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看得更清楚:接受抗 VEGF 治疗的糖尿病性黄斑水肿患者使用虚拟现实耳机的主观和客观信息水平以及感知和信息传递的调查。

See clearer: survey on the subjective and objective information levels as well as perception and information transfer using virtual reality headsets in patients with diabetic macular edema receiving anti-VEGF treatment.

机构信息

MVZ Prof. Neuhann GmbH, Munich, Germany.

Institute of Ophthalmology, Halle, Germany.

出版信息

Graefes Arch Clin Exp Ophthalmol. 2023 Jun;261(6):1563-1570. doi: 10.1007/s00417-022-05942-w. Epub 2022 Dec 23.

Abstract

PURPOSE

The purpose of this study is to investigate the use of a VR Headset in routine clinical practice as an additional source of information for patients with diabetic macular edema (DME) and their companions.

METHODS

Survey including 121 patients with DME, 22 companions, and 14 healthcare professionals from 8 ophthalmology centers in Germany. Patients' and their companions' health literacy was assessed by questionnaires including knowledge statements before and after watching a VR-based 3-D educational video. HCPs' perspectives on the usability of a VR Headset were also assessed.

RESULTS

Patients' mean age was 63.4 ± 12.2 years, 64.5% were men, and 76% (92/121) had previous anti-VEGF (VEGF, vascular endothelial growth factor) injections. After using the VR Headset, over 85% of patients and companions felt better informed about DME and its treatment. Patients' mean (± SD) number of correct answers to knowledge statements increased from 13.2 ± 3.7 before to 15.5 ± 2.3 after using the VR Headset. Over 95% of patients and companions rated content and ease of understanding of the video as "very good" or "good." Most patients and all companions considered the use of a VR Headset as a positive experience, most wishing to obtain information via VR Headset in the future. Most physicians and all medical assistants rated the effect of the VR Headset on patient satisfaction as positive and suggested further VR modules.

CONCLUSION

After using the VR Headset, patients with DME and their companions demonstrated knowledge gains that may be meaningful individually and contribute to better adherence. This may offer an additional opportunity for knowledge transfer.

摘要

目的

本研究旨在探讨在常规临床实践中使用 VR 头显作为糖尿病黄斑水肿 (DME) 患者及其家属的额外信息来源。

方法

该调查纳入了来自德国 8 个眼科中心的 121 名 DME 患者、22 名家属和 14 名医疗保健专业人员。通过问卷调查评估患者及其家属的健康素养,问卷包括观看基于 VR 的 3D 教育视频前后的知识陈述。还评估了医疗保健专业人员对 VR 头显可用性的看法。

结果

患者的平均年龄为 63.4±12.2 岁,64.5%为男性,76%(92/121)有过抗血管内皮生长因子 (VEGF) 注射史。使用 VR 头显后,超过 85%的患者和家属表示对 DME 及其治疗有了更好的了解。使用 VR 头显后,患者对知识陈述的平均(±SD)正确答案数从使用前的 13.2±3.7 增加到 15.5±2.3。超过 95%的患者和家属对视频的内容和易懂程度评价为“非常好”或“好”。大多数患者和所有家属都认为使用 VR 头显是一次积极的体验,大多数人希望将来通过 VR 头显获取信息。大多数医生和所有医疗助理都认为 VR 头显对患者满意度的影响是积极的,并建议进一步开发 VR 模块。

结论

使用 VR 头显后,DME 患者及其家属的知识有所增加,这可能对个人具有重要意义,并有助于提高治疗的依从性。这可能为知识传递提供了另一个机会。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/531b/10198935/588a419327c5/417_2022_5942_Fig1_HTML.jpg

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