以质量求发展,以服务铸品牌

Journal of Nursing ›› 2024, Vol. 31 ›› Issue (7): 40-45.doi: 10.16460/j.issn1008-9969.2024.07.040

Previous Articles     Next Articles

Virtual reality technology in patients at end of life: a scoping review

GUO Jun-chen1, LIU Chao-yi1, DAI Yun-yun2, JIANG Si-shan1, YANG Suo1, CHEN Yong-yi1   

  1. 1. Hunan Cancer Hospital, Changsha 410006, China;
    2. Guilin Medical University, Guilin 541000, China
  • Received:2023-12-26 Online:2024-04-10 Published:2024-05-08

Abstract: Objective To conduct a scoping review on researches on the application of virtual reality (VR) technology in patients at the end of life, and to provide reference for healthcare professionals to further develop and apply VR technology in the field of end-life care. Methods Using the scoping review guidelines developed by the Joanna Briggs Institute (JBI) as methodological guidance, PubMed, Web of Science, Embase, Cochrane library, CINAHL, CBM, CNKI, Wanfang Data and VIP were searched with a retrieval period spanning from the inception to August 2023. Data were screened and extracted independently by two researchers. Results A total of 13 studies were included, all of which were in English. The intervention types of VR technology were mainly based on immersive movie watching or game experience, etc. The total intervention course ranged from 1 day to 4 weeks, and the duration of a single intervention was 4 to 60 minutes per session. The outcome indicators mainly included the impact on pain, symptom distress, mental or mental health, quality of life, physiological parameters, and feasibility and acceptability. Conclusion VR technology intervention has a positive impact on end-of-life patients, with strong feasibility and high acceptability. In the future, large-scale and high-quality studies are still needed to verify the application effect of VR technology in end-of-life patients, so as to provide an evidence-based basis for the development of an optimal VR technology intervention program that meets the characteristics of end-of-life population in China.

Key words: virtual reality, end of life, palliative care, scoping review

CLC Number: 

