Dehghan Fateme, Jalali Rostam, Bashiri Hasan
1Kermanshah University of Medical Sciences, Kermanshah, Iran.
2Department of Psychology, Faculty of Social Sciences, Razi University, Kermanshah, Iran.
Perioper Med (Lond). 2019 Jun 4;8:5. doi: 10.1186/s13741-019-0116-0. eCollection 2019.
Preoperative anxiety correlates positively with the amount of postoperative pain, analgesic use, and length of hospital stay. The purpose of this study was to investigate the effect of virtual reality technology on pre-operative anxiety in children.
The study utilized Solomon four-group design intervention and a randomized clinical trial. A total of 40 candidates undergoing abdominal surgery were randomly divided into two groups. The pre-operative anxiety scale was assessed by a checklist containing a standardized Yale Preoperative Anxiety Scale questionnaire. The interventional group had a 5-min exposure to the operating room using virtual reality technology, but the control group did not receive virtual reality exposure. The data were analyzed using SPSS-23 software.
Non-parametric test for two independent groups showed no significant difference in baseline scores between interventional 1 and control 1 groups except for vocalization ( = 0.019), but there was a significant change in all subscales among intervention group 1 from baseline to post-test ( < 0.05) except for state of apparent arousal.
The medical treatment using virtual reality technology, as well as distraction and drowning in the virtual reality, reduced pre-operative anxiety in children.
术前焦虑与术后疼痛程度、镇痛药物使用及住院时间呈正相关。本研究旨在探讨虚拟现实技术对儿童术前焦虑的影响。
本研究采用所罗门四组设计干预和随机临床试验。共有40名接受腹部手术的患儿被随机分为两组。术前焦虑量表通过包含标准化耶鲁术前焦虑量表问卷的清单进行评估。干预组使用虚拟现实技术在手术室中暴露5分钟，而对照组未接受虚拟现实暴露。数据使用SPSS - 23软件进行分析。
两个独立组的非参数检验显示，除发声外（P = 0.019），干预1组和对照组1组的基线评分无显著差异，但干预组1从基线到测试后所有子量表均有显著变化（P < 0.05），除明显觉醒状态外。
使用虚拟现实技术进行医疗以及沉浸于虚拟现实中的分散注意力作用，减轻了儿童的术前焦虑。
