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虚拟现实技术对癌症患者干预效果的Meta分析

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目的 通过Meta分析评价虚拟现实(virtual reality,VR)技术对癌症患者疼痛、焦虑、认知功能、上肢功能和生活质量的影响.方法 计算机检索中国知网,万方数据库,中国生物医学文献数据库,维普数据库,PubMed,Web of Science,Embase,PsycINFO和Cochrane Library中有关VR技术应用于癌症患者的随机对照研究,检索时限为建库至 2023 年 3 月.由2 名研究者独立进行文献的筛选、评价和信息提取,采用RevMan 5.3 软件进行Meta分析.结果 共纳入 9 篇文献,包括 727例患者.Meta分析结果显示,VR技术可减轻癌症患者的疼痛程度[SMD=-1.31,95%CI(-1.96~-0.66),P<0.001],缓解焦虑情绪[SMD=-0.96,95%CI(-1.62~-0.31),P=0.004],改善认知功能[SMD=3.37,95%CI(1.74~5.00),P<0.001],提高患者生活质量[SMD=0.67,95%CI(0.38~0.96),P<0.001],但对上肢功能的影响尚不明确[SMD=-0.57,95%CI(-1.40~0.26),P=0.18].结论 VR技术可减轻癌症患者的疼痛程度,缓解焦虑情绪,改善患者的认知功能及生活质量,但对上肢功能的影响尚不确定.由于本研究部分结果存在异质性,未来仍需开展高质量的随机对照研究,进一步验证VR技术对癌症患者的干预效果.
Interventional effect of virtual reality on cancer patients:a Meta-analysis
Objective To evaluate the interventional effects of virtual reality(VR)on cancer patients in pain,anxiety,cognitive function,upper limb function and quality of life.Methods Randomised controlled trials(RCTs)using VR technology on cancer patients were retrieved from databases of CNKI,Wanfang Database,SinoMed,VIP,PubMed,Web of Science,Embase,PsycINFO and Cochrane Library,from the inception of the databases to March 2023.Two reviewers independently examined and screened the literatures,followed by evaluation of the quality and extraction of relevant themes.Meta-analysis was conducted by using RevMan 5.3 to analyse the acquired data.Results A total of 9 RCTs involving 727 patients were included.The meta-analysis demonstrated that VR technology alleviated pain intensity in cancer patients[SMD=-1.31,95%CI(-1.96 to-0.66),P<0.001],relieved anxiety[SMD=-0.96,95%CI(-1.62 to-0.31),P=0.004],improved cognitive function[SMD=3.37,95%CI(1.74 to 5.00),P<0.001],and improved quality of life of cancer patients[SMD=0.67,95%CI(0.38 to 0.96),P<0.001].However,it posed unclear effect on upper limb function[SMD=-0.57,95%CI(-1.40 to 0.26),P=0.18].Conclusion VR technology shows potentials in alleviation of pain,reduction of anxiety and improvement of cognitive function and the quality of life in cancer patients,but it remains uncertain effect on upper limb function.However,due to heterogeneity in some of the results,more high-quality studies are required to validate the interventional effects of VR technology on cancer patients.

virtual realitycancer patientspaincognitive functionquality of lifeMeta-analysis

杜婕、管兰兰、李晓林、王芳、彭飞

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苏州大学医学院护理学院,江苏苏州,215006

上海长征医院 骨肿瘤外科,上海,200003

上海长征医院 护理处,上海,200003

虚拟现实技术 癌症 疼痛 认知功能 生活质量 Meta分析

长征医院护理科研基金

CZYY-HLM98

2024

现代临床护理
中山大学

现代临床护理

CSTPCD
影响因子:1.317
ISSN:1671-8283
年,卷(期):2024.23(7)
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