[1]康冰瑶,谢红.虚拟现实疗法对减轻儿童静脉穿刺疼痛的Meta分析[J].军事护理,2022,39(10):76-78.[doi:10.3969/j.issn.2097-1826.2022.10.020]
　KANG Bingyao,XIE Hong.Virtual Reality Therapy in Relieving the Venipuncture Pain in Children: A Meta-analysis[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(10):76-78.[doi:10.3969/j.issn.2097-1826.2022.10.020]
点击复制

虚拟现实疗法对减轻儿童静脉穿刺疼痛的Meta分析
分享到：

《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年10期
页码:
76-78
栏目:
循证护理
出版日期:
2022-10-15

文章信息/Info

Title:
Virtual Reality Therapy in Relieving the Venipuncture Pain in Children: A Meta-analysis
文章编号:
2097-1826(2022)10-0076-03
作者:
康冰瑶1; 2; 谢红1; 2
(1.四川大学华西第二医院 儿科门诊暨出生缺陷与相关妇儿疾病教育部重点实验室,四川 成都 610041; 2.四川大学 华西护理学院,四川 成都 610041)
Author(s):
KANG Bingyao1; 2; XIE Hong1; 2
(1.Department of Pediatrics/Key Laboratory of Birth Defects and Related Diseases of Women and Children of Ministry of Education,West China Second Hospital,Sichuan University,Chengdu 610041,Sichuan Province,China; 2.West China School of Nursing,Sichuan University,Chengdu 610041,Sichuan Province,China)
关键词:
虚拟现实疗法;  儿童;  静脉穿刺;  疼痛;  Meta分析
Keywords:
virtual reality therapy;  children;  venipuncture;  pain;  Meta-analysis
分类号:
R472.9
DOI:
10.3969/j.issn.2097-1826.2022.10.020
文献标志码:
A
摘要:
目的 系统评价虚拟现实疗法在缓解儿童静脉穿刺疼痛的效果,为减轻儿童静脉穿刺疼痛提供新方法。方法 计算机检索维普、万方、中国知网、PubMed、EMbase等数据库中虚拟现实疗法应用于儿童静脉穿刺的干预性研究。检索时间为建库至2021年6月。两名研究者对纳入文献进行偏倚风险评价及分析。结果 最终纳入8篇文献,共纳入623例患儿。虚拟现实疗法组的Wong Baker面部表情疼痛量表评分[WMD=-0.61,95%CI(-1.00～-0.22),P=0.002]、疼痛视觉模拟评分[WMD=-0.37,95%CI(-0.64～-0.10),P=0.007]以及儿童恐惧量表评分[WMD=-1.52,95%CI(-1.86～-1.18),P<0.00001],与对照组比较,差异均有统计学意义。结论 虚拟现实疗法可缓解儿童静脉穿刺操作中的疼痛和恐惧。
Abstract:
Objective To systematically evaluate the effect of virtual reality therapy in relieving the venipuncture pain in children,and to provide a new intervention method.Methods The intervention study of virtual reality therapy for venipuncture pain in children was searched by VIP,WanFang,CNKI,PubMed,EMbase database.Retrieval time was from inception to June 2021.The literature was independently screened by two researchers and bias risk was assessed.Results 8 articles were finally included in the literature with 623 samples.The Wong-Baker Faces Pain Rating Scale was [WMD=-0.61,95%CI(-1.00～-0.22),P=0.002],the Visual Analogue Scale was [WMD=-0.37,95%CI(-0.64～-0.10),P=0.007],and the Child Fear Scale was [WMD=-1.52,95%CI(-1.86～-1.18),P<0.00001].The differences were statistically significant.Conclusions Virtual reality therapy can relieve the pain and fear in children's venipuncture operations.

