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接受虚拟现实化疗的患者体验:混合方法可行性研究。

Experiences of Patients Undergoing Chemotherapy With Virtual Reality: Mixed Methods Feasibility Study.

作者信息

Janssen Anna, Fletcher Jennifer, Keep Melanie, Ahmadpour Naseem, Rouf Anika, Marthick Michael, Booth Rebecca

机构信息

Research in Implementation Science and eHealth Group, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.

Education Enterprise and Engagement, The University of Sydney, Sydney, Australia.

出版信息

JMIR Serious Games. 2022 Feb 21;10(1):e29579. doi: 10.2196/29579.

Abstract

BACKGROUND

Current research into virtual reality (VR) use during chemotherapy shows that it can be an effective distraction intervention. However, there is limited research in adult patients and to investigate how VR can be sustainably implemented in health care organizations.

OBJECTIVE

The aim of this study was to explore the feasibility and acceptability of using VR for adult patients undergoing chemotherapy, and to identify the factors that would enable the sustained use of VR during chemotherapy in health care organizations.

METHODS

Patients undergoing chemotherapy were recruited to participate in a VR intervention during chemotherapy infusion. Participants were observed during the session and completed a postintervention survey. Each participant was invited to participate in a semistructured interview about their experience.

RESULTS

A total of 18 patients participated in the study, 5 of whom participated in semistructured interviews. Findings indicated that the use of VR was acceptable for patients undergoing chemotherapy and the intervention was also feasible. Some participants felt that the VR was an effective distraction during chemotherapy infusion, although most still seemed to be aware of how long their treatment was taking. Although VR was acceptable and feasible to patients, interviews identified several barriers to sustained implementation, including access to a reliable app library and impact on staff workloads.

CONCLUSIONS

VR was acceptable to patients with a diagnosis of cancer undergoing chemotherapy treatment. Patients found VR beneficial for breaking up the monotony of treatment, to provide an additional choice of activity in addition to other recreation, and in some instances as a distraction from the treatment itself. However, there are challenges to address if VR is to be implemented in practice for this patient group.

摘要

背景

目前关于化疗期间使用虚拟现实(VR)的研究表明,它可以成为一种有效的分散注意力干预措施。然而,针对成年患者的研究有限,且对于如何在医疗机构中可持续地实施VR的研究也较少。

目的

本研究的目的是探讨在接受化疗的成年患者中使用VR的可行性和可接受性,并确定能够使VR在医疗机构化疗期间持续使用的因素。

方法

招募正在接受化疗的患者在化疗输液期间参与VR干预。在干预过程中观察参与者,并在干预后完成一项调查。邀请每位参与者就其体验参加一次半结构化访谈。

结果

共有18名患者参与了该研究,其中5人参加了半结构化访谈。研究结果表明,接受化疗的患者可以接受使用VR,并且该干预措施也是可行的。一些参与者认为VR在化疗输液期间是一种有效的分散注意力方式,尽管大多数人似乎仍然清楚自己的治疗时长。虽然VR对患者来说是可接受且可行的,但访谈确定了持续实施的几个障碍,包括获取可靠的应用程序库以及对工作人员工作量的影响。

结论

对于接受化疗治疗的癌症患者来说,VR是可接受的。患者发现VR有助于打破治疗的单调,除了其他娱乐活动外提供额外的活动选择,并且在某些情况下可分散对治疗本身的注意力。然而,如果要在这一患者群体中实际实施VR,仍有一些挑战需要解决。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72dd/8902671/79bf7db82f96/games_v10i1e29579_fig1.jpg

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