Complement Ther Med:烧伤护理过程中,虚拟现实技术可有效减少创口疼痛

2022-09-08 MedSci原创 MedSci原创

烧伤是全世界最常见的伤害之一,具有严重的并发症(如低血容量引起的败血症休克或伤口愈合不当后的疤痕组织收缩),每年在全球造成26.5万人死亡。此外,烧伤的伤口会导致多种疾病,并延长住院和恢复时间。近日,

烧伤是全世界最常见的伤害之一,具有严重的并发症(如低血容量引起的败血症休克或伤口愈合不当后的疤痕组织收缩),每年在全球造成26.5万人死亡。此外,烧伤的伤口会导致多种疾病,并延长住院和恢复时间。近日,发表于Complement Ther Med的一项系统回顾和荟萃分析旨在分析和综合关于虚拟现实(VR)干预在预防烧伤伤口护理过程中的疼痛、恐惧和焦虑的有效性的证据。

在2021年9月和10月,研究人员对PubMed、Scopus、Cochrane图书馆和Web of Science进行了系统检索,寻找相关的随机对照和交叉研究。两位独立的作者描述了以下检索的纳入标准:接受烧伤伤口护理的患者,应用VR治疗与任何其他或非VR干预相比。在总共1171条记录中,有25条符合纳入标准。经过全文筛选,排除了7篇出版物。两位独立作者对18项研究进行了偏倚风险评估。

结果,荟萃分析显示,在分析伤口护理过程中的疼痛结果时(SMD = -0.49; 95% CI [-0.78, -0.15]; I2 = 41%),以及纳入沉浸式VR的亚组分析中(SMD = -0.71; 95% CI [-1.07, -0.36]; I2 = 0%),VR治疗和标准护理之间存在显著差异。在运动范围结果方面,VR治疗和标准护理之间没有发现明显差异(SMD = 0.44;95% CI [-0.23, 1.11];I2 = 50%)。

综上所述,该研究结果表明,在烧伤伤口护理程序中,VR似乎是一种有效的治疗支持,可以减少疼痛。然而,这项系统回顾和荟萃分析强调了需要对VR作为一种分散注意力的方法进行更多的研究。对使用类似条件的较大群体的研究可以为VR的有效性提供明确的证据,并使这种干预被纳入标准医疗程序。

 

原始出处:

Oliver Czech, et al., Virtual reality intervention as a support method during wound care and rehabilitation after burns: A systematic review and meta-analysis. Complement Ther Med. 2022 Sep;68:102837. doi: 10.1016/j.ctim.2022.102837.

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    2023-04-17 xuyong536
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    2023-06-09 zsyan
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