Médecine Intensive Réanimation, INSERM CIC 1415, CRICS-TriGGERSep Network, CHRU de Tours and MethodS in Patient-centered Outcomes and Health ResEarch (SPHERE), INSERM UMR 1246, Université de Tours, France.
Médecine Intensive Réanimation, CHRU de Tours, France.
Aust Crit Care. 2023 May;36(3):345-349. doi: 10.1016/j.aucc.2022.01.009. Epub 2022 Mar 1.
Intensive care unit (ICU) caregivers are exposed to high levels of stress. Work-related stress can impact quality of life and may lead to burnout. Virtual reality (VR) simulates a person's presence in a pleasant and enjoyable artificial environment. Thus, VR may be used to improve breaktime efficacy during the work shift of ICU caregivers.
The study objectives were to evaluate the feasibility and efficacy of VR to decrease stress, anxiety, and fatigue, as well as to increase work disconnection during the breaktime.
We conducted a prospective, monocentric, open-label, crossover, randomised study comparing a half an hour breaktime including an 8-min-long VR session and a usual breaktime among ICU caregivers, on two consecutive work shifts. Participants were evaluated before and after the breaktime as well as at the end of the work shift for stress, anxiety, fatigue, and work disconnection using visual analog scales.
For the 88 participants, VR was easy to use. VR induced a significantly higher reduction in the fatigue score after the breaktime. Individual changes in the fatigue score were +0.17 (1.87) vs. -0.33 (1.87). A significantly higher feeling of disconnection from the work environment at the end of the breaktime was also observed with VR: 5.98 (3.04) vs. 4.20 (2.64). No significant difference was observed for other parameters, in particular at the end of the shift.
VR sessions could improve the efficacy of breaktimes among ICU caregivers and contribute to a better quality of work life; repeated or longer sessions may be required to induce sustained effects.
重症监护病房（ICU）护理人员面临着高强度的压力。工作相关压力会影响生活质量，并可能导致职业倦怠。虚拟现实（VR）模拟了一个人在愉快和令人愉悦的人工环境中的存在。因此，VR 可以用于提高 ICU 护理人员工作班次休息期间的效率。
本研究旨在评估 VR 降低压力、焦虑和疲劳，以及增加工作中断的效果，从而提高 ICU 护理人员休息期间的效率。
我们进行了一项前瞻性、单中心、开放标签、交叉、随机研究，比较了 ICU 护理人员在两个连续的工作班次中，进行半小时休息（包括 8 分钟的 VR 体验）和常规休息的效果。参与者在休息前后以及工作结束时使用视觉模拟量表评估压力、焦虑、疲劳和工作中断情况。
对于 88 名参与者，VR 易于使用。休息后，VR 显著降低了疲劳评分，个体疲劳评分变化为+0.17（1.87）与-0.33（1.87）。在休息结束时，VR 还显著提高了与工作环境的分离感：5.98（3.04）与 4.20（2.64）。在其他参数方面，特别是在工作结束时，没有观察到显著差异。
VR 体验可以提高 ICU 护理人员休息期间的效率，并有助于提高工作生活质量；可能需要重复或更长时间的体验才能产生持续的效果。