  • R48
[1] World Health Organization.Strengthening of palliative care as a component of integrated treatment throughout the life course[J]. J Pain Palliat Care Pharmacother, 2014, 28(2): 130-134. DOI:10.3109/15360288.2014.911801.
[2] 国家卫生计生委.《全国护理事业发展规划(2021-2025年)》[EB/OL].(2022-05-07) [2023-09-01]. http://www.nhc.gov.cn/yzygj/s7653pd/202205/441f75ad347b4ed68a7d2f2972f78e67.Shtml.
[3] 郭颖英,谢淑萍,傅晓炜.虚拟现实技术在安宁疗护中的应用进展[J].护理学报,2021, 28(10):32-34. DOI:10.16460/j.issn1008-9969.2021.10.032.
[4] 玄令美,颛孙雯,陈梦婷,等.虚拟现实技术在老年痴呆患者中的研究进展[J].护理学报,2019,26(3):17-19. DOI:10.16460/j.issn1008-9969.2019.03.017.
[5] Mo J, Vickerstaff V, Minton O, et al.How effective is virtual reality technology in palliative care? A systematic review and Meta-analysis[J]. Palliat Med, 2022, 36(7):1047-1058. DOI:10.1177/02692163221099584.
[6] Martin JL, Saredakis D, Hutchinson AD, et al.Virtual reality in palliative care: a systematic review[J].Healthcare (Basel), 2022,10(7):1222. DOI:10.3390/healthcare10071222.
[7] Lockwood C, Dos santos KB, Pap R. Practical guidance for knowledge synthesis: scoping review methods[J].Asian Nurs Res, 2019,13(5):287-294. DOI:10.1016/j.anr.2019.11.002.
[8] Perna MSc Msw L, Lund S, et al. The potential of personalized virtual reality in palliative care: a feasibility trial[J]. Am J Hosp Palliat Care, 2021,38(12):1488-1494. DOI:10.1177/1049909121994299.
[9] Groninger H, Stewart D, Fisher JM, et al.Virtual reality for pain management in advanced heart failure: a randomized controlled study[J]. Palliat Med, 2021,35(10):2008-2016. DOI:10.1177/02692163211041273.
[10] Austin PD, Siddall PJ, Lovell MR.Feasibility and acceptability of virtual reality for cancer pain in people receiving palliative care: a randomised cross-over study[J]. Support Care Cancer, 2022,30(5):3995-4005.DOI:10.1007/s00520-022-06824-x.
[11] Baños RM, Espinoza M, García-palacios A,et al. A positive psychological intervention using virtual reality for patients with advanced cancer in a hospital setting: a pilot study to assess feasibility[J]. Support Care Cancer, 2013,21(1):263-270. DOI:10.1007/s00520-012-1520-x.
[12] Niki K, Okamoto Y, Maeda I, et al.A novel palliative care approach using virtual reality for improving various symptoms of terminal cancer patients: a preliminary prospective, multicenter study[J]. J Palliat Med, 2019,22(6):702-707.DOI:10.1089/jpm.2018.0527.
[13] Johnson T, Bauler L, Vos D, et al.Virtual reality use for symptom management in palliative care: a pilot study to assess user perceptions[J].J Palliat Med, 2020,23(9):1233-1238.DOI:10.1089/jpm.2019.0411.
[14] Ferguson C, Shade MY, Blaskewicz BJ, et al.Virtual reality for therapeutic recreation in dementia hospice care: a feasibility study[J]. Am J Hosp Palliat Care, 2020, 37(10):809-815. DOI:10.1177/1049909120901525.
[15] Moscato S, Sichi V, Giannelli A, et al.Virtual reality in home palliative care: brief report on the effect on cancer-related symptomatology[J]. Front Psychol,2021(12):709154.DOI:10.3389/fpsyg.2021.709154.
[16] Brungardt A, Wibben A,Tompkins AF, et al.Virtual reality-based music therapy in palliative care: a pilot implementation trial[J]. J Palliat Med, 2021,24(5):736-742. DOI:10.1089/jpm.2020.0403.
[17] Dang M, Noreika D, Ryu S, et al.Feasibility of delivering an avatar-facilitated life review intervention for patients with cancer[J]. J Palliat Med, 2021, 24(4):520-526. DOI:10.1089/jpm.2020.0020.
[18] Seiler A, Schettle M, Amann M, et al. Virtual reality therapy in palliative care: a case series[J]. J Palliat Care, 2022,8258597221086767. Advance Online Publication. DOI:10.1177/08258597221086767.
[19] Guenther M, Görlich D, Bernhardt F, et al.Virtual reality reduces pain in palliative care-a feasibility trial[J]. BMC Palliat Care, 2022,21(1):169. DOI:10.1186/s12904-022-01058-4.
[20] Kabir M, Rice JL, Bush SH, et al.A mixed-methods pilot study of ‘LIFEView' audiovisual technology: virtual travel to support well-being and quality of life in palliative and end-of-life care patients[J]. Palliat Med, 2020, 34(7):954-965. DOI:10.1177/0269216320918514.
