关键词: Anxiety Circumcision Fear Meta-analysis Pain Virtual reality

来  源:   DOI:10.1016/j.pmn.2024.06.007

Abstract:
BACKGROUND: Circumcision-a common pediatric procedure-can cause significant pain and anxiety. Virtual reality has been proposed as a nonpharmacological intervention to alleviate these negative experiences.
OBJECTIVE: This systematic review and meta-analysis was conducted to evaluate the effects of virtual reality interventions on pain and anxiety in children undergoing circumcision.
METHODS: This study comprehensively searched PubMed, Embase, and Cochrane Library for articles published from database inception to October 2, 2023. Randomized controlled trials that investigated the effects of virtual reality interventions on pain and anxiety during circumcision in children were included. The Cochrane risk-of-bias tool was used to appraise the included studies. The primary outcomes were pain and anxiety scores.
RESULTS: Three randomized controlled trials and four data sets involving a total of 224 children were included in our meta-analysis. Virtual reality interventions significantly reduced children\'s pain and anxiety scores.
CONCLUSIONS: Virtual reality interventions are promising nonpharmacological strategies for alleviating children\'s pain and anxiety during circumcision. Pediatric healthcare professionals use virtual reality interventions to create a child-friendly and healthy healthcare environment.
摘要:
背景:包皮环切术-一种常见的儿科手术-可引起明显的疼痛和焦虑。虚拟现实已被提出作为一种非药物干预措施来缓解这些负面体验。
目的:本系统综述和荟萃分析旨在评估虚拟现实干预对包皮环切术患儿疼痛和焦虑的影响。
方法:本研究全面搜索PubMed,Embase,和Cochrane图书馆从数据库开始到2023年10月2日发表的文章。包括研究虚拟现实干预对儿童包皮环切术期间疼痛和焦虑影响的随机对照试验。Cochrane偏倚风险工具用于评估纳入的研究。主要结果是疼痛和焦虑评分。
结果:我们的荟萃分析中纳入了3项随机对照试验和4个数据集,共涉及224名儿童。虚拟现实干预显著降低了儿童的疼痛和焦虑评分。
结论:虚拟现实干预是减轻儿童包皮环切期间疼痛和焦虑的有希望的非药物策略。儿科医疗保健专业人员使用虚拟现实干预措施来创建一个对儿童友好和健康的医疗保健环境。
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