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使用虚拟现实和沟通干预减少局部麻醉下脂肪瘤切除术患者的疼痛和焦虑:一项随机对照试验。

Using a Virtual Reality and Communication Intervention to Reduce Pain and Anxiety in Patients Undergoing Lipoma Excision With Local Anesthesia: A Randomized Controlled Trial.

出版信息

AORN J. 2022 May;115(5):437-449. doi: 10.1002/aorn.13665.

Abstract

In this randomized controlled trial, we assessed the effects of using a virtual reality (VR) and communication intervention on pain and anxiety in patients undergoing lipoma excision under local anesthesia. We conducted the study at a large hospital in Turkey between March 15 and September 15, 2019, with 100 participants. We used a pretest and posttest design to collect data with a personal information form, the Numeric Pain Rating Scale, and the State-Trait Anxiety Inventory. The intervention group participants watched a video using a VR headset during the procedure and communicated with an investigator; the control group participants only received routine surgical treatment. The intervention had a significant effect on pain during the procedure (P < .001) and a moderate effect on anxiety 60 minutes after the procedure (P = .01). Use of VR and active communication may help reduce pain and anxiety for patients undergoing procedures performed with local anesthesia.

摘要

在这项随机对照试验中,我们评估了在接受局部麻醉下切除脂肪瘤的患者中使用虚拟现实(VR)和沟通干预对疼痛和焦虑的影响。我们于 2019 年 3 月 15 日至 9 月 15 日在土耳其的一家大医院进行了这项研究,共有 100 名参与者。我们使用预测试和后测试设计来收集个人信息表、数字疼痛评分量表和状态-特质焦虑量表的数据。干预组参与者在手术过程中使用 VR 头戴式设备观看视频,并与调查员进行沟通;对照组参与者仅接受常规手术治疗。干预措施对手术过程中的疼痛有显著影响(P <.001),对手术后 60 分钟的焦虑有中度影响(P =.01)。使用 VR 和主动沟通可能有助于减轻接受局部麻醉下进行的手术的患者的疼痛和焦虑。

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