超越针头:通过虚拟现实 (VR) 开创儿科护理,以获得TIVAD在瘤学方面的访问
Rubén Caballero1, Albert Pasten1, Carla Giménez2
1Pediatric Surgical Oncology Unit, Department of Pediatric Surgery, PCCB-SJD Barcelona Children's Hospital, University of Barcelona, 08950 Barcelona, Spain.
虚拟现实 (VR) 在接受全植入静脉接入装置 (TIVAD) 程序的儿科瘤患者中显著降低了疼痛和焦虑. 医疗保健提供者在使用VR进行TIVAD管理时也报告了更高的满意度.
科学领域:
- 儿科瘤学 儿科瘤学
- 医疗技术 医疗技术 医学技术
- 疼痛管理 疼痛管理
背景情况:
- 儿科瘤学患者在涉及完全植入静脉接入装置 (TIVAD) 的手术中经常经历焦虑和疼痛.
- 虚拟现实 (VR) 提供了一种非药物干预来减轻这些不良影响.
- 评估VR在儿童患者TIVAD接入中的有效性至关重要.
研究的目的:
- 评估虚拟现实 (VR) 在TIVAD访问期间减少儿科瘤患者焦虑和疼痛的有效性.
- 评估VR在TIVAD程序期间对医疗保健提供者的满意度的影响.
主要方法:
- 一项前性随机研究,涉及120名儿童瘤病患者 (4-18岁) 使用TIVADs.
- 干预组在TIVAD访问期间使用了带有放松视频的VR眼镜.
- 对照组接受了标准护理;使用FPS-R和STAIC尺度测量疼痛和满意度.
主要成果:
- 与对照组相比,VR干预组的患者报告了明显更高的满意度 (4.80对3.92) 和较低的疼痛得分 (0.83对1.79).
- 疼痛减轻在12-18岁年龄组中尤为显著.
- 医疗保健提供者报告说,与标准护理 (3.73 利克特分数) 相比,他们对VR使用的满意度很高 (4.50 利克特分数).
结论:
- 虚拟现实 (VR) 是一种有效的工具,可以减少儿童瘤患者的疼痛和焦虑,这些患者正在接受TIVAD手术,特别是在老年儿童中.
- 虚拟现实增强了TIVAD对患者和医疗保健提供者的访问体验.
- 在儿科瘤学中,VR提供了一个有前途的非药物补充剂,用于管理手术疼痛和焦虑.
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