虚拟现实技术对重症患者ICU后综合征干预效果的系统评价

Effects of Virtual Reality technology on Post-Intensive Care Syndrome in critically ill patients:a systematic review

目的:系统评价虚拟现实(Virtual Reality,VR)技术对重症患者ICU后综合征(Post-Intensive Care Syndrome,PICS)的干预效果。方法:计算机检索数据库中探究VR技术对PICS干预效果的随机对照试验和类实验性研究,使用RevMan 5.4软件进行Meta分析,对文献数量≤2篇的结局指标仅进行描述性分析。结果:最终纳入9篇文献,共616例患者;系统评价结果显示,VR技术有助于改善重症患者的焦虑、抑郁情绪,降低创伤后应激障碍水平,缓解患者的疼痛感受,提升生活质量,对认知功能和睡眠质量的影响尚不明确,缺乏对重症患者生理功能影响的研究。结论:VR技术对改善重症患者PICS症状具有一定积极作用,未来有待进一步开展大样本、高质量的研究。

Objective:To evaluate the impact of Virtual Reality(VR)technology on Post-Intensive Care Syndrome(PICS)in critically ill patients.Methods:PubMed,Embase,Cochrane Library,Web of Science,EBSCO,SinoMed,CNKI and WanFang Data were searched for randomized controlled trials or quasi-experimental studies about VR technology among critically ill patients.Meta-analysis was implemented with RevMan 5.4.Results:Nine studies involving 616 patients were included.Meta-analysis indicated that VR technology reduced anxiety,depression,post-traumatic stress disorder and pain,and enhanced the quality of life in critically ill patients.The effects on sleep quality and cognitive function were unclear.Moreover,there was a paucity of intervention studies on the impact of VR technology on the physiological function of critically ill patients.Conclusion:VR technology plays a positive role in critically ill patients with PICS.Due to the limited number of included studies,more high-quality studies with a large sample are needed in the future.