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Virtual Reality Experiments with Physiological Measures
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虚拟现实可以在清醒的侵入性手术中增强患者的体验吗? 随机对照试验的系统审查
Louis Boyce1, Chloe Jordan1, Timothy Egan2
1Departments of Plastic Surgery.
Pain
|October 23, 2023
概括
虚拟现实 (VR) 在清醒,侵入性手术 (AIP) 期间显著减少焦虑和疼痛. 这一系统性审查发现,VR通过降低主观痛苦来增强患者的体验,尽管客观措施需要进一步研究.
科学领域:
- 医疗技术 医疗技术 医学技术
- 患者体验 患者体验
- 外科手术的结果
背景情况:
- 程序性焦虑和疼痛会对患者在清醒,侵入性手术 (AIP) 期间的体验和结果产生负面影响.
- 虚拟现实 (VR) 为减轻这些负面影响提供了一个潜在的工具.
- 提高患者在手术过程中的体验对于改善结果至关重要.
研究的目的:
- 系统地评估沉浸式虚拟现实 (VR) 耳机在改善AIP期间患者体验方面的有效性.
- 评估VR对程序焦虑,疼痛和患者满意度的影响.
- 为了比较VR在不同类型的AIP (内镜与切口) 的有效性.
主要方法:
- 按照PRISMA,Cochrane和SWiM指南进行系统审查.
- 搜索了PubMed,EMBASE,CENTRAL和medRxiv的随机对照试验 (RCT) 关于在接受AIP的成年人中使用VR.
- 包括16个RCT,涉及1362名患者 (685名VR,677名对照),包括内镜 (9项研究) 和切口 (7项研究) 程序的子组.
主要成果:
- 13项研究中的11项显示,VR显著降低了程序性焦虑 (85%的良好效果,P=0.011).
- 在13项研究中,有10项研究表明VR对减轻疼痛有积极影响 (77%的积极影响,P=0.046).
- 9项研究中有7项表明VR对患者满意度有有利影响 (78%的有利影响,P=0.070).
- 在内镜和切口子组之间没有发现患者体验的显著差异.
- 虚拟现实对生理标志物的影响以及需要额外的止痛/镇静仍然不清楚.
结论:
- 虚拟现实 (VR) 是一种可行的方法,可以在AIP期间增强患者体验.
- 虚拟现实有效地减轻了对程序性焦虑和疼痛的主观感知.
- 需要进一步的RCT来研究VR对客观患者体验措施的影响.
相关概念视频
Blind Procedures
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Randomized Experiments
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Simple randomization
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Blinding
Blinding is a commonly used method of not telling participants which treatment a subject is receiving. Blinding is a critical part of a randomized control trial or RCT. It reduces the bias that affects the results. In an RCT, blinding is used in the form of a placebo. A placebo effect occurs when untreated subjects falsely believe they have received the treatment and report improved symptoms. A placebo or a dummy treatment is administered to subjects to negate the bias caused by such an effect.
Psychosurgery
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In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
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