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虚拟现实有益于减轻分娩妇女的疼痛:一项初步研究。

Virtual reality is beneficial in decreasing pain in labouring women: A preliminary study.

机构信息

School of Nursing, Midwifery and Health Practice, Victoria University, Wellington, New Zealand.

School of Design, Victoria University, Wellington, New Zealand.

出版信息

Aust N Z J Obstet Gynaecol. 2023 Apr;63(2):193-197. doi: 10.1111/ajo.13591. Epub 2022 Jul 25.

Abstract

BACKGROUND

Women use a range of non-pharmacological pain relief methods to reduce labour pain intensity and to help manage labour pain.

AIMS

The purpose of this intervention study was to determine whether virtual reality would have an effect on labour pain intensity. Virtual reality has been shown to be effective in reducing pain in other acute pain settings.

MATERIALS AND METHODS

This study was an intervention study in labour in a cross-over within-subjects design (Clinical Trials Registry Number: ACTRN12618001776291P). Fourteen participants reported their pain and had their heart rate and blood pressure measured during active labour while using and not using virtual reality.

RESULTS

There were significantly lower reported pain scores (6.14 compared to 7.61, P < 0.001) and maternal heart rate (79.86 beats per minute compared to 85.57, P = 0.033) and mean arterial pressure (88.78 mmHg compared to 92.61 mmHg, P = 0.022) were lower when using virtual reality compared to when not using virtual reality during active labour.

CONCLUSION

This study makes an important contribution to the field of virtual reality in labour and birth. It is consistent with other recent findings of reduced pain in labour and links decreased pain scales to heart rate and blood pressure, the physiological markers of pain.

摘要

背景

女性使用多种非药物止痛方法来减轻分娩疼痛强度,并帮助管理分娩疼痛。

目的

本干预研究旨在确定虚拟现实是否会对分娩疼痛强度产生影响。虚拟现实已被证明在其他急性疼痛环境中能有效减轻疼痛。

材料和方法

这是一项在交叉内个体设计(临床试验注册号:ACTRN12618001776291P)中进行的分娩干预研究。14 名参与者在活跃分娩期间使用和不使用虚拟现实时报告了他们的疼痛,并测量了他们的心率和血压。

结果

使用虚拟现实时报告的疼痛评分显著降低(6.14 分与 7.61 分相比,P<0.001),母亲的心率(79.86 次/分钟与 85.57 次/分钟相比,P=0.033)和平均动脉压(88.78mmHg 与 92.61mmHg 相比,P=0.022)也较低。

结论

本研究对虚拟现实在分娩和生育领域做出了重要贡献。它与其他最近关于分娩疼痛减轻的发现一致,并将疼痛量表的降低与心率和血压联系起来,心率和血压是疼痛的生理标志物。

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