Specialty of Child and Adolescent Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Academic Department of Adolescent Medicine, The Children's Hospital at Westmead, Sydney, New South Wales, Australia.
Emerg Med Australas. 2022 Oct;34(5):687-693. doi: 10.1111/1742-6723.13945. Epub 2022 Mar 2.
The present study aimed to explore the feasibility and potential benefits of deploying virtual reality (VR) for adolescents in the ED.
This multi-centre study was undertaken in paediatric and adult EDs in two university teaching hospitals. Twenty-six participants who had voluntarily attended the ED received the VR intervention. Pre- and post-measures assessing changes in state anxiety, stress and affect, and physical biomarkers were obtained.
The use of VR intervention was associated with significant reductions in distress (Short State Stress Questionnaire - Distress Subscale; t = 4.55, P < 0.001) and negative affect (the International Positive and Negative Affect Scale - Short Form version; t = 4.99, P < 0.001). Most participants chose 'Netflix' as their content of choice. The technology was well received by the participants with subjective reports indicating that receiving VR intervention was 'insanely cool', 'takes you away from what's actually happening' and some participants felt 'privileged to get this experience in a hospital'.
VR technology can effectively be used in EDs to assist adolescents and young adults better manage their distress and take steps towards activating more self-control mechanisms that will in turn allow for more meaningful engagements to be established with health clinicians. This technology has broad implications for reducing distress in adolescents in a variety of clinical contexts.
本研究旨在探讨将虚拟现实（VR）应用于急诊科青少年的可行性和潜在益处。
这项多中心研究在两所大学教学医院的儿科和成人急诊科进行。26 名自愿到急诊科就诊的参与者接受了 VR 干预。在接受干预前和干预后，评估了状态焦虑、压力和情绪的变化以及生理生物标志物。
使用 VR 干预与明显降低痛苦（短状态应激问卷-痛苦分量表；t=4.55，P<0.001）和负性情绪（国际正性和负性情绪量表-短式版本；t=4.99，P<0.001）相关。大多数参与者选择“Netflix”作为他们的首选内容。参与者对该技术的接受度很高，他们的主观报告表明，接受 VR 干预“非常酷”，“让你远离正在发生的事情”，一些参与者感到“在医院里获得这种体验是一种特权”。
VR 技术可有效地用于急诊科，以帮助青少年和年轻成年人更好地管理他们的痛苦，并采取措施激活更多的自我控制机制，从而与卫生临床医生建立更有意义的联系。这项技术对于减少各种临床环境中青少年的痛苦具有广泛的意义。
