妇女对分娩过程中使用虚拟现实技术的看法：定性系统综述和元综合

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2024-09-11 DOI:10.1016/j.midw.2024.104184

Yu Xuan Ng , Chengting Chang , Chin Yue Tan , Hong-Gu He

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引用次数: 0

摘要

背景育龄妇女在分娩过程中通常会采用药物疗法来控制疼痛和焦虑，尽管这些疗法会产生不良影响。目的综合妇女对分娩期间使用虚拟现实技术的看法的现有最佳证据。方法从开始到 2023 年 12 月 31 日，我们对九个数据库（PubMed、Embase、Cochrane Library、CINAHL、MEDLINE、PsycINFO、Web of Science、Scopus 和 ProQuest Dissertations and Theses Global）进行了全面检索，对出版年份没有限制，但仅限于英语。研究纳入了关注妇女在分娩过程中使用虚拟现实体验的定性研究成果。两名审稿人独立筛选研究、提取数据并评估质量。数据综合遵循了乔安娜-布里格斯研究所（JBI）的《证据综合手册》和主题分析框架，并通过 GRADE-CERQual 对证据进行了评估：结果纳入了八项研究，揭示了一个中心主题："虚拟现实镜头下的分娩之旅"，并辅以四个主题：集体体验和情感；减轻分娩疼痛和焦虑；对后续使用的满足感和热情；以及偏好和改进。结论本定性系统综述探讨了妇女在分娩过程中使用虚拟现实技术的独特体验。它强调了在医疗保健领域进行持续研究和合作的必要性，以加强虚拟现实干预措施，确保其在产科中的有效性，从而实现有效的分娩管理。

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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Women's perceptions of the use of virtual reality during childbirth: A qualitative systematic review and meta-synthesis

Background

Childbearing women often resort to pharmacotherapies for pain and anxiety management during childbirth, despite their adverse effects. Virtual reality has emerged as an alternative, but a comprehensive synthesis of women's experiences with virtual reality during labor is lacking, hindering validation of its perceived effects.

Aim

To synthesize the best available evidence of women's perceptions of the use of virtual reality during childbirth.

Methods

From the beginning until December 31, 2023, a comprehensive search was conducted across nine databases (PubMed, Embase, Cochrane Library, CINAHL, MEDLINE, PsycINFO, Web of Science, Scopus, and ProQuest Dissertations and Theses Global), with no restrictions on publication year but limited to English language only. Qualitative findings focusing on women's experiences with virtual reality during childbirth were included. Two reviewers independently screened studies, extracted data, and appraised quality. Data synthesis followed the Joanna Briggs Institute (JBI) Manual for Evidence Synthesis and thematic analysis framework, with evidence assessed through GRADE-CERQual.

Results

Eight studies were included, revealing a central theme: "The Journey of Childbirth through the Lens of Virtual Reality", supported by four themes: collective experiences and sentiments; labor pain and anxiety mitigation; Contentment and enthusiasm for subsequent utilization; and preferences and improvements.

Conclusion

This qualitative systematic review explored women's unique experiences with virtual reality during childbirth. It highlighted the need for ongoing research and collaborative efforts in healthcare to enhance virtual reality interventions, ensuring their efficacy in obstetrics for competent childbirth management.

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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.