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虚拟现实对鼻中隔偏曲矫正术患者术前焦虑的影响。

Effect of virtual reality on preoperative anxiety in patients undergoing septorhinoplasty.

机构信息

Zonguldak B..lent Ecevit University Medicine Faculty, Department of Anesthesiology and Reanimation, Zonguldak, Turkey.

Zonguldak B..lent Ecevit University Medicine Faculty, Department of Anesthesiology and Reanimation, Zonguldak, Turkey.

出版信息

Braz J Anesthesiol. 2023 Mar-Apr;73(2):159-164. doi: 10.1016/j.bjane.2021.08.014. Epub 2021 Sep 22.

Abstract

BACKGROUND

The aim of this study was to evaluate the effect of a virtual reality video on preoperative anxiety, hemodynamic parameters, and patient satisfaction in patients undergoing septorhinoplasty.

METHODS

This was a prospective, observational cohort trial. Forty patients between the ages of 18...65 who were scheduled for elective septorhinoplasty, with an American Society of Anesthesiologists (ASA) physical status I...II were included in the study. Patients experienced a 15-minute virtual reality (VR) video via a phone using a VR device. A three-dimensional, 360.. video depicted the beauty of nature and was accompanied by meditation music.

PATIENTS

.. oxygen saturation values, heart rate, and blood pressure were monitored and recorded. Using the State-Trait Anxiety Inventory scale, anxiety scores and hemodynamic parameters were compared before and after VR application.

RESULTS

Median anxiety scores decreased significantly from 40.5 to 34 (p.ß<.ß0.001). VR also had positive effects on hemodynamic parameters.

CONCLUSIONS

VR reduces preoperative anxiety and has positive effects on hemodynamic parameters in patients undergoing septorhinoplasty. We anticipate that VR will be increasingly used as a non-pharmacological preoperative approach in the future.

摘要

背景

本研究旨在评估虚拟现实 (VR) 视频对接受鼻中隔成形术患者术前焦虑、血液动力学参数和患者满意度的影响。

方法

这是一项前瞻性、观察性队列研究。纳入了 40 名年龄在 18 至 65 岁之间、计划接受择期鼻中隔成形术且美国麻醉医师协会 (ASA) 身体状况为 I 至 II 级的患者。患者使用 VR 设备通过手机观看了 15 分钟的 VR 视频。一个 360°的三维视频展示了大自然的美景,并伴有冥想音乐。

患者

监测并记录血氧饱和度值、心率和血压。使用状态-特质焦虑量表比较 VR 应用前后的焦虑评分和血液动力学参数。

结果

中位数焦虑评分从 40.5 分显著降低至 34 分(p<.001)。VR 还对血液动力学参数产生了积极影响。

结论

VR 可降低鼻中隔成形术患者的术前焦虑,并对血液动力学参数产生积极影响。我们预计,未来 VR 将作为一种非药物性的术前方法得到越来越多的应用。

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