Inoue Masaharu, Kihara Kazunori, Yoshida Soichiro, Ito Masaya, Takeshita Hideki, Ishioka Junichiro, Matsuoka Yoh, Numao Noboru, Saito Kazutaka, Fujii Yasuhisa
Department of Urology, Tokyo Medical and Dental University Graduate School, Tokyo, Japan (M.In., K.K., S.Y., M.It., H.T., J.I., Y.M., N.N., K.S., Y.F.); and Center for Minimally Invasive Surgery, Tokyo Medical and Dental University, University Hospital of Medicine, Tokyo, Japan (K.K., J.I.).
J Ultrasound Med. 2015 Jan;34(1):29-35. doi: 10.7863/ultra.34.1.29.
Patients' use of a head-mounted display during their sonographic examinations could provide them with information about their diseases in real time and might help improve "patient-centered care." We conducted this prospective study to evaluate the feasibility of a modern head-mounted display for patient self-monitoring of sonographic examinations.
In November and December 2013, 58 patients were enrolled. Patients wore a head-mounted display (HMZ-T2; Sony Corporation, Tokyo, Japan) during their sonographic examinations and watched their own images in real time. After the sonographic examinations, the patients completed a questionnaire, in which they evaluated the utility of the head-mounted display, their understanding of their diseases, their satisfaction with using the head-mounted display, and any adverse events. Until November 26, 2013, patients' names were requested on the questionnaire; after that date, the questionnaire was changed to be anonymous.
Of the 58 patients, 56 (97%) elected to participate in this study. The head-mounted display was reported to have good image quality by 42 patients (75%) and good wearability by 39 (70%). Thirty-six patients (64%) reported they had deepened their understanding of their diseases. There were no major complications, and only 2 patients (4%) had mild eye fatigue. There was no significant association between questionnaire results and patient characteristics. None of the questionnaire results changed significantly after the questionnaire was made anonymous.
The use of a modern head-mounted display by patients during sonographic examinations provided good image quality with acceptable wearability. It could deepen their understanding of their diseases and help develop patient-centered care.
患者在超声检查过程中使用头戴式显示器能够实时为其提供疾病相关信息，并可能有助于改善“以患者为中心的医疗服务”。我们开展了这项前瞻性研究，以评估一款现代头戴式显示器用于患者自我监测超声检查的可行性。
2013年11月和12月，招募了58名患者。患者在超声检查期间佩戴头戴式显示器（HMZ-T2；索尼公司，东京，日本）并实时观看自己的图像。超声检查结束后，患者完成一份问卷，在问卷中评估头戴式显示器的实用性、对自身疾病的理解、使用头戴式显示器的满意度以及任何不良事件。在2013年11月26日之前，问卷要求填写患者姓名；自该日期之后，问卷改为匿名形式。
58名患者中，56名（97%）选择参与本研究。42名患者（75%）报告头戴式显示器图像质量良好，39名（70%）报告佩戴舒适性良好。36名患者（64%）报告他们对自身疾病的理解有所加深。未出现重大并发症，仅有2名患者（4%）出现轻度眼疲劳。问卷结果与患者特征之间无显著关联。问卷改为匿名形式后，所有问卷结果均未发生显著变化。
患者在超声检查期间使用现代头戴式显示器可提供良好的图像质量且佩戴舒适性可接受。它能够加深患者对自身疾病的理解，并有助于发展以患者为中心的医疗服务。
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