在前线医疗保健工作者中应对压力的数字干预:来自试点可行性队列试验的结果
Caroline W Espinola1,2, Binh Nguyen3, Andrei Torres4
1Department of Psychiatry, University of Toronto, Toronto, ON, Canada.
虚拟现实 (VR) 是模拟具有道德挑战性的情况并引起与医疗保健工作者道德困境 (MD) 相关的真实反应的可行工具. 未来的研究应该集中在VR上.
科学领域:
- 心理健康研究 心理健康研究
- 虚拟现实应用 虚拟现实应用
- 医疗保健工作者福祉 医疗保健工作者福祉
背景情况:
- 随着COVID-19大流行,医护人员的压力,道德困扰 (MD) 和道德伤害 (MI) 增加了.
- 虚拟现实 (VR) 提供了一种可定制和可控制的方法来研究心理生理反应.
- 虚拟现实可以有效地引起与MD和MI相关的反应.
研究的目的:
- 调查VR和教育视频干预措施的可行性,以检查医疗保健工作者的MD.
- 评估使用移动应用程序对压力,MD和MI的纵向监测.
- 评估VR在诱导压力和MD方面的有效性.
主要方法:
- 15名参与者接受了复合干预:VR场景,教育视频,VR场景重复.
- 收集了生理信号,道德伤害结果尺度 (MIOS) 和感知压力尺度 (PSS) 的得分.
- 评估用户体验,通过Igroup Presence问卷进行出席,并提供定性反;通过移动应用程序进行纵向监测.
主要成果:
- 虚拟现实干预是可行的,可以接受的和可以容忍的,虽然没有急性诱导显著的压力或MD.
- 内容分析揭示了与MD相关的内,羞耻和背叛的真实经历.
- 虚拟现实实现了高度的存在和参与,现实程度略低于平均水平; 53%的参与者没有完成移动调查.
结论:
- 虚拟现实是一种可行的方法来模拟具有道德挑战性的情况,并引起与MD相关的反应.
- 证明了VR干预的高可接受性和耐受性.
- 未来的研究需要确定VR对急性/长期压力的疗效,MD,MI,并改进移动数据捕获.
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