PDF(Pubmed)
Abstract：
Virtual reality (VR) is an emerging method that can be used in many scenarios involving children. VR has been increasingly studied as it has become cheaper, more widely available, and of better quality. In this review of current meta-analyses on the use of VR in children in the medical setting, we examined its role in 5 broad settings where it is used to alleviate pain and anxiety as well as in therapeutic scenarios. The study scope was purposefully broad to highlight a wide range of cases. We searched the ScienceDirect, SpringerLink, Cochrane Library, PubMed, and PMC databases for meta-analyses using VR in pediatric populations in medical settings. The National Institutes of Health quality assessment tool and Quality of Reporting of Meta-analyses statement checklist were used to verify study quality. Six hundred fifty-three articles were retrieved; after the application of the inclusion and exclusion criteria, 11 remained. These meta-analyses included cerebral palsy (4 meta-analyses), attention deficit/hyperactivity disorder (2 meta-analyses), burn care (1 meta-analysis), preoperative anxiety (2 meta-analyses), and needle-involving procedures (2 meta-analyses). The meta-analyses showed broadly positive results, with VR being useful in the areas in which it was applied. This study had several limitations. The meta-analyses consistently highlighted a high level of heterogeneity, making it challenging to draw clear conclusions. Most meta-analyses across all fields yielded encouraging results. However, further studies are required to confirm these findings. Guidelines must be established for future experiments to provide a standard and uniform procedure for reducing the heterogeneity of experimental methods.
摘要：
虚拟现实（VR）是一种新兴的方法，可用于许多涉及儿童的场景。VR的研究越来越多，因为它变得越来越便宜。更广泛的可用，和更好的质量。在这篇关于医疗环境中儿童使用VR的荟萃分析的综述中，我们研究了它在5种广泛的环境中的作用,在这些环境中,它被用于缓解疼痛和焦虑,以及在治疗方案中的作用.研究范围有目的地广泛，以突出广泛的病例。我们搜索了ScienceDirect,SpringerLink,科克伦图书馆,PubMed,和PMC数据库，用于医疗环境中儿科人群使用VR进行荟萃分析。使用美国国立卫生研究院质量评估工具和Meta分析报告质量报告清单来验证研究质量。检索到六百五十三篇文章；在应用纳入和排除标准后，11仍然这些荟萃分析包括脑瘫(4个荟萃分析)，注意缺陷/多动障碍（2个荟萃分析），烧伤护理（1个荟萃分析），术前焦虑（2个荟萃分析），和涉及针头的程序（2个荟萃分析）。荟萃分析显示出广泛的积极结果，VR在其应用领域非常有用。这项研究有几个局限性。荟萃分析一致强调了高度的异质性，很难得出明确的结论。所有领域的大多数荟萃分析都产生了令人鼓舞的结果。然而,需要进一步的研究来证实这些发现。必须为将来的实验制定指南，以提供标准和统一的程序来减少实验方法的异质性。
