在上呼吸道上进行的办公室耳鼻喉科手术的分心疗法
Tanika Curry1, Andrea Lasso2, Shaun Kilty1,2,3
1Department of Otolaryngology-Head and Neck Surgery, University of Ottawa, Ottawa, Canada.
概括
虚拟现实分散注意力有效地减少了成年人接受办公室耳鼻喉科手术的焦虑. 虽然它没有显著影响成年人的疼痛或满意度,但它显示出改善儿科患者焦虑,疼痛和满意度的承诺.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 疼痛管理 疼痛管理
- 减少焦虑 减少焦虑
背景情况:
- 办公室的上呼吸道手术可能会引起患者的不适,疼痛和焦虑.
- 研究了分心技术,包括听觉和视觉方法,以减轻这些负面体验.
研究的目的:
- 评估虚拟现实 (VR) 在办公室耳鼻喉上呼吸道手术期间作为分心干预措施的有效性.
- 评估VR对患者不适,疼痛和焦虑程度的影响.
主要方法:
- 在多个数据库 (Cochrane,Lilacs,MEDLINE,Embase,PsycINFO,CINAHL) 中进行了系统的文献搜索.
- 包括两个成年人随机对照试验和一个使用VR分散注意力的儿童试验.
- 研究评估了偏差风险;对成人数据进行了元分析.
主要成果:
- 在成年人中,VR显著降低了焦虑 (平均差异-16.72,p=0.002),但没有显著改变疼痛或满足感.
- 在儿科患者群体中,单一包含的研究表明焦虑和疼痛较低,VR组的满意度更高.
- 所有纳入的研究都表现出一些关于偏差风险的担忧.
结论:
- 虚拟现实分散注意力是有效的减少焦虑的成年人接受办公室的耳鼻喉手术程序.
- 在成年人中,VR没有显示出减少疼痛或增加患者满意度的显著益处.
- 初步证据表明,VR可以通过减少焦虑和疼痛,提高满意度,使儿科患者受益.
相关概念视频
01:31Skeletal Muscle Relaxants: Therapeutic Uses
463
Skeletal muscle relaxants are used to relax muscle tone and alleviate painful muscle contractions. However, the choice of skeletal muscle relaxants depends on the duration of the surgical procedure in order to minimize potential side effects. Skeletal muscle relaxants like neuromuscular blocking agents [NMBAs] are commonly employed as adjuvants alongside general anesthetics in clinical settings. NMBAs are also used to maintain controlled ventilation during surgery of the larynx or pharynx...
463
01:29Suctioning the Nasopharyngeal Airway
275
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
275
01:16Drugs Used in Upper Respiratory Disorders: Overview
177
Upper respiratory tract disorders, including viral infections and allergic rhinitis, cause significant discomfort and disrupt daily life. Managing these conditions involves a variety of drugs, such as antihistamines, intranasal steroids, decongestants, antitussives, expectorants, and mucolytics. Specific examples of drugs in each category are provided.
Antihistamines (e.g., Benadryl) block histamines from binding. Histamines are chemicals released during an allergic reaction in the body. As a...
Antihistamines (e.g., Benadryl) block histamines from binding. Histamines are chemicals released during an allergic reaction in the body. As a...
177
01:26Tonsillitis II: Management
103
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
103
01:23Tracheostomy Suctioning II: Procedure
165
Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
165
01:25Suctioning the Oropharyngeal Airway
177
In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
177