参考文献/References:

[1] PETOVELLO K.Pediatric procedural pain management:a review of the literature[J].Int J Child Youth Fa,2012,3(4.1):569-589.
[2] REZAI M S,GOUDARZIAN A H,JAFARI-KOULAEE A,et al.The effect of distraction techniques on the pain of venipuncture in children:a systematic review[J].J Pediatr Rev,2017,5(1):26-37.
[3] 袁和芹,陈湘玉.心理干预对儿童静脉穿刺效果的Meta分析[J].解放军护理杂志,2015,32(21):1-5.
[4] KHADRA C,BALLARD A,DÉRY J,et al.Projector-based virtual reality dome environment for procedural pain and anxiety in young children with burn injuries:a pilot study[J].J Pain Res,2018(11):343-353.
[5] HIGGINS J P,GREEN S.Cochrane handbook for systematic review of interventions version 5.1.0[EB/OL].[2021-09-29].http://handbook.cochrane.org/.
[6] PATSOPOULOS N A,EVANGELOU E,IOANNIDIS J P.Sensitivity of between-study heterogeneity in meta-analysis:proposed metrics and empirical evaluation[J].Int J Epidemiol,2008,37(5):1148-1157.
[7] DUMOULIN S,BOUCHARD S,ELLIS J,et al.A randomized controlled trial on the use of virtual reality for needle-related procedures in children and adolescents in the emergency department[J].Games Health J,2019,8(4):285-293.
[8] GERÇEKER G Ö,BINAY S,BILSIN E,et al.Effects of virtual reality and external cold and vibration on pain in 7-to 12-year-old children during phlebotomy:a randomized controlled trial[J].J Perianesth Nurs,2018,33(6):981-989.
[9] GOLD J I,MAHRER N E.Is virtual reality ready for prime time in the medical space?A randomized control trial of pediatric virtual reality for acute procedural pain management[J].J Pediatr Psychol,2018,43(3):266-275.
[10]CHEN Y J,CHENG S F,LEE P C,et al.Distraction using virtual reality for children during intravenous injections in an emergency department:a randomised trial[J].J Clin Nurs,2020,29(3-4):503-510.
[11]GERÇEKER G Ö,AYAR D,ÖZDEMIR E Z,et al.Effects of virtual reality on pain,fear and anxiety during blood draw in children aged 5-12 years old:a randomised controlled study[J].J Clin Nurs,2020,29(7-8):1151-1161.
[12]INANGIL D,SENDIR M,BUYUKYILMAZ F.Efficacy of cartoon viewing devices during phlebotomy in children:a randomized controlled trial[J].J Perianesth Nurs,2020,35(4):407-412.
[13]GOLD J I,KIM S H,KANT A J,et al.Effectiveness of virtual reality for pediatric pain distraction during i.v.placement[J].Cyberpsychol Behav,2006,9(2):207-212.
[14]PISKORZ J,CZUB M.Effectiveness of a virtual reality intervention to minimize pediatric stress and pain intensity during venipuncture[J/OL].[2021-09-30].https://onlinelibrary.wiley.com/doi/10.1111/jspn.12201.DOI:10.1111/jspn.12201.
[15]GOLD J I,BELMONT K A,THOMAS D A.The neurobiology of virtual reality pain attenuation[J].Cyberpsychol Behav,2007,10(4):536-544.
[16]陈琛,陆巍.虚拟现实疗法干预创面操作性疼痛效果的Meta分析[J].护理研究,2018,32(4):541-547.
[17]EIJLERS R,UTENS E M W J,STAALS L M,et al.Meta-analysis:systematic review and meta-analysis of virtual reality in pediatrics:effects on pain and anxiety[J].Anesth Analg,2019,129(5):1344-1353.
[18]NILSSON S,FINNSTROM B,KOKINSKY E,et al.The use of virtual reality for needle-related procedural pain and distress in children and adolescents in a paediatric oncology unit[J].Eur J Oncol Nurs,2009,13(2):102-109.
[19]MOWRER O H.A stimulus-response analysis of anxiety and its role as a reinforcing agent[J].Psychol Rev,1939,46(6):553-565.
[20]谢宜娟,刘惠姿,卓燕华.降低学龄前期儿童接受靜脉注射恐惧程度之专案[J].护理杂志(中国台湾),2012,59(3):79-86.
[21]吕振勇,纪晓蕾,黄丽,等.疼痛恐惧对疼痛的影响及其认知机制[J].心理科学进展,2013,21(5):817-826.

