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使用虚拟现实来分散对疼痛和焦虑的注意力。

Use of Virtual Reality to Distract From Pain and Anxiety.

作者信息

Glennon Catherine, McElroy Susan F, Connelly Lynne M, Mische Lawson Lisa, Bretches Abigail M, Gard Allyson R, Newcomer Lexsie R

机构信息

University of Kansas Cancer Center.

Children's Mercy Hospital.

出版信息

Oncol Nurs Forum. 2018 Jul 2;45(4):545-552. doi: 10.1188/18.ONF.545-552.

Abstract

OBJECTIVES

To determine the effects of a virtual reality intervention on pain and anxiety in patients undergoing a bone marrow aspiration and biopsy procedure.

SAMPLE & SETTING: 97 adults in an outpatient cancer center in the midwestern United States.

METHODS & VARIABLES: In this quasiexperimental study, participants were assigned to either the experimental group (use of virtual reality goggles) or the control group (standard treatment). Vital signs, pain, and anxiety were measured before and after the procedure. T tests and chi-square tests were used to compare the two groups based on demographic data, pain, anxiety, and total amount of medication used during the procedure.

RESULTS

Participants who wore virtual reality goggles during a bone marrow aspiration and biopsy procedure did not experience a statistically significant decrease in pain and anxiety. However, the experimental and control groups showed a decrease in pain and anxiety levels from pre- to postprocedure.

IMPLICATIONS FOR NURSING

Virtual reality goggles may be a feasible, noninvasive alternative to traditional pharmacologic treatment. The cost of any intervention would need to be considered. Virtual reality should be researched and adapted to benefit patients in appropriate settings.

摘要

目的

确定虚拟现实干预对接受骨髓穿刺和活检手术患者的疼痛及焦虑的影响。

样本与环境

美国中西部一家门诊癌症中心的97名成年人。

方法与变量

在这项准实验研究中,参与者被分配到实验组(使用虚拟现实护目镜)或对照组(标准治疗)。在手术前后测量生命体征、疼痛和焦虑情况。采用t检验和卡方检验,根据人口统计学数据、疼痛、焦虑以及手术期间使用的药物总量对两组进行比较。

结果

在骨髓穿刺和活检手术过程中佩戴虚拟现实护目镜的参与者,疼痛和焦虑并未出现统计学上的显著降低。然而,实验组和对照组从术前到术后疼痛和焦虑水平均有所下降。

对护理的启示

虚拟现实护目镜可能是传统药物治疗的一种可行的、非侵入性替代方法。需要考虑任何干预措施的成本。应研究虚拟现实并加以调整,以在适当环境中使患者受益。

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