沉浸式游戏干预降低了手术前的焦虑,并改善了接受超额拔牙的儿童的遵守:一个随机对照试验
Yihong Shao1, Jie Pan2, Liang Chen1
1Head and Neck Surgery, Jiaxing University Affiliated Hospital/Jiaxing First Hospital, Jiaxing, China.
Paediatric anaesthesia
|March 9, 2026
概括
沉浸式游戏干预显著降低了手术前的焦虑,并改善了接受超数取牙的儿童的合作. 这种非药理学方法增强了儿科外科手术经验.
科学领域:
- 儿科牙科 儿科牙科
- 麻醉学 麻醉学
- 儿童心理学 儿童心理学
背景情况:
- 手术前的焦虑是常见的儿童需要超数取牙,可能会加剧压力.
- 像沉浸式游戏干预 (IGI) 这样的非药物干预表明有希望,但在儿科牙科环境中缺乏强有力的证据.
研究的目的:
- 评估IGI在降低手术前焦虑和改善儿童进行超数取牙的合作方面的有效性.
- 评估IGI对生理应激反应和家长满意度的影响.
主要方法:
- 一项前性随机对照试验 (RCT) 涉及102名儿童 (4-12岁),计划进行超数取牙.
- 儿童被随机分配到IGI (结构化游戏,角色反转,环境修改) 或标准护理.
- 在干预前和后测量了焦虑 (SCARED尺度),心率 (HR) 和心率变化 (LF/HF比率).
主要成果:
- 与对照组相比,IGI显著降低了情绪困扰 (SCARED分数) 和生理压力标志物 (HR,LF/HF比率).
- 干预组显示,焦虑-生理学相关性倾斜率下降了65%.
- IGI导致了更高的积极合作和更高的家长满意度.
结论:
- 沉浸式游戏干预措施在缓解儿童手术前情绪困扰方面是有效的.
- IGI成功地分离了心理和生理应激反应,增强了合作和整体儿科外科经验.
- IGI提供了一种强大的非药理学策略,用于改善儿科牙科手术结果.
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