The Efficacy of Virtual Reality-Based Interventions on Pain, Anxiety, Depression, and Quality of Life Among Patients With Cancer: A Meta-analysis of Randomized Controlled Trials.
Yang Chen, Xiaoli Chen, Linna Li, Yunhuan Li, Qianwen Yan, Xiaolin Hu
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引用次数: 0
Abstract
Background: Although cancer patients are living longer, the numerous physical and psychological outcomes of cancer can still be burdensome. Pain, anxiety, depression, and decreased quality of life are symptoms that are highly impacted by cancer. The availability of modalities to cope with these symptoms is critical. Virtual reality-based interventions have been used among patients with cancer, but their effects on pain, anxiety, depression, and quality of life remain unclear.
Objective: To determine the efficacy of virtual reality-based interventions on pain, anxiety, depression, and quality of life among cancer patients and to assess the efficacy of different contents and duration.
Methods: Nine databases were retrieved from inception to July 31, 2024. The methodological quality was evaluated via the Cochrane Risk of Bias 2.0 tool. Data synthesis was conducted with Stata version 16.0, and sensitivity analysis and subgroup analysis were also performed.
Results: Virtual reality-based interventions can soothe pain and anxiety. Subgroup analysis revealed that interventions focused on playing games and watching videos were effective at reducing pain. In addition, enjoying landscapes, receiving treatment-related health education, and watching videos were effective at decreasing anxiety; moreover, short-term (≤6 weeks) interventions were effective at relieving pain.
Conclusions: Virtual reality-based interventions are effective at decreasing pain and anxiety. The contents and duration of the intervention had an impact on their effectiveness.
Implications for nursing practice: Symptom management is a paramount aspect of clinical cancer care. In daily oncology nursing, we encourage nurses to utilize the benefits of virtual reality-based interventions to improve cancer patients' experience with medical treatment.
背景：虽然癌症患者的寿命更长，但癌症带来的许多生理和心理后果仍然是沉重的负担。疼痛、焦虑、抑郁和生活质量下降是癌症严重影响的症状。治疗这些症状的方法的可用性至关重要。基于虚拟现实的干预措施已用于癌症患者，但其对疼痛、焦虑、抑郁和生活质量的影响尚不清楚。目的：了解基于虚拟现实技术的干预对癌症患者疼痛、焦虑、抑郁和生活质量的影响，并评估不同干预内容和持续时间的效果。方法：检索自成立至2024年7月31日的9个数据库。方法学质量通过Cochrane风险偏倚2.0工具进行评估。采用Stata version 16.0进行数据综合，并进行敏感性分析和亚组分析。结果：基于虚拟现实的干预可以缓解疼痛和焦虑。亚组分析显示，专注于玩游戏和看视频的干预措施在减轻疼痛方面是有效的。此外，欣赏风景、接受治疗相关的健康教育和观看视频对减少焦虑有效；此外，短期（≤6周）干预对缓解疼痛有效。结论：基于虚拟现实的干预在减少疼痛和焦虑方面是有效的。干预的内容和持续时间对其有效性有影响。对护理实践的启示：症状管理是临床癌症护理的一个重要方面。在日常肿瘤护理中，我们鼓励护士利用基于虚拟现实的干预措施的好处来改善癌症患者的医疗体验。
期刊介绍：
Each bimonthly issue of Cancer Nursing™ addresses the whole spectrum of problems arising in the care and support of cancer patients--prevention and early detection, geriatric and pediatric cancer nursing, medical and surgical oncology, ambulatory care, nutritional support, psychosocial aspects of cancer, patient responses to all treatment modalities, and specific nursing interventions. The journal offers unparalleled coverage of cancer care delivery practices worldwide, as well as groundbreaking research findings and their practical applications.
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