虚拟现实可以减少侵袭性冠状动脉血管学期间的程序前焦虑:VR InCard试验
Tjitske D Groenveld1, Esther H W Breunissen2, Judith L Bonnes2
1Department of Surgery, Radboud University Medical Center, Nijmegen, the Netherlands.
JACC. Advances
|July 19, 2025
概括
虚拟现实 (VR) 疗法显示出在侵入性冠状动脉血管造影 (ICA) 之前降低焦虑的潜力,特别是在非ST段升高急性冠状动脉综合征 (NSTE-ACS) 患者中. 这种非药物治疗方法补充了传统的焦虑治疗方法.
科学领域:
- 心脏病学 心脏病学
- 医疗技术 医疗技术 医学技术
- 心理学 心理学 心理学
背景情况:
- 在接受侵入性冠状动脉血管造影 (ICA) 的患者中,焦虑影响了三分之一.
- 目前的治疗方法,如二类药物,提供适度的焦虑减轻.
- 虚拟现实 (VR) 疗法是治疗程序性焦虑的一个有前途的干预措施.
研究的目的:
- 评估VR疗法的有效性,以减轻接受ICA的患者的手术前焦虑.
- 评估VR在ICA程序期间对焦虑水平和压力参数的影响.
主要方法:
- 一项随机对照试验,涉及患有高焦虑评分 (NRS ≥4) 的成年患者接受ICA.
- 干预组接受了VR治疗;对照组接受了通常的护理.
- 主要结果:程序前数值评分表 (NRS) 焦虑评分的降低.
主要成果:
- 最初,VR和对照组之间在程序前焦虑方面没有显著差异.
- 调整后的分析显示,VR组的手术前焦虑显著减少 (平均差异:0.9;P = 0.010).
- 在接受非ST段升高急性冠状动脉综合征 (NSTE-ACS) 的患者中观察到最显著的焦虑减轻.
结论:
- 虚拟现实疗法虽然没有减少整体焦虑,但在考虑了基线焦虑时显著降低了焦虑.
- 虚拟现实疗法是一种可行的非药物选择,用于管理与程序相关的焦虑.
- 患有NSTE-ACS的患者在ICA期间从VR治疗中获得最大的益处.
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