Sevilay Senol Celik , Yusuf Celik , Hande Nur Arslan , Gamze Bozkul
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引用次数: 0
摘要
目的本系统回顾和荟萃分析的目的是评估虚拟现实对成人烧伤患者疼痛的影响。方法用关键词对PUBMED、Web of Science、Science Direct、CINAHL、Scopus、TÜBİTAK-ULAKBİM、Dergipark、TR Dizin等国际电子数据库进行全面系统检索。本系统综述和荟萃分析采用PRISMA检查表。使用Cochrane偏倚风险工具对每个纳入的研究进行独立的偏倚风险评估。结果根据系统评价的结果，决定纳入15项研究进行meta分析。根据15项合并研究，根据异质性检验推荐的随机效应模型的结果，估计的SMD为- 0.62,95% CI为- 1.15和- 0.09。在汇总的15项研究中，11项研究发现VR患者的疼痛评分较低，而其余4项研究报告VR患者的疼痛评分较高。结论虚拟现实技术可以有效地应用于成人烧伤患者的疼痛管理。由于对成人烧伤患者的研究数量非常有限，因此建议对该问题进行包括护理干预在内的高水平证据的大样本研究。
The effect of virtual reality-based interventions on pain in burn wound care in burn patients: A systematic review and meta-analysis
Objective
The aim of this systematic review and meta-analysis was to evaluate the effect of virtual reality on pain in adult burn patients.
Method
A comprehensive systematic search was conducted on international electronic databases such as PUBMED, Web of Science, Science Direct, CINAHL, Scopus, TÜBİTAK-ULAKBİM, Dergipark and TR Dizin with keywords. This systematic review and meta-anaysis was developed using the PRISMA checklist. The risk of bias was assessed independently for each included study by using the Cochrane risk of bias tools.
Results
Based on the results of systematic review it was decided to include 15 studies in meta analyses. Based on fifteen pooled studies, the estimated SMD was minus 0.62 with a 95 % CI of minus1.15 and minus 0.09 according to the results of the random effects model as recommended by heterogeneity tests. Of pooled 15 studies, 11 studies found less pain score among VR patients, while the remaining four reported higher pain score among VR patients.
Conclusions
The results show that virtual reality can be used effectively in pain management during burn care in adult patients. Since the number of studies in adult burn patients is very limited, it is recommended to conduct large-sample studies with high level of evidence including nursing interventions on this issue.
期刊介绍：
The Journal of Tissue Viability is the official publication of the Tissue Viability Society and is a quarterly journal concerned with all aspects of the occurrence and treatment of wounds, ulcers and pressure sores including patient care, pain, nutrition, wound healing, research, prevention, mobility, social problems and management.
The Journal particularly encourages papers covering skin and skin wounds but will consider articles that discuss injury in any tissue. Articles that stress the multi-professional nature of tissue viability are especially welcome. We seek to encourage new authors as well as well-established contributors to the field - one aim of the journal is to enable all participants in tissue viability to share information with colleagues.
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