Department of Public Health, School of Psychology and Public Health, La Trobe University, Melbourne, Vic, Australia.
Department of Pharmacy, Faculty of Science, National University of Singapore, Singapore.
Lancet Child Adolesc Health. 2020 Dec;4(12):899-908. doi: 10.1016/S2352-4642(20)30240-6.
Paediatric patients with cancer undergo multiple treatments and procedures that can be invasive and painful. Virtual reality technologies could support the management of paediatric cancer. This Review focuses on the physiological and psychological efficacy of virtual reality in supportive care management. Virtual reality has shown potential in reducing pain scores, pulse rates, and distress scores, but has no significant effect on other indicators, such as anxiety, fear, and depression. Several virtual reality characteristics might affect its effectiveness when used in the paediatric cancer setting. Virtual reality games with high fidelity (eg, fully-isolating head-mounted display, stereo sound, and controllers) components provide a higher level of immersion, presence, and narrative engagement, which could better manage pain. Personalising the virtual reality experience to the patient and procedure would also improve accessibility and comfort. Clinicians should work closely with virtual reality developers to ensure that the virtual reality applications used are appropriate for their patients.
儿科癌症患者需要接受多次治疗和手术，这些治疗和手术可能具有侵入性和痛苦性。虚拟现实技术可以支持儿科癌症的治疗管理。这篇综述重点介绍了虚拟现实技术在支持性护理管理方面的生理和心理疗效。虚拟现实技术已显示出在降低疼痛评分、脉搏率和痛苦评分方面的潜力，但对其他指标（如焦虑、恐惧和抑郁）没有显著影响。虚拟现实技术在儿科癌症环境中的应用效果可能会受到几个虚拟现实技术特征的影响。具有高保真度（例如，完全隔离的头戴式显示器、立体声音和控制器）组件的虚拟现实游戏提供了更高水平的沉浸感、存在感和叙事参与度，从而可以更好地管理疼痛。根据患者和治疗过程对虚拟现实体验进行个性化定制也可以提高其可及性和舒适度。临床医生应与虚拟现实技术开发者密切合作，确保使用的虚拟现实应用程序适合患者。
