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虚拟现实与引导想象对接受化疗癌症患者情绪变化的影响:一项交叉试验。

Effectiveness of Virtual Reality Vs Guided Imagery on mood changes in cancer patients receiving chemotherapy treatment: A crossover trial.

机构信息

Department of Oncology Nursing in Cyprus University of Technology, Limassol, Cyprus.

Improvast Analytical Services, Nicosia, Cyprus.

出版信息

Eur J Oncol Nurs. 2022 Dec;61:102188. doi: 10.1016/j.ejon.2022.102188. Epub 2022 Aug 13.

DOI:10.1016/j.ejon.2022.102188
PMID:36202024
Abstract

PURPOSE

To test whether Virtual Reality (VR) can benefit cancer patients from their interaction with an immersive environment, on their mood and their biophysical parameters, compared to those who will experience a Guided Imagery (GI) intervention.

METHODS

This was a randomized crossover trial with 50 cancer patients on active chemotherapy treatment, who were randomized to one of two treatment sequences VR-GI or GI-VR. Patients were assessed for Mood Changes, using POMS questionnaire, for three symptoms (Nausea, Pain and Feeling Sick), using three questions from FACT-G questionnaire, and Bio-physical parameters (Blood Pressure, Heart Rate, Oxygen Saturation). Linear Mixed Effect Models were used for the statistical analysis.

RESULTS

Patients experienced a better effect of mood state, for all the sub-scales of mood, after the VR intervention compared to GI, regardless of the sequence (p < 0⋅05). No effectiveness was found for Nausea, Pain and Feeling Sick symptoms. Statistically significant improvements were found on the Bio-physical parameters for the VR intervention (p < 0⋅05).

CONCLUSION

VR intervention based on mood induction strategies is a feasible and effective procedure for promoting positive mood in cancer patients during chemotherapy. Ways to integrate such innovative technologies in clinical practice need to be explored by health care professionals.

TRIAL REGISTRATION NUMBER

NCT02392728.

摘要

目的

与接受引导意象(GI)干预的患者相比,测试虚拟现实(VR)是否可以通过与沉浸式环境的互动使癌症患者受益,改善他们的情绪和生理参数。

方法

这是一项随机交叉试验,纳入了 50 名正在接受积极化疗的癌症患者,将他们随机分为 VR-GI 或 GI-VR 两种治疗序列之一。使用 POMS 问卷评估情绪变化,使用 FACT-G 问卷中的三个问题评估三个症状(恶心、疼痛和恶心感),并测量生理参数(血压、心率、血氧饱和度)。采用线性混合效应模型进行统计分析。

结果

与 GI 相比,无论治疗顺序如何,患者在 VR 干预后,所有情绪子量表的情绪状态均有更好的改善效果(p<0.05)。在恶心、疼痛和恶心感症状方面没有发现效果。VR 干预在生理参数方面具有显著的改善(p<0.05)。

结论

基于情绪诱导策略的 VR 干预是一种可行且有效的方法,可以在癌症患者化疗期间促进积极的情绪。需要由医疗保健专业人员探索将此类创新技术整合到临床实践中的方法。

试验注册号

NCT02392728。

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