The effect of virtual reality on perioperative pain management in patients undergoing gastrointestinal procedures and surgeries: a systematic review of clinical trials

IF 2.2 3区医学 Q3 GASTROENTEROLOGY & HEPATOLOGY

Journal of Gastrointestinal Surgery Pub Date : 2024-11-01 DOI:10.1016/j.gassur.2024.08.005

Wafa A. Aldhaleei , Nader Bakheet , Tarek Odah , Heather Jett , Michael B. Wallace , Brian E. Lacy , Akshaya Srikanth Bhagavathula , Yan Bi

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引用次数: 0

Abstract

Background

Virtual reality (VR) is an advanced technology that transports users into a virtual world. It has been proven to be effective in pain management via distraction and alteration of pain perception. However, the impact of VR on treating perioperative pain is inconclusive. This systematic review aimed to evaluate the effect of VR on perioperative pain after a gastrointestinal (GI) procedure or surgery.

Methods

A systematic review of randomized controlled trials was conducted from inception to January 31, 2024, following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. The updated Cochrane risk of bias (RoB 2) assessment tool was used to evaluate the risk of bias.

Results

Of 724 articles screened, 8 studies with 678 participants were included in the systematic review. Four studies evaluated the effect of VR on perioperative pain during GI procedure (eg, colonoscopy) focused on its use after GI surgeries (eg, abdominal surgeries). Some studies reported a reduction in pain scores after the procedure; however, the findings of pain difference in before or during vs after the procedure in the VR vs control groups were mixed.

Conclusion

VR is a promising tool to control perioperative pain after a GI procedure or surgery. Differences in study protocols, pain assessment scales, and pain therapy used were limitations in performing a comprehensive meta-analysis. Further studies are needed to better evaluate the effects of VR on perioperative pain compared with standard of care.

查看原文本刊更多论文

虚拟现实对胃肠道手术患者围手术期疼痛管理的影响：临床试验系统综述》。

背景：虚拟现实（VR）是一种将用户带入虚拟世界的先进技术。事实证明，它可以通过分散注意力和改变疼痛感知来有效控制疼痛。然而，VR 对治疗围手术期疼痛的影响尚无定论。本系统综述旨在评估 VR 对胃肠道（GI）手术或外科手术后围手术期疼痛的影响：方法：根据《系统综述和元分析首选报告项目》（PRISMA）指南，对从开始到 2024 年 1 月 31 日的随机对照试验进行了系统综述。评估偏倚风险时使用了最新的 Cochrane 偏倚风险（RoB 2）评估工具：在筛选出的 724 篇文章中，有 8 项研究和 678 名参与者被纳入系统综述。四项研究评估了 VR 对消化道手术（如结肠镜检查）围手术期疼痛的影响，重点关注了 VR 在消化道手术（如腹部手术）后的使用情况。一些研究报告称，术后疼痛评分有所降低；然而，VR 组与对照组在术前、术中和术后的疼痛差异研究结果不一：结论：VR 是一种控制消化道手术或外科手术后围手术期疼痛的有效工具。研究方案、疼痛评估量表和所用疼痛疗法的差异是进行全面荟萃分析的限制因素。为了更好地评估 VR 与标准护理相比对围手术期疼痛的影响，还需要进一步的研究。

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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来源期刊

Journal of Gastrointestinal Surgery 医学-外科

CiteScore

5.50

自引率

3.10%

发文量

319

审稿时长

2 months

期刊介绍： The Journal of Gastrointestinal Surgery is a scholarly, peer-reviewed journal that updates the surgeon on the latest developments in gastrointestinal surgery. The journal includes original articles on surgery of the digestive tract; gastrointestinal images; "How I Do It" articles, subject reviews, book reports, editorial columns, the SSAT Presidential Address, articles by a guest orator, symposia, letters, results of conferences and more. This is the official publication of the Society for Surgery of the Alimentary Tract. The journal functions as an outstanding forum for continuing education in surgery and diseases of the gastrointestinal tract.