Effectiveness of Virtual Reality in the Management of Anxiety and Pain Peri-Treatment for Breast Cancer: A Systematic Review and Meta-Analysis.

Mingqin Lu, Yuting Song, Yushuo Niu, Ting Liu, Song Ge, Yaru Sun, Xin Wang, Ying Luo, Kuinan Li, Xiuling Yang
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Abstract

Background: Breast cancer is the second most common cancer in humans. Its therapy procedures such as breast biopsy can cause anxiety and persistent pain in patients. Virtual reality (VR) has been applied to promote comfort in various populations. However, the effectiveness of VR in relieving pain and anxiety in patients undergoing breast cancer treatment is unclear.

Purpose: This study was designed to examine the effect of VR on anxiety and pain in people undergoing treatment for breast cancer.

Methods: PubMed, Cochrane, Embase, Scopus, Web of Science, and MEDLINE databases were searched for studies involving VR, pain, and anxiety in patients with breast cancer published up to March 2022. The Cochrane Handbook for Systems quality evaluation standard 6.3.0 was followed to assess risk of bias in the identified studies, with the results reported in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Subsequently, a meta-analysis of the included data was conducted using RevMan 5.3 software.

Results: Six randomized controlled trials and one quasi-experimental study were included. The strength of the evidence ranged from moderate to high. Although VR was found to ameliorate anxiety in patients with breast cancer, only three studies showed statistically significant changes. All of the included studies reported statistically significant improvement in pain levels. In addition, two of the studies reported cybersickness symptoms as a common side effect of VR.

Conclusions: VR has an important role to play in alleviating pain in patients with breast cancer. However, evidence demonstrating VR's importance in alleviating anxiety symptoms in this population is insufficient. Studies conducted with larger sample sizes and high-quality research methodologies will be necessary to clarify this issue. Clinical nurses should address the potential side effects of VR.

虚拟现实技术在乳腺癌治疗前焦虑和疼痛管理中的有效性:系统回顾与元分析》。
背景:乳腺癌是人类第二大常见癌症:乳腺癌是人类第二大常见癌症。其治疗过程(如乳腺活组织检查)会使患者感到焦虑和持续疼痛。虚拟现实(VR)已被应用于各种人群,以提高舒适度。目的:本研究旨在探讨 VR 对乳腺癌患者焦虑和疼痛的影响:检索了 PubMed、Cochrane、Embase、Scopus、Web of Science 和 MEDLINE 数据库中截至 2022 年 3 月发表的涉及乳腺癌患者 VR、疼痛和焦虑的研究。在评估已确定研究的偏倚风险时,遵循了《Cochrane 系统质量评估手册》标准 6.3.0,并根据《系统综述和荟萃分析首选报告项目》声明报告了结果。随后,使用 RevMan 5.3 软件对纳入的数据进行了荟萃分析:结果:共纳入六项随机对照试验和一项准实验研究。证据的强度从中度到高度不等。虽然研究发现 VR 可以缓解乳腺癌患者的焦虑情绪,但只有三项研究显示其变化具有统计学意义。所有纳入的研究都报告称,疼痛程度在统计学上有明显改善。此外,有两项研究报告称,晕机症状是 VR 的常见副作用:结论:VR 在减轻乳腺癌患者疼痛方面可以发挥重要作用。结论:VR 在减轻乳腺癌患者疼痛方面具有重要作用,但证明 VR 在减轻该人群焦虑症状方面具有重要作用的证据不足。有必要进行样本量更大、研究方法更高质量的研究,以澄清这一问题。临床护士应关注 VR 的潜在副作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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