目的 对虚拟现实技术在生命末期患者中应用的相关研究进行范围综述,为我国医护人员在生命末期照护领域深入开发和运用虚拟现实技术提供参考.方法 以澳大利亚JBI循证卫生保健中心提出的范围综述指南为方法学指导,计算机检索PubMed、Web of Science、Embase、Cochrane library、CINAHL、中国生物医学文献数据库、中国知网、万方数据服务平台和维普数据库,检索时限为建库至2023年8月.由2名研究人员独立筛选并提取资料.结果 共纳入13篇文献,均为英文文献,虚拟现实技术干预类型主要为基于沉浸式的观影或游戏体验等,干预总时长为1 d至4周不等,4～60 min/次;结局指标主要包括对生命末期患者疼痛水平、症状困扰、心理或精神健康水平、生活质量、生理参数的影响,以及可行性与可接受性等指标.结论 虚拟现实技术在生命末期患者中应用具有较强的可行性与较高的可接受度,未来仍需要开展大样本、高质量的研究来验证虚拟现实技术在生命末期患者中的应用效果,为制订符合我国生命末期群体特点的最佳虚拟现实技术干预方案提供循证依据.
Virtual reality technology in patients at end of life:a scoping review
Objective To conduct a scoping review on researches on the application of virtual reality(VR)technology in patients at the end of life,and to provide reference for healthcare professionals to further develop and apply VR technology in the field of end-life care.Methods Using the scoping review guidelines developed by the Joanna Briggs Institute(JBI)as methodological guidance,PubMed,Web of Science,Embase,Cochrane library,CINAHL,CBM,CNKI,Wanfang Data and VIP were searched with a retrieval period spanning from the inception to August 2023.Data were screened and extracted independently by two researchers.Results A total of 13 studies were included,all of which were in English.The intervention types of VR technology were mainly based on immersive movie watching or game experience,etc.The total intervention course ranged from l day to 4 weeks,and the duration of a single intervention was 4 to 60 minutes per session.The outcome indicators mainly included the impact on pain,symptom distress,mental or mental health,quality of life,physiological parameters,and feasibility and acceptability.Conclusion VR technology intervention has a positive impact on end-of-life patients,with strong feasibility and high acceptability.In the future,large-scale and high-quality studies are still needed to verify the application effect of VR technology in end-of-life patients,so as to provide an evidence-based basis for the development of an optimal VR technology intervention program that meets the characteristics of end-of-life population in China.
virtual realityend of lifepalliative carescoping review
万方数据
维普
