Blokzijl Susanne J, Lamberts Kirsten F, van der Waaij Laurens A, Spikman Jacoba M
Departments of Medical Psychology.
Burn Centre Groningen, Martini Hospital.
Eur J Gastroenterol Hepatol. 2019 Mar;31(3):334-339. doi: 10.1097/MEG.0000000000001325.
This study explored the willingness of patients to start colonoscopy with virtual reality (VR) instead of procedural sedation and analgesia (PSA), as well as their motives and characteristics. There is a growing interest in colonoscopy without PSA. Offering VR as a distraction technique instead of PSA may increase the percentage of colonoscopies without PSA.
A survey with demographic, colonoscopy-related and psychology-related questions was completed by 326 adults referred for colonoscopy with PSA.
Overall, 25.7% reported to be willing to start with VR instead of PSA. Main reasons for this choice were receiving as little medication as possible, resuming daily life activities faster and participating in traffic independently afterwards. Logistic regression analysis showed that significant predictors of the willingness to use VR were male sex, higher educational level and absence of worries about the outcome of the colonoscopy.
If VR turns out to be effective in the future, present results may be useful to customize patient information to help patients choosing VR.
本研究探讨了患者开始接受虚拟现实(VR)结肠镜检查而非程序镇静镇痛(PSA)的意愿,以及他们的动机和特征。对无PSA结肠镜检查的兴趣日益增加。提供VR作为一种分散注意力的技术而非PSA,可能会增加无PSA结肠镜检查的比例。
对326名因PSA而接受结肠镜检查的成年人进行了一项包含人口统计学、结肠镜检查相关及心理学相关问题的调查。
总体而言,25.7%的人表示愿意从VR而非PSA开始检查。做出这一选择的主要原因是尽可能少用药、更快恢复日常生活活动以及之后能独立出行。逻辑回归分析表明,使用VR意愿的显著预测因素为男性、较高的教育水平以及对结肠镜检查结果无担忧。
如果VR在未来被证明是有效的,目前的结果可能有助于定制患者信息,以帮助患者选择VR。