Phelan Ivan, Furness Penny J, Matsangidou Maria, Babiker Nathan T, Fehily Orla, Thompson Andrew, Carrion-Plaza Alicia, Lindley Shirley A
Centre for Culture, Media and Society, College of Social Sciences and Arts, Sheffield Hallam University, Sheffield, S1 1WB UK.
Centre for Behavioural Science and Applied Psychology (CeBSAP), College of Social Sciences and Arts, Sheffield Hallam University, Sheffield, S1 1WB UK.
Virtual Real. 2023;27(1):201-215. doi: 10.1007/s10055-021-00552-z. Epub 2021 Jun 22.
Burn patients engage in repetitive painful therapeutic treatments, such as wound debridement, dressing changes, and other medical processes high in procedural pain. Pharmacological analgesics have been used for managing pain, but with ineffective results and negative side effects. Studies on pain management for burn patients suggested that Virtual Reality can treat procedural pain. This paper describes the process of designing, testing, and deploying a Virtual Reality system into a hospital setting. Firstly, a workshop was conducted to identify the most suitable types of Virtual Reality contents for the needs of burn-injured patients. Then, an experimental study, with 15 healthy adults, explored the analgesic impact of the Virtual Reality contents. The pain was induced through a cold pressor. Finally, we deployed the Virtual Reality system into the hospital to examine its efficiency on burn-injured inpatients. This study presents factors for the effective design and deployment of Virtual Reality for burn-injured patients residing in a hospital. Those factors refer to the use of cartoonish features and a choice of content based on each patient's interests to increase the positive emotions and the use of interactive features, portable equipment to reduce pain and increase the feasibility of the technology in clinical settings. Finally, our results indicated that the extension of the VR use after the therapeutic session could support more effective pain treatment. Protocol ID: AA8434.
烧伤患者需要接受重复性的痛苦治疗，如伤口清创、换药以及其他程序性疼痛程度较高的医疗过程。药理学镇痛剂一直被用于管理疼痛，但效果不佳且有负面副作用。关于烧伤患者疼痛管理的研究表明，虚拟现实可以治疗程序性疼痛。本文描述了将虚拟现实系统设计、测试并部署到医院环境中的过程。首先，举办了一次研讨会，以确定最适合烧伤患者需求的虚拟现实内容类型。然后，对15名健康成年人进行了一项实验研究，探讨虚拟现实内容的镇痛效果。通过冷加压试验诱发疼痛。最后，我们将虚拟现实系统部署到医院，以检验其对烧伤住院患者的有效性。本研究提出了在医院为烧伤患者有效设计和部署虚拟现实的因素。这些因素包括使用卡通化特征、根据每个患者的兴趣选择内容以增加积极情绪，以及使用交互特征、便携式设备以减轻疼痛并提高该技术在临床环境中的可行性。最后，我们的结果表明，治疗 session 后延长虚拟现实的使用时间可以支持更有效的疼痛治疗。方案编号：AA8434。 （注：原文中“session”未明确准确意思，暂保留英文）