[21] Yang J, Wahner-roedler DL, Zhou X, et al. Acupuncture for palliative cancer pain management: systematic review[J]. BMJ Support Palliat Care, 2021,11(3):264-270. DOI:10.1136/bmjspcare-2020-002638.
[22] Smith AK, Cenzer IS, Knight SJ, et al.The epidemiology of pain during the last 2 years of life[J].Ann Intern Med, 2010,153(9):563-569.DOI:10.7326/0003-4819-153-9-201011020-00005.
[23] 夏婉婷,谌永毅,刘翔宇, 等.虚拟现实技术在安宁疗护症状管理中的应用进展[J].中华现代护理杂志,2023,29(6):717-722. DOI:10.3760/cma.j.cn115682-20220307-01037.
[24] He M, Li X, Zhang T, et al.The fifth generation mobile communication technology plus virtual reality system for intensive care unit visits during COVID-19 pandemic: keep the delirium away[J].J Nurs Manag,2022,30(8):3885-3887.DOI:10.1111/jonm.13450.
[25] Anwar N, Karimi H, Ahmad A, et al.A novel virtual reality training strategy for poststroke patients: a randomized clinical trial[J]. J Healthc Eng, 2021,2021:6598726. DOI:10.1155/2021/6598726.
[1] CHEN En-lin, MO Feng-ling, ZHUANG Ze-ming, ZHANG Ming-zhe, ZHOU Jia-kun, HUANG Li-fang, JI Long-fei, ZHANG Li-fang. Assessment tools for unilateral spatial neglect after stroke: a scoping review [J]. Journal of Nursing, 2025, 32(3): 43-49.
[2] ZHU Tian-shun, ZHU Ke-ke, XUE Hui-yuan, JIAO Cong-cong, WEI Chang-hui, WANG He. Application of message framing theory in health management: a scoping review [J]. Journal of Nursing, 2025, 32(2): 44-49.
[3] LI Ke, HE Yu-qiong, LI Yu-wei, CHANG Ying. Intervention programs for fear of falling in stroke patients: a scoping review [J]. Journal of Nursing, 2025, 32(1): 50-55.
[4] LI Ding-ding, WANG Shuai-you, ZHU Shan-shan, GUO Xin, ZHANG Hui-min, WANG Hong-ru, PAN Qin. Supportive care needs assessment tools for stroke patients: a scoping review [J]. Journal of Nursing, 2024, 31(9): 48-53.
[5] MA Rui-rui, FAN Xiao-li, XU Shu-juan, ZHANG Wei, CHEN Ting, TAN Fei-fei. Nurses' involvement in end-of-life decision-making for terminally ill patients: a qualitative study [J]. Journal of Nursing, 2024, 31(7): 6-11.
[6] LI Wei, WANG Xiang, PEI Li, GAO Qing-qing, HUANG Hai-chao. Symptom clusters among women during late pregnancy: a scoping review [J]. Journal of Nursing, 2024, 31(3): 51-56.
[7] WANG Yue, LIU Guo-qing, NIU Cong-ying, ZHANG Zhen-wei, SUN Jian, CHU You-ai, QIN Han-zhi. Risk prediction models of 30-day mortality after surgery in patients with hip fractures: a scoping review [J]. Journal of Nursing, 2024, 31(24): 51-56.
[8] WANG Ai, ZHOU Bing-qian, CAO Hong. Application of Fracture Liaison Service in Patients with Osteoporotic Hip Fracture:a Scoping Review [J]. Journal of Nursing, 2024, 31(22): 48-53.
[9] WU Ping, YU Wan-chen, LIU Jia-yi, WANG Shan-shan, HU Yan. Social support among prediabetes population: a scoping review [J]. Journal of Nursing, 2024, 31(21): 49-54.
[10] ZHANG Guo-chun, LI Hai-yun, CHU Liang-liang, CHENG Xue, WANG Jun-zhi. Development of Knowledge, Belief and Practice Scale for perinatal palliative care of obstetric nurses and its reliability and validity [J]. Journal of Nursing, 2024, 31(2): 6-11.
[11] GUO Shi-hong, BAI Xiao-ling, LOU Ting, YU Na, YANG Zeng-zhen, NIU Yu-tian, LI Hui. Assessment tools for oral frailty: a scoping review [J]. Journal of Nursing, 2024, 31(14): 52-56.
[12] DENG Ying-yi, CHENG Lu-ying, GONG Xi-yan, WANG Min, LIAO Dong-xia, ZHANG Cui-cui, DING Juan, GU Qing-lu, LIAO Chang-ju. Evidence-based practice of clinical nursing handover: a scoping review [J]. Journal of Nursing, 2024, 31(14): 57-62.
[13] LI Ling-yu, CAO Ying, LIAO Ling, WANG Quan-ru, TAN Min. Human pain sensitivity assessment tools: a scoping review [J]. Journal of Nursing, 2024, 31(11): 35-41.
[14] GUO Ying-ying, YU Xin-yan, XIE Shu-ping. Virtual reality in symptom management in hospice care for patients with advanced cancer [J]. Journal of Nursing, 2024, 31(11): 58-62.
[15] SHI Ting-ting, LI Ting, HUANG You-peng, ZHAO Yuan, ZHU Xiao-li, ZHOU Meng-juan, CHEN Yun-mei. Risk prediction model of oteoporosis in patients with type 2 diabetes: a scoping review [J]. Journal of Nursing, 2024, 31(1): 52-57.
Viewed
Full text


Abstract

Cited

  Shared   
No Suggested Reading articles found!