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沉浸式虚拟现实作为减少胚胎移植过程中焦虑的工具。

Immersive virtual reality as tool to reduce anxiety during embryo transfer.

机构信息

Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy.

出版信息

J Obstet Gynaecol. 2022 Jul;42(5):802-808. doi: 10.1080/01443615.2021.1995855. Epub 2022 Jan 5.

Abstract

The use of Virtual Reality (VR) has gained wide acceptance in several scientific fields. It represents an innovative technological tool providing the experience to be immersed in a non-physical world putting on head-mounted displays that surround the users with images and sounds. To date, VR has been mainly employed in the healthcare sector for educational aims, in order to provide the learners with a new method of delivering simulations. However, its application to real clinical practice has recently generated beneficial effects for patients, especially for those who experience symptoms of psychological burden. Infertile couples often struggle with anxiety and depression which have a strong impact on life quality. Furthermore, the perspective to undergo long treatments with uncertain results and an history of failed attempts may contribute to enhance patients' negative feelings during In Vitro Fertilization (IVF) cycles until Embryo Transfer (ET). The role of VR in reducing pain and anxiety during outpatient hysteroscopy, hysterosalpingography and oocytes retrieval, has been recently investigated with satisfactory results in terms of reducing pain and anxiety levels. However, to date, inconclusive outcomes have been reported on pregnancy rate. Our study would discuss the existent literature on VR applied to current medical practice and infertility, proposing its beneficial impact on women anxiety during IVF cycle with ET.

摘要

虚拟现实(VR)在多个科学领域得到了广泛的认可。它是一种创新的技术工具,通过头戴式显示器为用户提供身临其境的非物理世界体验,将图像和声音环绕在用户周围。迄今为止,VR 主要在医疗保健领域用于教育目的,为学习者提供一种新的模拟教学方法。然而,最近它在真实临床实践中的应用为患者带来了有益的效果,尤其是那些经历心理负担症状的患者。不孕夫妇经常会感到焦虑和抑郁,这对生活质量有很大的影响。此外,经历长时间不确定结果的治疗和多次失败尝试的经历,可能会在体外受精(IVF)周期中直至胚胎移植(ET)时加重患者的负面情绪。最近已经研究了 VR 在减少门诊宫腔镜检查、子宫输卵管造影和取卵过程中的疼痛和焦虑方面的作用,其结果令人满意,能够降低疼痛和焦虑水平。然而,迄今为止,关于妊娠率的结果尚无定论。我们的研究将讨论 VR 在当前医学实践和不孕不育中的应用相关的现有文献,提出其在 ET 期间对 IVF 周期中女性焦虑的有益影响。

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