仮想現実と周術期不安：ランダム化比較試験
Mouna Ouaz1, Zayati Mohamed1, Khalifa Issam2
1Anesthesia and Intensive Care Departement of Mahdia University Hospital, Mahdia, Tunisia.
The Libyan journal of medicine
|January 20, 2026
まとめ
仮想現実（VR）は、地域的麻酔を受ける患者の術中抗不安薬の使用を大幅に減少させました。VRは術前不安に影響を与えませんでしたが、周術期不安を効果的に管理し、術後合併症を予防する可能性があります。
科学分野:
- 麻酔科学と周術期医学; 医療技術とイノベーション; 医療における心理的健康
背景:
- 術前不安は、手術結果に影響を与える一般的な患者の懸念である。; 仮想現実は、不安と痛みの管理のための有望な非薬理学的アプローチを提供する。; 周術期不安の管理は、最適な麻酔管理と患者の回復のために重要である。
研究 の 目的:
- 地域的麻酔を受ける患者における周術期不安に対する仮想現実の影響を評価する。; VRが術中抗不安薬消費量と患者満足度に与える影響を評価する。; 術後の不安と合併症の予防におけるVRの役割を決定する。
主な方法:
- 整形外科手術予定の72人の患者を対象とした単施設前向き無作為化研究。; 患者はVR群（n=36）または対照群（n=36）に割り付けられた。; 不安レベル（STAI-6、LIkERT）、抗不安薬の使用量（ミダゾラム）、および患者満足度を測定した。
主要な成果:
- VR群と対照群の間で術前不安レベルに有意差は認められなかった（STAI-6スコア：43.2 vs. 44.8）。; 術中抗不安薬の使用量は、対照群（61.7%、p < 0.001）と比較してVR群（5.8%）で大幅に少なかった。; 術後の不安軽減と患者満足度は、両群間で同等であった。
結論:
- 仮想現実は、地域的麻酔中の抗不安薬の必要性を減らすための効果的なツールである。; VRは周術期不安の管理に役立ち、術後合併症を軽減する可能性がある。; 麻酔管理へのVRの統合は、患者の快適性と安全性を向上させるために有望である。
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