Akin Bihter, Yilmaz Kocak Mine, Küçükaydın Zehra, Güzel Kübra
Faculty of Health Science, Midwifery Department, Selcuk University, Konya, Turkey.
Private Konya Anıt Hospital, Konya, Turkey.
J Clin Nurs. 2021 Aug;30(15-16):2301-2308. doi: 10.1111/jocn.15768. Epub 2021 May 6.
This study was conducted to determine the effect of showing images of the foetus to the pregnant women with the virtual reality glass during labour process on labour pain, childbirth perception and anxiety level.
Virtual reality is an effective and inexpensive method that allows the creation of simulated scenarios in which it interacts with the virtual environment with multisensory stimuli.
This is a randomised controlled experimental study. This study was conducted with the guidelines of Consolidated Standards of Reporting Trials (CONSORT). The study was enrolled in the Clinical Trials database (NCT04664114).
The study included 100 pregnant women (50 intervention group and 50 control group). Ultrasound images of the foetus were recorded on the 28th week of pregnancy of the women in the intervention group. These images were shown to the women with the virtual reality glass during labour process. Routine procedures were carried out for the women in the control group. The Visual Analog Scale (VAS) was applied to both groups when cervical dilatation was 4 cm and 9 cm. The Women's Perception for the Scale of Supportive Care Given During Labor (POBS) and the Perinatal Anxiety Screening Scale (PASS) were applied almost two hours after labour.
The VAS scores of the women in the intervention group with 9 cm dilatation and their PASS mean scores were significantly lower than women in the control group while their POBS score were significantly higher (p < 0.01).
The results of this study show that showing images of the foetus to women with virtual reality decreased labour pain and anxiety level.
It is known that supportive care given during labour is important both for the mother's and baby's health. Therefore, it is important that nurses and midwives, who spend the most time with women and provide the most support, reduce the pain and anxiety of the woman with nonpharmacological practices and make them feel positive feelings about delivery.
本研究旨在确定在分娩过程中使用虚拟现实眼镜向孕妇展示胎儿图像对分娩疼痛、分娩认知和焦虑水平的影响。
虚拟现实是一种有效且廉价的方法,能够创建模拟场景,通过多感官刺激与虚拟环境进行交互。
这是一项随机对照实验研究。本研究按照《报告试验的统一标准》(CONSORT)指南进行。该研究已登记在临床试验数据库(NCT04664114)中。
本研究纳入了100名孕妇(50名干预组和50名对照组)。在干预组孕妇怀孕第28周时记录胎儿的超声图像。在分娩过程中,用虚拟现实眼镜将这些图像展示给这些孕妇。对照组孕妇进行常规程序。当宫颈扩张4厘米和9厘米时,对两组均应用视觉模拟量表(VAS)。在分娩后近两小时应用《妇女对分娩期间给予的支持性护理量表的认知》(POBS)和围产期焦虑筛查量表(PASS)。
宫颈扩张9厘米时干预组女性的VAS评分及其PASS平均得分显著低于对照组女性,而其POBS评分显著更高(p<0.01)。
本研究结果表明,用虚拟现实向女性展示胎儿图像可减轻分娩疼痛和焦虑水平。
众所周知,分娩期间给予的支持性护理对母亲和婴儿的健康都很重要。因此,对于与女性相处时间最长且提供最多支持的护士和助产士来说,采用非药物方法减轻女性的疼痛和焦虑,并让她们对分娩产生积极感受非常重要。