视听技术干预可减轻接受全身麻醉的儿童的术前焦虑:系统回顾和荟萃分析。

IF 1.4 Q3 EDUCATION, SCIENTIFIC DISCIPLINES Journal of Education and Health Promotion Pub Date : 2024-07-11 eCollection Date: 2024-01-01 DOI:10.4103/jehp.jehp_1344_23
Jacinda R Oktaviani, Vivi Widjaja, Nicholas A Singgih, Raden H Pranowo Sampurno Secodiningrat
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引用次数: 0

摘要

术前焦虑(POA)是接受手术(尤其是全身麻醉)的儿童所担心的问题。术前焦虑会导致许多术后问题,如生理、心理和经济问题。与药物治疗相比,非药物治疗更令人愉悦,且不良反应较少,因此已被研究用于减少 POA。视听技术治疗是最近开发的非药物治疗方法之一。本研究旨在评估视听技术干预对减少接受全身麻醉的儿童 POA 的疗效。本研究根据《系统综述和荟萃分析首选报告项目》(Preferred Reporting Items for Systematic Reviews and Meta-Analyses Guideline 2020)进行。使用谷歌学术、PubMed、ProQuest 和 Cochrane 数据库检索 2015 年 1 月至 2023 年 6 月间发表的英文文章。Cochrane Review Manager 5.4 用于荟萃分析,偏倚风险工具 2.0 用于衡量偏倚风险。纳入的研究均为将视听技术干预与对照人群进行比较的随机对照试验(RCT)。修改后的耶鲁术前焦虑量表是研究的结果。我们使用检索词在四个数据库中找到了 627 篇文章。经过资格标准筛选,来自伊朗、丹麦和中国的三项研究被纳入荟萃分析。分析采用了随机效应模型。荟萃分析结果显示,与对照组相比,视听技术干预组的修正耶鲁术前焦虑量表得分更低(平均差异为-10.75 [-16.48 to -5.03];95%置信区间;P = 0.0002)。视频游戏、卡通或动画视频以及智能手机应用程序等视听技术干预措施可显著降低接受全身麻醉的儿童的 POA。
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Audiovisual technology intervention for reducing preoperative anxiety in children undergoing general anesthesia: A systematic review and meta-analysis.

Preoperative anxiety (POA) is a concern for children undergoing surgery, especially with general anesthesia. POA can result in many postoperative problems, such as physical, psychological, and financial problems. Nonpharmacological treatments have been investigated for reducing POA as they are more pleasant and have fewer adverse effects compared to pharmacological treatments. Audiovisual technology treatment is one of the nonpharmacological treatments developed lately. This study aims to evaluate the efficacy of an audiovisual technology intervention for reducing POA in children undergoing general anesthesia. This study was conducted based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Guideline 2020. Google Scholar, PubMed, ProQuest, and Cochrane databases were used for searching English articles published between January 2015 and June 2023. Cochrane Review Manager 5.4 was used for the meta-analysis and the Risk of Bias Tool 2.0 was used to measure the risk of bias. The studies included were randomized controlled trials (RCTs) that compared the audiovisual technology intervention with a control population. The modified Yale Preoperative Anxiety Scale was the outcome of interest. We found 627 articles in four databases using the search term. After screening with the eligibility criteria, three studies from Iran, Denmark, and China were included in the meta-analysis. A random effect model was applied. The meta-analysis resulted in a significant result as a lower modified Yale Preoperative Anxiety Scale score was found in the audiovisual technology intervention group compared with the control group (mean difference -10.75 [-16.48 to -5.03]; 95% confidence interval; P = .0002.) The presence of audiovisual technology interventions such as video games, cartoons or animation videos, and smartphone applications could significantly lower POA in children undergoing general anesthesia.

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来源期刊
CiteScore
2.60
自引率
21.40%
发文量
218
审稿时长
34 weeks
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