■虚拟现实(VR)在护理教育中显示出有希望的有效性,疼痛管理,和康复。然而,荟萃分析讨论了VR在单方面和不一致护理中的使用效果,证据基础是分散和多样的。
■我们的目标是从评估护士使用VR技术对护理教育或患者健康结果的影响的荟萃分析中综合综合证据。
■我们通过在WebofScience上搜索有关VR干预在临床护理实践中的荟萃分析进行了综述,Embase,科克伦,和PubMed,在参考列表中。符合条件的研究在2012年12月1日至2023年9月20日以英文发表。≤2项干预研究的荟萃分析和无95%CI或异质性数据的荟萃分析被排除。特性指标,人口信息,VR干预信息,提取95%CI。对研究结果进行了描述性分析,以辨别VR干预与结果之间的关系。采用I2和P值评价发表偏倚。AMSTAR(评估系统评论的测量工具)2和等级(建议评估的等级,发展,和评估)使用检查表评价文献质量。
■总共,确定了768条记录;纳入了74项荟萃分析以供审查。报道最多的VR研究条件是神经紊乱(25/74,34%),儿科护理(13/74,18%),手术和伤口护理(11/74,15%),肿瘤护理(11/74,15%),和老年人护理(10/74,14%)。Further,30%(22/74)的荟萃分析报告发表偏倚,根据AMSTAR2和等级清单,15%(11/74)和8%(6/74)被评为“高”,分别。所有纳入meta分析的主要结局指标为疼痛(37/214,17.3%),焦虑(36/214,16.8%),认知功能(17/214,7.9%),余额(16/214,7.5%),抑郁症(16/214,7.5%),运动功能(12/214,5.6%),和参与生活(12/214,5.6%)。认知的VR治疗,疼痛,焦虑,抑郁是有效的(所有P值均<0.05),虽然VR用于改善运动功能的效用,balance,记忆,注意力是有争议的。副作用包括恶心,呕吐,和头晕(发病率:范围4.76%-50%)。最常见的VR平台是PicoVR眼镜,头戴式显示器,任天堂Wii,XboxKinectVR干预持续时间为2周至12个月(通常≥4周)。VR会话长度和频率范围从5到100分钟,每周1到10次,分别。
■VR在护理中具有积极作用-减轻患者的疼痛,焦虑,和抑郁和改善认知功能-尽管纳入的研究质量有限。然而,在护理中应用VR改善患者的运动功能,balance,记忆,注意力仍然存在争议。护理研究人员需要进一步探索VR在临床实践中的作用和标准操作方案,需要更多高质量的VR护理研究。
UNASSIGNED: Virtual reality (VR) has shown promising levels of effectiveness in nursing education, pain management, and rehabilitation. However, meta-analyses have discussed the effects of VR usage in nursing unilaterally and inconsistently, and the evidence base is diffuse and varied.
UNASSIGNED: We aimed to synthesize the combined evidence from meta-analyses that assessed the effects of nurses using VR technology on nursing education or patient health outcomes.
UNASSIGNED: We conducted an umbrella review by searching for meta-analyses about VR intervention in clinical nursing practice on Web of Science, Embase, Cochrane, and PubMed, and in reference lists. Eligible studies were published in English between December 1, 2012, and September 20, 2023. Meta-analyses of ≤2 intervention studies and meta-analyses without 95% CI or heterogeneity data were excluded. Characteristic indicators, population information, VR intervention information, and 95% CIs were extracted. A descriptive analysis of research results was conducted to discern relationships between VR interventions and outcomes. I2 and P values were used to evaluate publication bias. AMSTAR (A Measurement Tool to Assess Systematic Reviews) 2 and the GRADE (Grading of Recommendations Assessment, Development, and Evaluation) checklist were used to appraise literature quality.
UNASSIGNED: In total, 768 records were identified; 74 meta-analyses were included for review. The most reported VR study conditions were neuronursing (25/74, 34%), pediatric nursing (13/74, 18%), surgical and wound care (11/74, 15%), oncological nursing (11/74, 15%), and older adult nursing (10/74, 14%). Further, 30% (22/74) of meta-analyses reported publication bias, and 15% (11/74) and 8% (6/74) were rated as \"high\" based on AMSTAR 2 and the GRADE checklist, respectively. The main outcome indicators among all included meta-analyses were pain (37/214, 17.3%), anxiety (36/214, 16.8%), cognitive function (17/214, 7.9%), balance (16/214, 7.5%), depression (16/214, 7.5%), motor function (12/214, 5.6%), and participation in life (12/214, 5.6%). VR treatment for cognition, pain, anxiety, and depression was effective (all P values were <.05), while the utility of VR for improving motor function, balance, memory, and attention was controversial. Adverse effects included nausea, vomiting, and dizziness (incidence: range 4.76%-50%). The most common VR platforms were Pico VR glasses, head-mounted displays, the Nintendo Wii, and the Xbox Kinect. VR intervention duration ranged from 2 weeks to 12 months (typically ≥4 wk). VR session length and frequency ranged from 5 to 100 minutes and from 1 to 10 times per week, respectively.
UNASSIGNED: VR in nursing has positive effects-relieving patients\' pain, anxiety, and depression and improving cognitive function-despite the included studies\' limited quality. However, applying VR in nursing to improve patients\' motor function, balance, memory, and attention remains controversial. Nursing researchers need to further explore the effects and standard operation protocols of VR in clinical practice, and more high-quality research on VR in nursing is needed.