Imperial College London, London, UK.
Whipps Cross University Hospital, London, UK.
BJOG. 2021 Jan;128(1):87-95. doi: 10.1111/1471-0528.16377. Epub 2020 Jul 22.
To evaluate the effectiveness of virtual reality as a distraction technique in the management of acute pain and anxiety during outpatient hysteroscopy.
Parallel group, prospective randomised controlled trial.
UK University Hospital.
Forty consenting, eligible women were randomised to virtual reality intervention (immersive video content as a distraction method) or standard care during outpatient hysteroscopy from August to October 2018.
Pain and anxiety outcomes were measured as a numeric rating score (scale 0-10).
Compared with standard care, women with virtual reality intervention experienced less average pain (score 6.0 versus 3.7, mean difference 2.3, 95% CI 0.61-3.99, P = 0.009) and anxiety (score 5.45 versus 3.3, mean difference 2.15, 95% CI 0.38-3.92, P = 0.02).
Virtual reality was effective in reducing pain and anxiety during outpatient hysteroscopy in a mixed-methods randomised control trial. Its wide potential role in ambulatory gynaecological procedures needs further evaluation.
Virtual reality can be used as a part of a multimodal strategy to reduce acute pain and anxiety in patients undergoing outpatient hysteroscopy.
评估虚拟现实作为一种分散注意力技术在管理门诊宫腔镜检查期间急性疼痛和焦虑的效果。
平行组、前瞻性随机对照试验。
英国大学医院。
2018 年 8 月至 10 月，40 名同意并符合条件的女性被随机分配到虚拟现实干预组（沉浸式视频内容作为分散注意力方法）或门诊宫腔镜检查期间的标准护理组。
疼痛和焦虑结局采用数字评分量表（0-10 分）进行测量。
与标准护理相比，虚拟现实干预组的女性平均疼痛程度较低（评分 6.0 与 3.7，平均差异 2.3，95%置信区间 0.61-3.99，P = 0.009）和焦虑程度（评分 5.45 与 3.3，平均差异 2.15，95%置信区间 0.38-3.92，P = 0.02）。
在一项混合方法随机对照试验中，虚拟现实在减轻门诊宫腔镜检查期间的疼痛和焦虑方面是有效的。它在门诊妇科手术中的广泛潜在作用需要进一步评估。
研究结果表明，虚拟现实可以作为一种多模式策略的一部分，用于减轻接受门诊宫腔镜检查的患者的急性疼痛和焦虑。
