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The Use of Virtual Reality to Reduce Preoperative Anxiety in First-Time Sternotomy Patients: A Randomized Controlled
Tina M Hendricks1, Claudia N Gutierrez1, John M Stulak2
1Mayo Clinic Alix School of Medicine, Mayo Clinic, Rochester, MN.
Mayo Clinic Proceedings
|June 6, 2020
Summary
Immersive virtual reality (VR) significantly reduced anxiety in first-time sternotomy patients compared to tablet controls. This nonpharmacologic approach offers a valid tool for managing preoperative anxiety in cardiac surgery patients.
Area of Science:
- Medical Technology
- Psychology
- Cardiac Surgery
Background:
- Preoperative anxiety is a common concern for patients undergoing cardiac surgery.
- Nonpharmacologic interventions are sought to manage anxiety effectively.
- Virtual reality (VR) presents a novel approach for patient care.
Purpose of the Study:
- To evaluate the efficacy of immersive virtual reality (VR) in reducing preoperative anxiety.
- To compare VR treatment with a tablet-based control in adults undergoing first-time sternotomy.
Main Methods:
- A randomized controlled trial was conducted with 20 first-time sternotomy patients.
- Participants were assigned to either an immersive VR intervention or a tablet-based control.
- Anxiety levels were measured using the State-Trait Anxiety Inventory before and after interventions.
Main Results:
- VR intervention led to significant reductions in feelings of tension and strain.
- VR users reported significant improvements in calmness compared to tablet controls (P<0.05).
- Control group patients showed no significant changes in anxiety measures.
Conclusions:
- Immersive VR is an effective nonpharmacologic method for reducing preoperative anxiety in cardiac surgery patients.
- VR technology demonstrates validity and utility in managing anxiety in adult surgical patients.
