Effectiveness of virtual reality exposure in surgical children:a Meta-analysis
Objective To systematically evaluate the application effect of virtual reality exposure in children undergoing surgeiy,providing guidance for clinical practice.Methods A systematic search of PubMed,Web of Science,Cochrane Library,Embase,CNKI,VIP,WanFang Data and CBM was conducted for randomised controlled trials on the effects of virtual reality exposure in children undergoing surgeiy.The search time was limited to March 21,2024.There were 2 researchers who independently screened the literature,extracted data and evaluated quality.Meta-analysis was performed using RevMan 5.4 software.Results A total of 9 studies with 900 children were included.The results of Meta-analysis showed that the level of preoperative anxiety in the experimental group was lower than that in the control group,and the difference was statistically significant[SMD=-0.65,95％CI(-0.95,-0.35),P＜0.001].The caregiver satisfaction in the experimental group was higher than that in the control group,and the difference was statistically significant[SMD=0.40,95％CI(0.10,0.70),P=0.010].However,there was no statistically significant difference when comparing the level of postoperative pain between the 2 groups[SMD=-1.16,95％CI(-2.83,0.51),P=0.180].Subgroup analyses showed that the preoperative anxiety levels of the children were lower when the intervention was performed with gamified interactive virtual reality videos compared with ordinary virtual reality videos and ordinary interactive virtual reality videos[SMD=-0.96,95％CI(-1.36,-0.56),P＜0.001].Compared with ≤4 min,children had lower levels of preoperative anxiety when the length of the intervention was 5 mnin[SSMD=-0.96,95％CI(-1.36,-0.56),P＜0.001].Conclusion The implementation of virtual reality exposure was effective in relieving preoperative anxiety and improving caregiver satisfaction,but further research is needed to investigate the effect on the children's postoperative pain levels.
万方数据
维普
