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虚拟现实在造血干细胞移植患者症状管理中的应用:一项质量改进计划。

Virtual Reality for Symptom Management in Patients Undergoing Hematopoietic Stem Cell Transplantation: A Quality Improvement Initiative.

机构信息

Stanford Health Care.

San Jose State University.

出版信息

Oncol Nurs Forum. 2022 May 1;49(3):233-241. doi: 10.1188/22.ONF.233-241.

DOI:10.1188/22.ONF.233-241
PMID:35446838
Abstract

OBJECTIVES

To evaluate the effects of virtual reality (VR) on symptom distress, such as depression, anxiety, and pain, experienced by individuals receiving allogeneic hematopoietic stem cell transplantation.

SAMPLE & SETTING: 20 participants aged 19-70 years (median age of 56.5 years) who were hospitalized in an academic setting received as many as two sessions of VR per week for two weeks.

METHODS & VARIABLES: Before and after each session, participants completed the revised Edmonton Symptom Assessment Scale (ESAS-r) to evaluate their symptoms. Paired t tests were later conducted.

RESULTS

VR sessions showed significant improvement in 8 of the 10 symptoms addressed in ESAS-r.

IMPLICATIONS FOR NURSING

VR can improve symptoms in patients following hematopoietic stem cell transplantation in a hospital setting, provide a low-cost intervention to treat symptoms, and support future investigations exploring how VR affects prolonged hospitalizations related to distressing symptoms.

摘要

目的

评估虚拟现实 (VR) 对接受异基因造血干细胞移植的个体所经历的症状困扰(如抑郁、焦虑和疼痛)的影响。

样本和设置

20 名年龄在 19-70 岁之间(中位年龄 56.5 岁)的参与者在学术环境住院,每周接受多达两次、为期两周的 VR 治疗。

方法和变量

在每次治疗前后,参与者使用修订后的 Edmonton 症状评估量表 (ESAS-r) 评估他们的症状。随后进行了配对 t 检验。

结果

VR 治疗显示 ESAS-r 中 10 个症状中有 8 个得到显著改善。

对护理的启示

在医院环境中,VR 可以改善造血干细胞移植患者的症状,为治疗症状提供一种低成本的干预措施,并支持未来的研究,探索 VR 如何影响与痛苦症状相关的延长住院时间。

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