基于智能手机的虚拟现实放松 (SVR) 的有效性,以提高接受化疗的癌症患者的舒适度:一项随机对照试验
Made Satya Nugraha Gautama1,2, Haryani Haryani3, Tsai-Wei Huang4,5,6,7
1School of Nursing, College of Nursing, Taipei Medical University, No. 250, Wuxing Street, Taipei City, 11031, Taiwan.
概括
基于智能手机的虚拟现实 (SVR) 显著改善了接受化疗的癌症患者的舒适度,并减少了焦虑和疼痛. 这种非药理学方法为改善治疗期间患者护理提供了一个有希望的选择.
科学领域:
- 在瘤学瘤学.
- 心理学 心理学 心理学
- 数字健康数字健康
背景情况:
- 化疗显著影响癌症患者的生活质量,造成痛苦.
- 虚拟现实 (VR) 提供了一种新的非药物方法来缓解这些问题.
- 生命体征提供客观数据,但对患者的主观体验来说是次要的.
研究的目的:
- 评估基于智能手机的虚拟现实放松 (SVR) 对化疗患者舒适,焦虑和疼痛的有效性.
- 评估SVR对血压和脉率等生命体征的影响.
- 为了调查SVR干预后网络疾病症状的发生率.
主要方法:
- 一项前性随机对照试验,涉及99名接受化疗的癌症患者.
- 干预组接受了10分钟的沉浸式VR体验,其中包括自然风景和声音.
- 主要结局 (舒适,焦虑,疼痛) 和次要结局 (生命体征) 在多个时间点被测量.
- 使用独立的t测试,线性回归和通用估计方程 (GEE) 分析的数据.
主要成果:
- 与对照组相比,SVR组显示出明显更高的舒适度 (p=0.01) 和减少的焦虑 (p=0.01) 和疼痛 (p=0.015).
- 没有观察到心率,静脉压或静脉压的显著变化.
- 报告说,网络疾病的发病率很低,66%-96%的参与者没有症状.
结论:
- 基于智能手机的虚拟现实放松 (SVR) 有效地改善舒适度,减少癌症患者在化疗期间的焦虑和疼痛.
- 虚拟现实技术是一种可行的非药物干预,可以整合到标准护理中.
- 医疗保健提供者应该考虑将VR纳入化疗中心的患者护理程序.
相关概念视频
Chemotherapy-Induced Nausea and Vomiting: 5-HT3 Receptor Antagonists
174
5-HT3 receptor antagonists, such as dolasetron, granisetron (Kytril), ondansetron (Zofran), and palonosetron (Axoli), are crucial in managing chemotherapy-induced nausea and vomiting (CINV) and postoperative nausea. These drugs selectively block 5-HT3 receptors in the visceral vagal and spinal afferent nerves, chemoreceptor trigger zone, and the vomiting center. They have a rapid onset of action and can be given as a single dose before chemotherapy. Ondansetron and granisetron, in particular,...
174
Chemotherapy-Induced Nausea and Vomiting: Cannabinoids
202
Tetrahydrocannabinol (THC) is a phytocannabinoid that primarily interacts with the CB1 receptor, a type of G protein-coupled receptor (GPCR) predominantly in and around the chemoreceptor trigger zone (CTZ) and emetic center. THC also blocks the serotonin receptor activity in the dorsal vagal complex (DVC) by inhibiting serotonin release. THC exerts its anti-emetic effects through these interactions, which are beneficial for patients undergoing chemotherapy.
Two synthetic agonists of THC,...
Two synthetic agonists of THC,...
202
Cancer Therapies
7.6K
Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
7.6K
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
4.7K
The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
4.7K
Chemotherapy-Induced Nausea and Vomiting: Neurokinin-1 Receptor Antagonists
147
Neurokinin 1 (NK1) receptors are distributed across the GI tract, vagal afferents, and key CNS regions including the central vomiting center and chemoreceptor trigger zone (CTZ) Chemotherapy agents stimulate enterochromaffin cells in the gastrointestinal (GI) tract to release large amounts of substance P (SP). SP is a neuropeptide released by specific sensory nerves in response to many different stressors, including those in the GI mucosa affected by chemotherapy. SP binds and activates...
147


