Rutkowski Sebastian, Szczegielniak Jan, Szczepańska-Gieracha Joanna
Department of Physical Education and Physiotherapy, Opole University of Technology, 45-758 Opole, Poland.
Department of Physiotherapy, University School of Physical Education in Wrocław, 51-612 Wroclaw, Poland.
J Clin Med. 2021 Jan 18;10(2):352. doi: 10.3390/jcm10020352.
Anxiety has been estimated to occur in 21-96% and depression in 27-79% of patients with chronic obstructive pulmonary disorder (COPD). We found a scarcity of literature providing evidence on how virtual reality (VR) therapy affects the intensity of depressive and anxiety symptoms and stress levels in COPD patients undergoing in-hospital pulmonary rehabilitation (PR). This study enrolled 50 COPD patients with symptoms of stress, depression, and anxiety, randomly assigned to one of two groups. The two groups participated in the traditional PR programme additionally: the VR-group performed 10 sessions of immersive VR-therapy and the control group performed 10 sessions of Schultz autogenic training. Comparison of the changes in stress levels and depressive and anxiety symptoms was the primary outcome. Analysis of the results showed a reduction in stress levels only in the VR-group ( < 0.0069), with a medium effect size (d = 0.353). The symptoms of depression ( < 0.001, d = 0.836) and anxiety ( < 0.0009, d = 0.631) were statistically significantly reduced only in the VR-group, with a strong effect size. The enrichment of pulmonary rehabilitation with immersive VR therapy brings benefits in terms of mood improvement and reduction in anxiety and stress in patients with COPD.
据估计，慢性阻塞性肺疾病（COPD）患者中焦虑症的发生率为21%-96%，抑郁症的发生率为27%-79%。我们发现，关于虚拟现实（VR）疗法如何影响住院接受肺康复治疗（PR）的COPD患者的抑郁和焦虑症状强度以及压力水平的文献很少。本研究招募了50名有压力、抑郁和焦虑症状的COPD患者，随机分为两组。两组均额外参与传统的PR项目：VR组进行10次沉浸式VR治疗，对照组进行10次舒尔茨自生训练。比较压力水平以及抑郁和焦虑症状的变化是主要结果。结果分析显示，仅VR组的压力水平有所降低（<0.0069），效应量中等（d=0.353）。仅VR组的抑郁症状（<0.001，d=0.836）和焦虑症状（<0.0009，d=0.631）在统计学上显著降低，效应量较大。采用沉浸式VR疗法丰富肺康复治疗，在改善COPD患者情绪、减轻焦虑和压力方面具有益处。
