Reinders Imke M A, Cremers Gaston R, van Rooijen Stefanus J, Leemans Jaklien C, Perquin Christel W, Geomini Peggy M A J, Maas Jacques W M, Bongers Marlies Y
Department of Obstetrics and Gynecology, Máxima Medical Center, Veldhoven, The Netherlands; Maastricht University Medical Centre, Department of Obstetrics and Gynecology and GROW - School for Oncology and Developmental Biology, Maastricht, The Netherlands.
Department of Obstetrics and Gynecology, Máxima Medical Center, Veldhoven, The Netherlands.
Eur J Obstet Gynecol Reprod Biol. 2022 May;272:96-103. doi: 10.1016/j.ejogrb.2022.02.179. Epub 2022 Mar 2.
To evaluate the effect of an informative 360-degree virtual reality (VR) video on preoperative anxiety before visiting a one-stop clinic for abnormal uterine bleeding.
A randomized controlled trial was performed in a teaching hospital in the Netherlands. A total of 83 women scheduled for a first consultation at the one-stop clinic between April 2017 and September 2017 were included in the analysis. All women received a standard information leaflet about the clinic. 40 women were randomized to receive a 360-degree VR-video of the clinic in addition. The primary outcome was change in the Visual Analogue Scale for Anxiety (VAS-A), measured at baseline (before randomization) and in the waiting room (before visit, after randomization). Anxiety assessed with the State-Trait Anxiety Inventory (STAI-S) was a secondary outcome. Other secondary outcomes included anxiety during the visit and the opinion of the women about the provided information.
Only 27 out of the 40 women actually watched the VR-video. Women in the VR-group who actually watched the video reported lower levels of anxiety at baseline compared to women in the VR-group who did not watch the video. In the intention-to-treat analysis, there was no difference in change in anxiety between the VR-group and the control group (mean difference VAS-A = 0.07, 95% CI -0.96 to 1.10; mean difference STAI-S = 1.97, 95% CI -1.82 to 5.77). In the per-protocol analysis, women in the VR-group reported lower anxiety scores in the waiting room. However, the change in anxiety scores between baseline and waiting room was comparable in both groups. 31% of the women who watched the VR-video reported that the video resulted in a reduction of anxiety, 69% reported that the video is of added value and 65% would use a VR-video again in future.
Adding the informative 360-degree VR-video to conventional information did not result in a reduction of anxiety prior to visiting the one-stop clinic. However, the majority of women who watched the video felt that it was of added value. Remarkable was that women who reported higher anxiety at baseline seemed less willing to watch the video.
评估一部内容丰富的360度虚拟现实（VR）视频对子宫异常出血一站式门诊术前焦虑的影响。
在荷兰的一家教学医院进行了一项随机对照试验。2017年4月至2017年9月期间计划在一站式门诊进行首次咨询的83名女性被纳入分析。所有女性均收到一份关于该门诊的标准信息手册。另外40名女性被随机分组，额外接收该门诊的360度VR视频。主要结局是焦虑视觉模拟量表（VAS-A）的变化，分别在基线（随机分组前）和候诊室（就诊前，随机分组后）进行测量。用状态-特质焦虑量表（STAI-S）评估的焦虑是次要结局。其他次要结局包括就诊期间的焦虑以及女性对所提供信息的看法。
40名女性中只有27名实际观看了VR视频。与未观看视频的VR组女性相比，实际观看视频的VR组女性在基线时报告的焦虑水平较低。在意向性分析中，VR组和对照组之间焦虑变化无差异（VAS-A平均差异=0.07，95%CI -0.96至1.10；STAI-S平均差异=1.97，95%CI -1.82至5.77）。在符合方案分析中，VR组女性在候诊室报告的焦虑得分较低。然而，两组在基线和候诊室之间的焦虑得分变化相当。观看VR视频的女性中有31%报告该视频使焦虑减轻，69%报告该视频有附加价值，65%表示未来会再次使用VR视频。
在常规信息中添加内容丰富的360度VR视频并不能降低前往一站式门诊前的焦虑。然而，大多数观看视频的女性认为它有附加价值。值得注意的是，在基线时报告焦虑程度较高的女性似乎不太愿意观看该视频。
