84,-0.53),P<0.001]、术后72 h疼痛评分[MD=-0.37,95%CI(-0.59,-0.16),P<0.001]、术后换药时疼痛评分[MD=-1.11,95%CI(-2.06,-0.16),P=0.02],且能提高患者术后舒适度[MD=8.31,95%CI(6.57,10.06),P<0.001]。结论作为非药物干预手段,VR技术可缓解外科患者术后疼痛,改善患者术后舒适度。但今后仍须开展大样本、高质量研究进一步验证VR技术的有效性。Objective To explore the effect of virtual reality(VR)technology in postoperative pain management for surgical patients.Methods The literature on VR technology for relieving postoperative pain in surgical patients was electronically retrieved from eight databases,including PubMed,Web of Science and so on.The search period was from database establishment to November 19,2023.Two researchers independently screened literature,extracted data,and conducted literature quality evaluation,using RevMan 5.4 for Meta-analysis.Results A total of 18 articles were included.Meta-analysis results showed that VR technology could reduce postoperative resting pain scores[MD=-1.13,95%CI(-1.29,-0.96),P<0.001],postoperative 12 hour pain scores[MD=-0.49,95%CI(-0.73,-0.24),P<0.001],postoperative 24 hour pain scores[MD=-0.73,95%CI(-0.92,-0.54),P<0.001],postoperative 48 hour pain scores[MD=-0.69,95%CI(-0.84,-0.53),P<0.001],postoperative 72 hour pain scores[MD=-0.37,95%CI(-0.59,-0.16),P<0.001],and postoperative pain scores during dressing changes[MD=-1.11,95%CI(-2.06,-0.16),P=0.02],and could improve patient postoperative comfort[MD=8.31,95%CI(6.57,10.06),P<0.001].Conclusions As a non-pharmacological intervention,VR technology can alleviate postoperative pain and improve patient comfort in surgical patients.In the future,large-scale and high-quality research is still needed to further verify the effectiveness of VR technology.

关 键 词：META分析 虚拟现实 术后疼痛 循证护理 

分 类 号：R473.6[医药卫生—护理学]