PDF(Pubmed)
Abstract：
Circumcision is a common pediatric operation, and distraction technique can be used as an adjunct analgesic method during the perioperative period. The study aims to explore the effect of distraction techniques on reducing pain, fear, and anxiety in children undergoing circumcision. The PubMed, ClinicalTrials.gov, and Embase databases were searched for articles published from January 1, 2000, to December 31, 2023. Only randomized controlled trials (RCTs) were included. Meta-analysis and forest plots were carried out using Review Manager 5.4.1 software, and outcomes were reviewed by two authors independently. We used the Risk of Bias assessment form (ROB2) developed by the Cochrane Collaboration to assess the quality of included studies. PRISMA 2020 guidelines were used in this article to achieve the quantitative and qualitative synthesis of data. A total of seven RCTs were included. The intervention group consisted of 417 patients, while the control group had 245 patients. The meta-analysis and sensitivity analysis results showed that the distraction technique could significantly relieve pain (MD -1.3, 95% confidence interval [CI]: [-1.61 to -0.99], p < .00001), fear (SMD -1.04, 95%CI -1.68 to -0.4, p = .001), and anxiety (SMD -1.07, 95%CI [-1.64 to -0.51], p = .0002). Similarly, therapeutic play significant could significantly relieve fear (MD -0.4, 95%CI [-0.71 to -0.1], p = .01) and anxiety (SMD -1.31, 95%CI [-2.59 to -0.04], p = .04), virtual reality (VR) could significantly relieve anxiety (SMD -0.67, 95%CI [-0.98 to -0.37], p < .0001). Distraction techniques can alleviate perioperative pain, fear, and anxiety in children undergoing circumcision.
摘要：
包皮环切术是儿科常见的手术,牵张技术可作为围手术期的辅助镇痛方法。这项研究旨在探讨分心技术对减轻疼痛的影响，恐惧,以及接受包皮环切术的儿童的焦虑。PubMed,ClinicalTrials.gov,和Embase数据库搜索从2000年1月1日至2023年12月31日发表的文章。仅包括随机对照试验（RCTs）。使用ReviewManager5.4.1软件进行Meta分析和森林地块，结果由两名作者独立审查.我们使用Cochrane协作组开发的偏差风险评估表（ROB2）来评估纳入研究的质量。本文使用PRISMA2020指南来实现数据的定量和定性综合。总共包括七个RCT。干预组包括417例患者，而对照组有245例患者。荟萃分析和敏感性分析结果表明，分心技术可以显着缓解疼痛（MD-1.3，95％置信区间[CI]：[-1.61to-0.99]，p<.00001),恐惧（SMD-1.04，95CI-1.68至-0.4，p=.001），和焦虑（SMD-1.07，95CI[-1.64至-0.51]，p=.0002）。同样，显著的治疗性发挥可以显著缓解恐惧(MD-0.4，95CI[-0.71至-0.1]，p=0.01）和焦虑（SMD-1.31，95CI[-2.59至-0.04]，p=.04)，虚拟现实(VR)可以显著缓解焦虑(SMD-0.67，95CI[-0.98至-0.37]，p<.0001)。分心技术可以减轻围手术期疼痛，恐惧,以及接受包皮环切术的儿童的焦虑。
