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

被引：0
作者：
Namazi, Negarsadat [1 ]
Khani, Yashar [1 ]
Salmannezhad, Amirhossein [2 ]
Behdadfard, Mohammad [3 ]
Safaee, Ehsan [4 ]
Nouroozi, Mohammad [1 ]
Mehrvar, Amir [5 ]
机构：
[1] Shahid Beheshti Univ Med Sci, Student Res Comm, Tehran, Iran
[2] Qazvin Univ Med Sci, Student Res Comm, Qazvin, Iran
[3] Birjand Univ Med Sci, Student Res Comm, Birjand, Iran
[4] Shahed Univ, Student Res Comm, Fac Med, Tehran, Iran
[5] Shahid Beheshti Univ Med Sci, Taleghani Hosp, Clin Res Dev Units, Taleghani St, Tehran, Iran
来源：
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH | 2025年 / 20卷 / 01期
关键词：
Virtual reality; Augmented reality; Anxiety; Fear; Orthopedic surgery; Casting; Pin removing; Pediatric; ARTHROSCOPIC KNEE SURGERY; REPORTED OUTCOMES; EXPERIENCE; ANESTHESIA; IMPROVES; SATISFACTION; PERFORMANCE;
D O I：
10.1186/s13018-025-05690-7
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
BackgroundAnxiety 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.MethodsPer 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.ResultsTwenty-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.ConclusionVR/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.
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页数：14
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