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虚拟现实眼镜对接受结肠镜检查患者生命体征及焦虑的影响:一项随机对照试验

The Effects of Virtual Reality Glasses on Vital Signs and Anxiety in Patients Undergoing Colonoscopy: A Randomized Controlled Trial.

作者信息

Doğan Yılmaz Esra, Ünlüsoy Dinçer Nigar

机构信息

Esra Doğan Yılmaz, PhD, RN, is Research Assistant, Nursing Department, Faculty of Health Sciences, Kırıkkale University, Kırıkkale, Turkey.

Nigar Ünlüsoy Dinçer, PhD, RN, is Assistant Professor, Nursing Department, Faculty of Health Sciences, Ankara Yıldırım Beyazıt University, Ankara, Turkey.

出版信息

Gastroenterol Nurs. 2023;46(4):318-328. doi: 10.1097/SGA.0000000000000733. Epub 2023 Jun 5.

Abstract

Colonoscopy is a painful procedure that causes anxiety and changes in vital signs. Pain and anxiety may cause patients to avoid colonoscopy, which is a preventive and curative healthcare service. The aim of this study was to examine the effects of virtual reality glasses on the vital signs (blood pressure, pulse, respiration, oxygen saturation, and pain) and anxiety in patients undergoing colonoscopy. The population of the study consisted of 82 patients who underwent colonoscopy without sedation between January 2, 2020, and September 28, 2020. Post-power analysis was performed with 44 patients who agreed to participate in the study, met the inclusion criteria, and were followed up for pre- and post-tests. The experimental group participants (n = 22) watched a 360° virtual reality video through virtual reality glasses whereas the control group participants (n = 22) underwent a standard procedure. Data were collected using a demographic characteristics questionnaire, the Visual Analog Scale-Anxiety, Visual Analog Scale-Pain, Satisfaction Evaluation Form, and monitoring of vital signs. The experimental group participants had significantly lower levels of pain, anxiety, systolic blood pressure, and respiratory rate and significantly higher peripheral oxygen saturation during colonoscopy than the control group participants. The majority of the experimental group participants were satisfied with the application. Virtual reality glasses have a positive effect on vital signs and anxiety during colonoscopy.

摘要

结肠镜检查是一种会引起疼痛的操作,会导致焦虑以及生命体征的变化。疼痛和焦虑可能会使患者回避结肠镜检查,而结肠镜检查是一项预防性和治疗性的医疗服务。本研究的目的是探讨虚拟现实眼镜对接受结肠镜检查患者的生命体征(血压、脉搏、呼吸、血氧饱和度和疼痛)及焦虑的影响。研究对象为2020年1月2日至2020年9月28日期间接受无镇静结肠镜检查的82例患者。对44例同意参与研究、符合纳入标准并接受前后测试随访的患者进行了事后功效分析。实验组参与者(n = 22)通过虚拟现实眼镜观看360°虚拟现实视频,而对照组参与者(n = 22)接受标准程序。使用人口统计学特征问卷、视觉模拟量表-焦虑、视觉模拟量表-疼痛、满意度评估表以及生命体征监测来收集数据。与对照组参与者相比,实验组参与者在结肠镜检查期间的疼痛、焦虑、收缩压和呼吸频率水平显著更低,外周血氧饱和度显著更高。实验组的大多数参与者对该应用感到满意。虚拟现实眼镜对结肠镜检查期间的生命体征和焦虑有积极影响。

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