Intervention effects of virtual reality technology for preoperative anxiety in children undergoing general anesthesia surgery:a meta-analysis
YANG Xiaomei
SUN Qiaomei
LI Shasha
FU Xu
LUAN Linlin
Abstract：Objective To systematically evaluate the application effect of virtual reality(VR)technology on preoperative anxiety in pediatric patients undergoing general anesthesia surgery,and to provide evidence for the standardized and effective application of VR technology in clinical practice.Methods Randomized controlled trials and clinical controlled trials of preoperative anxiety intervention in pediatric patients undergoing general anesthesia surgery using VR technology were retrieved from PubMed,EMBASE,Cochrane Library,OVID(JBI)EBP Database,Web of Science,CINAHL,CBM,CNKI,Wanfang Data,and VIP Database.The quality of literatures were evaluated using the Cochrane Bias Risk Assessment Tool 2.0,and meta-analysis was performed using RevMan 5.3 software.Results A total of 12 studies involving 984 patients were included.The meta-analysis results showed that compared with traditional methods,the application of VR technology significantly reduced preoperative anxiety of pediatric patients,especially at the time of anesthesia induction(MD=-0.79,95%CI:-0.98～-0.61,P<0.01),and improved anesthesia induction compliance in pediatric patients(RR=0.46,95%CI:0.30～0.70,P<0.01),but had no significant effect on the level of emergence agitation during the recovery period(MD=-0.14,95%CI:-0.64～0.36,P=0.28).There was currently no clear conclusion on whether VR technology can affect the incidence of agitation in pediatric patients during the recovery period,postoperative behavioral changes,pain levels,vital signs,parental/guardian anxiety levels or satisfaction,and the application of anesthetic analgesic drugs.Conclusion The application of VR technology can effectively alleviate preoperative anxiety in pediatric patients,especially at the time of anesthesia induction,improve anesthesia induction compliance in pediatric patients,and ensure the safe conduct of surgery.It is an effective auxiliary intervention.However,whether it can reduce the need for anesthetic and analgesic drugs,postoperative behavioral changes,and the incidence of emergence agitation during recovery period in pediatric patients,stabilize vital signs in pediatric patients,reduce pain levels in pediatric patients,alleviate anxiety in parents/guardians,and improve satisfaction in parents/guardians remains inconclusive.
Keywords：virtual realitygeneral anesthesiapediatric patientspreoperative anxietyMeta analysis
Publication Date：2024-09-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：7( 977-983 )