Karaman Dilek, Taşdemir Nurten
Department of Health Care Services, Ahmet Erdogan Health Services Vocational School, Zonguldak Bulent Ecevit University, Zonguldak, Turkey.
Department of Surgical Diseases Nursing, Zonguldak Bülent Ecevit University Faculty of Health Sciences, Zonguldak, Turkey.
J Perianesth Nurs. 2021 Dec;36(6):702-705. doi: 10.1016/j.jopan.2021.04.007. Epub 2021 Oct 20.
Virtual reality (VR) is a nonpharmacological method used in healthcare settings. This study aimed to determine the effectiveness of distraction through VR on pain and anxiety during fine needle aspiration (FNA) breast biopsy.
This was a randomized controlled trial.
A total of 60 Turkish females undergoing FNA breast biopsies were randomly divided into two groups. The patients in the experimental group (n = 30) viewed a specific scenario using VR from one minute before the procedure to the end of the procedure. The patients in the control group (n = 30) were subject to a standard protocol in which no anesthetic was given during the procedure. Immediately after the implementation of the FNA breast biopsy, the pain scores of all patients in groups were measured with the Visual Analogue Scale (VAS), and their anxiety levels were assessed with the State-Trait Anxiety Inventory.
A statistically significant difference was determined between the post-procedure mean pain scores and average state anxiety scores of the patients in the experimental and control groups (P < .001).
The use of VR during FNA breast biopsy is effective in reducing pain and anxiety in adult female patients.
虚拟现实（VR）是一种在医疗环境中使用的非药物方法。本研究旨在确定通过VR分散注意力对细针穿刺（FNA）乳腺活检过程中的疼痛和焦虑的影响。
这是一项随机对照试验。
总共60名接受FNA乳腺活检的土耳其女性被随机分为两组。实验组（n = 30）的患者在手术前一分钟至手术结束期间使用VR观看特定场景。对照组（n = 30）的患者遵循标准方案，手术过程中不给予麻醉。在实施FNA乳腺活检后，立即用视觉模拟量表（VAS）测量两组所有患者的疼痛评分，并用状态-特质焦虑量表评估他们的焦虑水平。
实验组和对照组患者术后平均疼痛评分和平均状态焦虑评分之间存在统计学上的显著差异（P <.001）。
在FNA乳腺活检过程中使用VR可有效减轻成年女性患者的疼痛和焦虑。
