虚拟现实用于IR程序的疼痛和焦虑管理:关于数字镇静的前性,随机化,试点研究
Ryan Schaake1, Ian Leopold1, Alexander Sandberg1
1Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania.
Journal of vascular and interventional radiology : JVIR
|March 14, 2024
概括
虚拟现实 (VR) 在甲状腺活检和PICC安置等医疗程序期间显著减少疼痛和焦虑. 这种非药理学方法提供了一种安全的方法来管理患者的不适,而不会延长手术时间.
科学领域:
- 医疗干预 医疗干预
- 疼痛管理 疼痛管理
- 减少焦虑 减少焦虑
背景情况:
- 诸如外围插入中央导管 (PICC) 放置和甲状腺活检等医疗程序可以引起患者显著的疼痛和焦虑.
- 寻求非药理学辅助来改善患者体验和管理程序性不适.
研究的目的:
- 评估虚拟现实 (VR) 作为PICC安置和甲状腺活检期间治疗疼痛和焦虑的辅助疗法的有效性.
- 为了比较接受标准护理 (SOC) 和接受SOC加VR的患者之间的结果.
主要方法:
- 一个前性,单中心随机对照试验与107名患者进行.
- 患者被随机分配到SOC或SOC + VR组中.
- 疼痛和焦虑被测量使用视觉模拟量表 (VAS) 程序前和后. 统计分析包括单向ANOVA和Games-Howell后期测试.
主要成果:
- 对于甲状腺活检,VR增强显示VAS疼痛得分显著降低 (效果大小-1.74,P = .018).
- 对于PICC安置,VR增强表明了减少VAS焦虑得分的趋势 (效果大小-1.60,P = .053).
- 在使用VR时,没有观察到程序持续时间的显著增加.
结论:
- 虚拟现实作为一种有效的非药物补充剂,可以缓解与手术相关的疼痛和焦虑.
- 虚拟现实增强可以安全地集成到临床实践中,用于PICC线和甲状腺活检等程序.
- 这些发现支持使用VR来提高入侵性医疗程序期间的患者舒适度.
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