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程序前的虚拟现实教育减少了接受心房隔膜关闭的患者的焦虑 - 一项随机试验的结果
Marinka D Oudkerk Pool1,2, Jean-Luc Q Hooglugt1, Anke J Kraaijeveld1
1Department of Cardiology, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, the Netherlands.
International journal of cardiology. Congenital heart disease
|December 23, 2024
概括
虚拟现实 (VR) 患者教育有效地减少了那些接受PFO或ASD关闭等心脏手术的人的手术前焦虑. 这种创新方法提供了一种有希望的方法来管理心脏病患者的焦虑.
科学领域:
- 心脏病学 心脏病学
- 医疗技术 医疗技术 医学技术
- 患者心理学 患者心理学
背景情况:
- 侵袭性心胸手术可能会引发严重的手术前焦虑和抑郁.
- 患者教育是缓解焦虑的公认方法.
- 这项研究调查了虚拟现实 (VR) 作为一种教育工具,以减少接受特定心脏干预的患者的焦虑.
研究的目的:
- 评估基于VR的患者教育在减少手术前焦虑方面的有效性.
- 将虚拟现实教育与心脏病学家领导的标准教育进行比较,用于经历透皮关闭圆孔 (PFO) 或心房隔膜缺陷 (ASD) 的患者.
主要方法:
- 一个随机对照试验,涉及60名成年患者,适用于皮肤PFO或ASD关闭.
- 患者被分配到标准教育 (控制) 或标准教育以及VR信息电影 (干预).
- 在基线和手术前一周使用国家特征焦虑清单 (STAI) 和阿姆斯特丹手术前焦虑和信息量表 (APAIS) 评估焦虑水平.
主要成果:
- 两组的基线焦虑水平相似 (STAI状态焦虑:控制40±10与干预39±9,p=0.70).
- 对照组的焦虑增加,但在随访时在VR干预组保持稳定 (45±11对比38±7,p=0.02).
- 两组之间没有观察到APAIS焦虑分数的显著差异.
结论:
- 虚拟现实患者教育有效地减少了皮肤PFO或ASD关闭的患者的手术前焦虑.
- 建议在入侵性心脏手术中更广泛地实施VR,以教育患者,以减轻这种患者群体的焦虑.
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