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Early Individualized Psychological Intervention Using Virtual Reality-assisted Decision System Reduces Decisional
Yuhang Hu1, Qiong Wu1, Xidong Jin1
1Department of Thoracic Surgery, General Hospital of Northern Theater Command, Shenyang, Liaoning, China.
Summary
Early psychological intervention using virtual reality-assisted decision systems (VR-ADS) significantly lowers decisional conflict and improves recovery in pulmonary nodule patients. This approach enhances psychological well-being and quality of life post-surgery.
Area of Science:
- Medical Psychology
- Surgical Oncology
- Health Informatics
Background:
- Patients with pulmonary nodules often experience significant preoperative decisional conflict.
- Effective psychological support is crucial for managing anxiety and depression in surgical patients.
- Virtual reality-assisted decision systems (VR-ADS) offer innovative tools for patient education and intervention.
Purpose of the Study:
- To evaluate the impact of early individualized psychological intervention with VR-ADS on preoperative decisional conflict.
- To assess the effects of this intervention on postoperative recovery quality in patients with pulmonary nodules.
Main Methods:
- A prospective, single-center randomized controlled trial involving 304 patients with pulmonary nodules.
- Comparison between an early intervention group (psychological support + VR-ADS) and a conventional group.
- Primary endpoint: Decisional Conflict Scale (DCS); Secondary endpoints: anxiety, depression, quality of life, pain, and recovery metrics.
Main Results:
- The early intervention group showed significantly lower DCS scores (p < 0.001).
- Reduced preoperative anxiety (HAMA) and depression (HAMD) scores were observed in the intervention group (p < 0.001).
- The intervention group experienced shorter chest tube duration, fewer hospital days, and lower complication rates (p < 0.05).
Conclusions:
- Early individualized psychological intervention combined with VR-ADS effectively reduces decisional conflict in pulmonary nodule patients.
- This integrated approach improves psychological status and enhances postoperative recovery and quality of life.
- VR-ADS represents a valuable tool for optimizing patient care pathways in thoracic surgery.
