Effects of Virtual Reality on Analgesia in Wound Care and Physical Therapy for Burn Patients: A Systematic Review and Meta-analysis

IF 1.6 4区医学 Q2 NURSING Pain Management Nursing Pub Date : 2024-08-01 DOI:10.1016/j.pmn.2024.03.002

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Abstract

Objectives

This systematic review and meta-analysis aimed to determine the effectiveness of virtual reality (VR) in alleviating pain and improving the experience of burn patients during wound care and physical therapy.

Design

A systematic review and meta-analysis.

Data Sources

PubMed, Embase, the Cochrane Database, and the Web of Science.

Review/Analysis Methods

We searched four electronic databases for randomized controlled trials (RCTs) published from the earliest available date up to March 1, 2022. The primary outcome was worst pain intensity, while secondary outcomes encompassed pain unpleasantness intensity, time spent thinking about pain, and fun experience intensity. Risk of bias was evaluated using the Cochrane Collaboration's tool.

Results

This study included 21 trials. The combined data revealed that the VR group experienced a significant reduction in worst pain intensity, pain unpleasantness intensity, and time spent thinking about pain compared to the control group. Moreover, VR treatment was associated with a significant increase in the fun experience intensity.

Implications for nursing

Virtual reality has the potential value of auxiliary analgesia in burn care, and exploring a more perfect scheme of VR-assisted analgesia is worthwhile.

Conclusions

The results of this meta-analysis indicate that VR can effectively reduce worst pain intensity, pain unpleasantness intensity, and time spent thinking about pain during wound care and physical therapy for burn patients. Additionally, it enhances fun experience intensity of the treatment period. Therefore, VR shows promise as a valuable complementary pain management intervention for burn patients.

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虚拟现实对烧伤患者伤口护理和物理治疗中镇痛的影响：系统回顾与元分析》。

目的：本系统综述和荟萃分析旨在确定虚拟现实（VR）在减轻烧伤患者疼痛和改善其伤口护理和物理治疗体验方面的效果：本系统综述和荟萃分析旨在确定虚拟现实（VR）在减轻烧伤患者疼痛以及改善其伤口护理和物理治疗体验方面的有效性：设计：系统综述和荟萃分析：数据来源：PubMed、Embase、Cochrane 数据库和 Web of Science：我们在四个电子数据库中检索了从最早可用日期到 2022 年 3 月 1 日发表的随机对照试验 (RCT)。主要结果是最严重的疼痛强度，次要结果包括疼痛的不快感强度、思考疼痛所花费的时间以及有趣的体验强度。使用 Cochrane 协作工具对偏倚风险进行了评估：本研究包括 21 项试验。综合数据显示，与对照组相比，VR 治疗组在最严重疼痛强度、疼痛不快感强度和思考疼痛所花费的时间方面均有显著降低。此外，VR 治疗与趣味体验强度的显著增加有关：虚拟现实技术在烧伤护理中具有辅助镇痛的潜在价值，值得探索更完善的 VR 辅助镇痛方案：本荟萃分析结果表明，在烧伤患者的伤口护理和物理治疗过程中，虚拟现实可以有效降低最严重的疼痛强度、疼痛不快感强度以及思考疼痛的时间。此外，它还能增强治疗期间的趣味体验强度。因此，VR 有望成为烧伤患者疼痛治疗的重要辅助干预手段。

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来源期刊

Pain Management Nursing 医学-护理

CiteScore

3.00

自引率

5.90%

发文量

187

审稿时长

>12 weeks

期刊介绍： This peer-reviewed journal offers a unique focus on the realm of pain management as it applies to nursing. Original and review articles from experts in the field offer key insights in the areas of clinical practice, advocacy, education, administration, and research. Additional features include practice guidelines and pharmacology updates.