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Published on: February 12, 2020
Personalized virtual reality in hemodialysis patients: a multicenter pilot study
Philipp Russ1,2, Leo T Wenzel1, Simon Bedenbender1
1Marburg University, Department of Internal Medicine and Nephrology, University Hospital Giessen and Marburg, Marburg, Germany.
Personalized virtual reality (VR) improved wellbeing and reduced pain in hemodialysis patients. This non-pharmacological intervention also showed physiological benefits, demonstrating its feasibility for routine care.
Area of Science:
- Nephrology
- Psychology
- Medical Technology
Background:
- Hemodialysis patients often experience stress, pain, and immobility.
- Immersive virtual reality (VR) shows potential for non-pharmacological interventions.
- Previous studies lacked multicenter data on personalized VR for dialysis patients.
Purpose of the Study:
- To assess the tolerability of personalized immersive VR in hemodialysis patients.
- To evaluate the effects of a single VR session on wellbeing and pain.
- To measure physiological changes during VR exposure in dialysis patients.
Main Methods:
- A pre-post single-group pilot study involving 148 hemodialysis patients across 12 centers.
- Each participant experienced a single 20-minute personalized VR session.
- Wellbeing, pain, physiological parameters, and feasibility were assessed.
Main Results:
- Wellbeing significantly improved, and pain scores decreased by approximately 50%.
- Systolic blood pressure decreased from 135 to 128 mmHg; diastolic from 72 to 69 mmHg.
- Heart rate decreased from 72 to 67 bpm (P < .0001), with no serious adverse events.
Conclusions:
- Personalized VR is well-tolerated by hemodialysis patients.
- VR offers measurable psychological and physiological benefits.
- VR is a feasible non-pharmacological adjunct for routine dialysis care.
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