在子宫内装置插入期间用于止痛的虚拟现实:随机对照试验.
Chloe Higgins1, Claudia Zecena Morales1, Judi Hocking1
1Women's and Newborn Program, Monash Health, 246 Clayton Rd, Melbourne, 3168, Australia, 61 395946666.
JMIR serious games
|September 9, 2025
概括
虚拟现实 (VR) 在子宫内置器 (IUD) 插入期间没有显著减少疼痛或焦虑. 然而,患者满意度和VR使用建议很高,这表明对患者体验的潜在好处.
科学领域:
- 妇科 妇科 妇科 妇科
- 医疗技术 医疗技术 医学技术
- 疼痛管理 疼痛管理
背景情况:
- 宫内器械 (IUD) 是有效的长效可逆避孕药和治疗妇科疾病的方法.
- 在IUD插入期间患者的不适限制了其使用,对有效的疼痛管理策略的共识有限.
- 虚拟现实 (VR) 对急性疼痛管理具有前景,并已在门诊妇科手术中得到探索.
研究的目的:
- 评估VR在缓解门诊IUD插入期间疼痛和焦虑的有效性.
- 评估患者的满意度和与插入IUD期间VR使用相关的程序结果.
主要方法:
- 一个随机对照试验,将VR耳机使用与IUD插入期间的标准护理进行比较.
- 通过智能手机和耳机提供VR,提供一个3D沉浸式环境.
- 结果包括患者报告的疼痛,焦虑,满意度以及临床医生报告的插入的容易性和持续时间.
主要成果:
- 两组之间疼痛评分 (VR:5.5与对照组:4.3,P=.15) 或焦虑评分 (VR:4与对照组:4.8,P=.37) 没有显著差异.
- 程序前的焦虑是疼痛的重要预测因素,并减少了来自VR的益处.
- 报告了高的患者满意度和VR使用推率,没有显著的不良影响.
结论:
- 虚拟现实并没有显著减少IUD插入期间的疼痛或焦虑,但与高患者满意度有关.
- 程序前的焦虑会对疼痛感知和VR的有效性产生负面影响,这凸显了它的重要性.
- 虚拟现实可能提供除了减轻疼痛和焦虑之外的好处,这需要进一步调查,以改善妇科手术中的患者体验.
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