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虚拟现实,手术前焦虑和手术后疼痛在儿童门诊护理:一个随机对照试验

Giulia Ciolini¹, Simone Cosmai¹, Donata Dini²

¹Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini 4, Pieve Emanuele, 20072 Milan, Italy.

Journal of pediatric nursing

|December 3, 2025

概括

虚拟现实 (VR) 有效地减少了慢性病儿童的手术疼痛,提供了一个安全的,非药物治疗的方法. 虽然它没有降低手术前的焦虑,但VR是儿童疼痛管理的宝贵工具.

科学领域:

儿科疼痛管理儿科疼痛管理
医疗技术整合医疗技术整合
非药理干预措施非药理干预

背景情况:

慢性病儿童的疼痛和焦虑管理面临重大挑战,通常缺乏标准化的协议.
虚拟现实 (VR) 成为一种有希望的沉浸式分心技术,可以在不需要药物的情况下减轻疼痛.

研究的目的:

评估VR在缓解慢性疾病的儿科患者在门诊过程中的疼痛和焦虑的疗效.
评估VR在儿科卫生保健机构中作为非药物干预的潜力.

主要方法:

进行了一项随机对照试验,涉及247名患有慢性疾病的儿童 (3-17岁).
参与者被分配到VR干预组或标准护理控制组.
疼痛和焦虑被测量使用验证的尺度 (Wong-Baker,NRS,M-YPAS,VAS-A),统计分析包括强大的回归.

主要成果:

虚拟现实干预导致感知过程性疼痛的统计显著减少 (p < 0.001).
该研究发现,VR没有显著减少手术前的焦虑.
母亲焦虑成为儿童焦虑的关键预测因素;年长的孩子和男性报告焦虑程度较低.

结论:

虚拟现实 (VR) 是一个安全有效的策略,用于管理儿科手术疼痛.
虚拟现实可以整合到常规的儿科门诊护理中,作为一种低成本,非药物治疗的疼痛管理解决方案.
建议进行进一步的研究,以探索VR对手术前焦虑的影响及其最佳临床整合.

关键词:

焦虑焦虑是一种焦虑.烧伤,烧伤的伤害.慢性疾病慢性疾病疼痛疼痛疼痛疼痛虚拟现实虚拟现实就是虚拟现实.

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