虚拟现实教育计划对减少儿童手术前焦虑的有用性:一个随机的,单中心临床试验
Adriana Carbó1, Daniel Tresandí, Cristina Tril
1From the Department of Anesthesia, Centro Médico Teknon, Barcelona, Spain (AC, DT, CT), Department of Cardiology, Hospital Universitari Arnau de Vilanova de Lleida, Institut de Recerca Biomèdica de Lleida (IRBLleida), Lleida, Spain (DF-R), Department of Anesthesia, Hospital Clínic de Barcelona, Universitat de Barcelona, Barcelona, Spain (EC).
European journal of anaesthesiology
|June 25, 2024
概括
虚拟现实教育计划 (VREP) 在接受手术的儿童中显著降低了手术前的焦虑. 这种创新方法还改善了麻醉期间的合作,并减少了手术后的妄想和疼痛.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 虚拟现实应用 虚拟现实应用
- 儿童心理学 儿童心理学
背景情况:
- 手术前焦虑 (PA) 是儿科患者普遍存在的问题,会对手术结果产生负面影响.
- 基于虚拟现实 (VR) 的策略正在成为管理PA的潜在干预措施.
研究的目的:
- 评估虚拟现实教育计划 (VREP) 在缓解手术前焦虑方面的有效性.
- 专注于接受选择性,低复杂性的儿科手术的儿童.
主要方法:
- 随机临床试验于2019年1月至2022年6月在单一高等中心进行.
- 参与者:3-13岁的儿童 (ASA I-II) 计划接受选择性低复杂性手术.
- 干预:VREP组在手术前7-10天观看VR教育视频;对照组获得标准信息.
主要成果:
- VREP显著降低了手术前的焦虑评分 (mYPAS:29.2%对比83.5%,P<0.001).
- 在麻醉诱导过程中,VREP组表现出更好的合作 (ICC分数为0对2,P<0.001).
- 在VREP组中观察到手术后狂妄症 (PAED分数1比3,P=0.001) 和疼痛 (Wong-Baker尺度0比1,P<0.001) 的发生率降低.
结论:
- 虚拟现实教育计划是减少儿科手术患者手术前焦虑的有效策略.
- VREP有助于更顺的术后体验,包括更好的合作和更少的术后应急.
相关概念视频
02:07Blind Procedures
Ideally, the people who observe and record the children’s behavior are unaware of who was assigned to the experimental or control group, in order to control for experimenter bias. Experimenter bias refers to the possibility that a researcher’s expectations might skew the results of the study. Remember, conducting an experiment requires a lot of planning, and the people involved in the research project have a vested interest in supporting their hypotheses. If the observers knew which child was...
01:11Blinding
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.