虚拟现实的影响在醒手术期间的患者体验:一个随机对照试验
Jack McConnell1, Joshua K DeYoung1, John M Pum1
1Wayne State University School of Medicine; 540 E. Canfield St, Detroit, MI 48201, USA.
The Journal of hand surgery, European volume
|January 24, 2025
概括
虚拟现实 (VR) 可能会减少醒着手术期间的生理焦虑,但并没有改善患者报告的焦虑或满意度. 虚拟现实为清醒手术提供了好处,特别是当患者更喜欢它时.
科学领域:
- 整形外科 整形外科 整形外科
- 麻醉学 麻醉学
- 医疗技术 医疗技术 医学技术
背景情况:
- 广度清醒局部麻醉无护 (WALANT) 手术是一种传统麻醉的替代方案.
- 患者的焦虑和满意度是WALANT手术的重要结果.
- 虚拟现实 (VR) 是管理医疗程序期间患者体验的新兴工具.
研究的目的:
- 评估VR在减少患者焦虑和提高手术满意度的有效性.
- 为了比较VR和对照组之间的客观和主观焦虑指标.
主要方法:
- 采用了一种随机对照试验设计.
- 经过验证的问卷评估了主观的焦虑和满意度.
- 通过血压和心率测量来监测客观焦虑.
- 参与者被分为VR和对照组.
主要成果:
- 与对照组 (p=0.003) 相比,VR组表现出平移血压 (手术期间减去手术前) 的中位数差异明显较低 (p=0.003).
- 在VR组内,心率从手术前到手术后显著下降 (p<0.001).
- 两组之间没有发现主观焦虑或手术满意度的显著差异.
结论:
- 虚拟现实可以有助于减少患有醒着手术的患者焦虑的生理指标.
- 虽然VR没有改善主观焦虑或满意度,但它显示出增强患者体验的希望,特别是当患者喜欢时.
- 进一步的研究可能会探索为WALANT程序提供最佳的VR集成.
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