沉浸式虚拟现实对区域麻醉手术期间患者焦虑的影响:一项随机临床试验
Johan Arifin1,2, Mochamat Mochamat1,2, Taufan Pramadika1
1Department of Anesthesiology and Intensive Care, Faculty of Medicine, Diponegoro University, Semarang, Indonesia.
Anesthesiology and pain medicine
|August 30, 2023
概括
与标准护理相比,沉浸式虚拟现实 (IVR) 在区域麻醉手术期间显著降低了患者的焦虑. 这种非药理学方法也提高了患者的满意度,而不会影响生命体征或外科医生的满意度.
科学领域:
- 麻醉学 麻醉学
- 医疗技术 医疗技术 医学技术
- 心理学 心理学 心理学
背景情况:
- 术前焦虑是区域麻醉的一个重要问题,影响患者的体验和结果.
- 沉浸式虚拟现实 (IVR) 提供了一种有前途的非药物治疗方法,通过引人入胜的虚拟环境来缓解焦虑.
- 了解IVR在减少手术焦虑方面的有效性,对于推进患者护理策略至关重要.
研究的目的:
- 评估沉浸式虚拟现实 (IVR) 对区域麻醉手术患者焦虑水平的影响.
- 为了比较IVR作为分心技术与标准护理 (米达佐拉姆前期药物治疗) 在治疗外科手术后焦虑症方面的有效性.
- 评估患者和外科医生的满意度,生命体征和与IVR干预相关的副作用.
主要方法:
- 一个随机的,单盲临床试验,涉及30名接受区域麻醉的参与者.
- 参与者被分配到IVR组或接受米达佐拉姆前期治疗的对照组.
- 使用斯皮尔伯格国家特征焦虑清单6 (STAI-6) 测量焦虑,并监测生命体征和满意度水平.
主要成果:
- 与对照组 (P = 0.04) 相比,IVR组显示了术后焦虑得分的统计学显著降低.
- 患者满意度水平在IVR组显著更高 (P = 0.024).
- 两组之间在生命体征,副作用或外科医生满意度方面没有发现显著差异.
结论:
- 沉浸式虚拟现实 (IVR) 是一种有效的干预措施,用于减少区域麻醉下接受手术的患者的焦虑.
- 在手术过程中,IVR提高了患者的满意度.
- IVR为术后焦虑管理提供了一个可行的非药物替代方案.
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