基于虚拟现实的干预措施,以减少接受选择性手术的成年人的手术前焦虑:一项随机临床试验
Pak Lung Chiu1, Huiyuan Li1, Kevin Yi-Lwern Yap2,3
1The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.
JAMA network open
|October 31, 2023
概括
虚拟现实 (VR) 有效地减少了成年手术患者的手术前焦虑和压力. 这种VR干预也提高了患者的准备和满意度,为增强外科护理提供了一个有前途的工具.
科学领域:
- 医疗技术 医疗技术 医学技术
- 手术患者护理手术患者护理
- 麻醉学 麻醉学
背景情况:
- 在接受选择性手术的成年患者中,术前焦虑很普遍,往往导致不良结果.
- 虚拟现实 (VR) 干预显示出与标准护理相比,作为减少焦虑的安全有效方法的潜力.
研究的目的:
- 评估虚拟现实 (VR) 干预的有效性,结合手术前教育,以减轻预手术焦虑,在预定进行选择性手术的成年患者中.
主要方法:
- 一项评估者盲目的前性随机临床试验涉及74名接受选择性手术的成年患者.
- 参与者被随机分为两组:一个干预组接受8分钟的沉浸式VR视频之旅,一个控制组接受标准护理.
- 在手术前的焦虑,压力,准备,疼痛和满意度被测量在多个时间点使用验证的尺度.
主要成果:
- 与对照组相比,VR干预组在干预后和手术前的评估中表现出明显较低的手术前焦虑和压力水平.
- 虚拟现实组的患者报告了更高水平的准备和满意度.
- 两组之间没有观察到疼痛或术后停留时间的显著差异.
结论:
- 基于虚拟现实 (VR) 的干预措施是减少选择性手术的成年患者手术前焦虑的可行和有效策略.
- 该研究强调了VR在改善患者准备和满意度方面的潜力,并建议在外科环境中更广泛地实施VR.
- 建议进一步进行大规模的多中心随机临床试验,以验证这些发现并探索更广泛的应用.
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