重症监护病房专用虚拟现实技术用于COVID-19患者重症监护治疗后的心理康复；一则简短病例报告。
Intensive Care Unit-Specific Virtual Reality for Psychological Recovery After ICU Treatment for COVID-19; A Brief Case Report.
作者信息
Vlake Johan H, van Bommel Jasper, Hellemons Merel E, Wils Evert-Jan, Gommers Diederik, van Genderen Michel E
机构信息
Department of Intensive Care, Erasmus MC, Rotterdam, Netherlands.
Department of Intensive Care, Franciscus Gasthuis & Vlietland, Rotterdam, Netherlands.
出版信息
Front Med (Lausanne). 2021 Feb 5;7:629086. doi: 10.3389/fmed.2020.629086. eCollection 2020.
Abstract
A substantial number of ICU survivors are expected due to the SARS-CoV-2 outbreak, who are at risk for psychological impairments, such as post-traumatic stress disorder (PTSD), anxiety, and depression. We designed a COVID-19 intensive care unit-specific virtual reality (ICU-VR) intervention and tested it on one of our COVID-19 patients. The impact of event scale-revised and the hospital anxiety and depression scale showed that this patient suffered from PTSD, anxiety, and depression on the day of the intervention. One week after receiving ICU-VR, levels of PTSD, anxiety and depression had normalized, and stayed normalized until 6 months after discharge. In conclusion, innovative technologies, such as VR, have the potential to improve psychological rehabilitation, and should therefore be considered by clinicians for the treatment of ICU-related psychological sequelae after COVID-19.
摘要
由于新型冠状病毒肺炎（SARS-CoV-2）疫情爆发，预计会出现大量重症监护病房（ICU）幸存者，他们有出现心理障碍的风险，如创伤后应激障碍（PTSD）、焦虑和抑郁。我们设计了一种针对新型冠状病毒肺炎重症监护病房的虚拟现实（ICU-VR）干预措施，并在我们的一名新型冠状病毒肺炎患者身上进行了测试。事件影响量表修订版以及医院焦虑抑郁量表显示，该患者在干预当天患有创伤后应激障碍、焦虑和抑郁。在接受ICU-VR干预一周后，创伤后应激障碍、焦虑和抑郁水平恢复正常，并在出院后6个月内一直保持正常。总之，虚拟现实等创新技术有改善心理康复的潜力，因此临床医生在治疗新型冠状病毒肺炎后与ICU相关的心理后遗症时应予以考虑。
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