Virtual and augmented reality for anxiety reduction in orthopedic patients and providers: a systematic review.

IF 2.8 3区医学 Q1 ORTHOPEDICS

Journal of Orthopaedic Surgery and Research Pub Date : 2025-03-31 DOI:10.1186/s13018-025-05690-7

Negarsadat Namazi, Yashar Khani, Amirhossein Salmannezhad, Mohammad Behdadfard, Ehsan Safaee, Mohammad Nouroozi, Amir Mehrvar

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引用次数: 0

Abstract

Background: Anxiety impacts patients and healthcare providers during orthopedic procedures, yet virtual reality (VR) and augmented reality (AR) effectiveness remains inconsistently reported, lacking systematic synthesis in this setting. This review addresses this gap.

Methods: Per PRISMA guidelines (PROSPERO: CRD42024553394), we searched PubMed, Scopus, Web of Science, and Embase in March 2024 for studies on VR/AR/mixed reality (MR) interventions for anxiety in orthopedic procedures. Data were narratively synthesized; bias assessed via RoB-2 and ROBINS-I.

Results: Twenty-four studies (16 RCTs, 8 cohort, n = 1714) showed VR (22 studies) and AR (2 studies) significantly reduced anxiety across procedure phases, notably in pediatrics. Healthcare providers (HCPs) reported lower anxiety and higher confidence with VR. Satisfaction rose, anesthetic use dropped, though inconsistent tools and methods limited comparisons.

Conclusion: VR/AR reduce pediatric anxiety in orthopedics, with less conclusive adult/HCP benefits. Clinicians could adopt preoperative VR. Research needs standardized tools and adult-focused RCTs.

查看原文本刊更多论文

虚拟和增强现实减轻骨科患者和提供者的焦虑：系统回顾。

背景：在骨科手术过程中，焦虑会影响患者和医疗保健提供者，然而虚拟现实（VR）和增强现实（AR）的有效性仍然存在不一致的报道，缺乏系统的综合。本综述解决了这一差距。方法：根据PRISMA指南（PROSPERO: CRD42024553394），我们于2024年3月检索PubMed、Scopus、Web of Science和Embase，研究VR/AR/混合现实（MR）干预骨科手术中焦虑的研究。数据以叙事方式合成；通过rob2和ROBINS-I评估偏倚。结果：24项研究（16项随机对照试验，8个队列，n = 1714）显示VR（22项研究）和AR（2项研究）显著降低了整个手术阶段的焦虑，尤其是在儿科。医疗保健提供者（HCPs）报告说，VR的焦虑程度较低，信心较高。满意度上升，麻醉剂的使用下降，尽管不一致的工具和方法限制了比较。结论：VR/AR可减少骨科患儿的焦虑，但对成人/HCP的益处较少。临床医生可采用术前VR。研究需要标准化的工具和以成人为中心的随机对照试验。

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 Orthopaedic Surgery and Research ORTHOPEDICS-

CiteScore

4.10

自引率

7.70%

发文量

494

审稿时长

>12 weeks

期刊介绍： Journal of Orthopaedic Surgery and Research is an open access journal that encompasses all aspects of clinical and basic research studies related to musculoskeletal issues. Orthopaedic research is conducted at clinical and basic science levels. With the advancement of new technologies and the increasing expectation and demand from doctors and patients, we are witnessing an enormous growth in clinical orthopaedic research, particularly in the fields of traumatology, spinal surgery, joint replacement, sports medicine, musculoskeletal tumour management, hand microsurgery, foot and ankle surgery, paediatric orthopaedic, and orthopaedic rehabilitation. The involvement of basic science ranges from molecular, cellular, structural and functional perspectives to tissue engineering, gait analysis, automation and robotic surgery. Implant and biomaterial designs are new disciplines that complement clinical applications. JOSR encourages the publication of multidisciplinary research with collaboration amongst clinicians and scientists from different disciplines, which will be the trend in the coming decades.