相似文献/References:

[1]宋厚梅,刘林,胡浩,等.变应性鼻炎儿童家庭管理水平现状及其影响因素分析[J].军事护理,2021,38(01):41.[doi:10.3969/j.issn.1008-9993.2021.01.011]
　SONG Houmei,LIU Lin,HU Hao,et al.Analysis on the Current Level of Family Management for the Children with Allergic Rhinitis and Its Influencing Factors[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(10):41.[doi:10.3969/j.issn.1008-9993.2021.01.011]
[2]纪荣建,刘敏,王仁秀,等.仿人型机器人在儿童1型糖尿病管理中角色及应用的研究进展[J].军事护理,2021,38(04):77.[doi:10.3969/j.issn.1008-9993.2021.04.020]
[3]魏丽娟,刘丽英,张妙贤,等.克罗恩病儿童经口服全肠内营养体验的质性研究[J].军事护理,2021,38(05):59.[doi:10.3969/j.issn.1008-9993.2021.05.016]
　WEI Lijuan,LIU Liying,ZHANG Miaoxian,et al.Experience of Using Oral Exclusive Enteral Nutrition in Children with Crohn’s Disease: A Qualitative Study[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(10):59.[doi:10.3969/j.issn.1008-9993.2021.05.016]
[4]王燕,吴利平,林琴,等.以家庭为中心的个案管理在1型糖尿病患儿中的应用研究[J].军事护理,2021,38(05):78.[doi:10.3969/j.issn.1008-9993.2021.05.021]
　WANG Yan,WU Liping,LIN Qin,et al.Effect of Family-centered Case Management for Children with Type 1 Diabetes Mellitus[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(10):78.[doi:10.3969/j.issn.1008-9993.2021.05.021]
[5]姚蓉,雷丽梅,杨婷,等.结核病住院患儿家庭照顾者的照顾负担与焦虑现状及其相关性分析[J].军事护理,2021,38(10):32.[doi:10.3969/j.issn.1008-9993.2021.10.009]
　YAO Rong,LEI Limei,YANG Ting,et al.Correlation between Care Burden and Anxiety of Family Caregivers of Hospitalized Children with Tuberculosis[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(10):32.[doi:10.3969/j.issn.1008-9993.2021.10.009]
[6]吴燕红,董超群,岑伊贝妮,等.孤独症儿童家庭复原力现状及其影响因素的研究[J].军事护理,2022,39(08):34.[doi:10.3969/j.issn.2097-1826.2022.08.009]
　WU Yanhong,DONG Chaoqun,CEN Yibeini,et al.Status Quo of Family Resilience of Families with Autism Spectrum Disorder Children and Its Influential Factors[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(10):34.[doi:10.3969/j.issn.2097-1826.2022.08.009]
[7]诸葛炜,许莉莉,孟盈彤,等.重症监护病房儿童氧合状态与谵妄发作的相关性研究[J].军事护理,2023,40(04):15.[doi:10.3969/j.issn.2097-1826.2023.04.004]
　ZHUGE Wei,XU Lili,MENG Yingtong,et al.Correlation Between Oxygenation State and Delirium Among Pediatric Patients in Intensive Care Unit[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(10):15.[doi:10.3969/j.issn.2097-1826.2023.04.004]
[8]卫平莲,刘安诺.虚拟现实技术联合小丑照护在门诊伤口换药患儿中的应用[J].军事护理,2023,40(04):28.[doi:10.3969/j.issn.2097-1826.2023.04.007]
　WEI Pinglian,LIU Annuo.Application of Virtual Reality Technology Combined with Clown Care in Pediatric Patients Undergoing Wound Dressing Change in Outpatient Department[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(10):28.[doi:10.3969/j.issn.2097-1826.2023.04.007]
[9]房培,谭兰惠,李佳,等.癌症患儿自我报告结局评估工具的研究进展[J].军事护理,2023,40(06):73.[doi:10.3969/j.issn.2097-1826.2023.06.018]
[10]李阳,熊桃,郑予希,等.儿童脑卒中生活质量评估工具的范围综述[J].军事护理,2023,40(07):98.[doi:10.3969/j.issn.2097-1826.2023.07.023]
　LI Yang,XIONG Tao,ZHENG Yuxi,et al.Assessment Tools for the Quality of Life among Children with Stroke:A Scoping Review[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(10):98.[doi:10.3969/j.issn.2097-1826.2023.07.023]

备注/Memo

备注/Memo:
【 收稿日期 】 2021-10-31 【 修回日期 】 2022-06-09
【 基金项目 】 四川省护理科研课题计划(H20021); 四川省妇幼保健协会科研课题(21FX09); 四川大学华西第二医院护理部科研课题(HLBKJ202101)
【 作者简介 】 康冰瑶,本科,副主任护师,从事儿科护理工作
【 通信作者 】 谢红,电话:028-88570317
更新日期/Last Update: 2022-10-15