重症监护室虚拟现实干预对亲属精神健康困境的影响:一个多中心,随机对照试验
Denzel L Q Drop1, Johan H Vlake1,2, Evert-Jan Wils2
1Department of Adult Intensive Care, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Critical care (London, England)
|February 5, 2025
概括
重症监护室虚拟现实 (ICU-VR) 并没有减少亲属的心理健康困境. 然而,参与者高度重视ICU-VR,报告了对重症监护室治疗的更好理解.
科学领域:
- 医学社会科学 医学社会科学
- 数字健康数字健康
- 患者和家庭的支持.
背景情况:
- 重症监护室 (ICU) 患者的亲属经常经历心理困扰,包括PTSD,焦虑和抑郁症.
- 这种痛苦可能在患者从重症监护室出院后持续很长时间.
研究的目的:
- 评估ICU专用虚拟现实 (ICU-VR) 对ICU患者亲属心理健康的影响.
- 评估是在ICU退院后六个月进行的.
主要方法:
- 进行了一项多中心随机对照试验.
- 亲属被分配到标准护理或标准护理加ICU-VR.
- 测量结果包括PTSD,焦虑,抑郁,生活质量和对ICU护理的理解.
主要成果:
- 在ICU-VR和对照组之间没有观察到PTSD,焦虑或抑郁率的显著差异.
- 生活质量和对ICU护理的理解在各组之间没有显著差异.
- 在ICU-VR组中的亲属高度赞同这种干预措施,90%的人更喜欢它而不是传统的小册子,82%的人报告了更好的理解.
结论:
- 在患者出院六个月后,ICU-VR并没有显著缓解亲属的心理健康困扰症状.
- 尽管没有显著的心理健康改善,但亲属发现ICU-VR对于理解ICU治疗非常有益.
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