Author Affiliations: Department of Biomedicine and Prevention, PhD School in Nursing Sciences and Public Health, University of Rome "Tor Vergata," Rome, Italy (Dr Burrai); Department of Medicine and Surgery, Research Unit Nursing Science, Campus Bio-Medico of Rome University, Rome, Italy (Ms De Marinis); and Department of Medicine and Surgery, Research Unit Nursing Science, Campus Bio-Medico of Rome University, Rome, Italy (Dr Piredda).
Holist Nurs Pract. 2024;38(4):220-226. doi: 10.1097/HNP.0000000000000616. Epub 2024 Jun 19.
Patients with cancer receiving infusional chemotherapy show negative symptoms such as worry about their survival, anxiety, anguish, depression, fear, magnified perception of the passage of time, and difficulty managing boredom. Patients also suffer various side effects produced by chemotherapy such as nausea, vomiting, pain, and fatigue, which, together with psychological distress, drastically reduce their quality of life and adherence to therapy with a corresponding reduction in the probability of the individual's survival. Virtual Reality is one of the most innovative and promising digital health interventions, capable of quickly and effectively producing a positive influence on the psychosomatic axis, improving patients' quality of life during chemotherapy. Virtual Reality, through its 3-dimensional multisensory technology, isolates sensory channels from the negative external environment and enables an experience of being physically and psychologically present within virtual scenarios, in which patients can perceive sensations, emotions, cognitions, and interactions as if they really were in different surroundings. This article systematically expounds the scientific conditions necessary for effective, appropriate, and safe implementation of Virtual Reality interventions in holistic nursing practice, describing the underpinning conceptual framework, the types, technological characteristics, methods of use, duration, type of virtual content, and implementation procedure of Virtual Reality.
接受输注化疗的癌症患者会出现负面症状，如对生存的担忧、焦虑、痛苦、抑郁、恐惧、时间流逝感加剧以及难以忍受无聊。患者还会遭受化疗引起的各种副作用，如恶心、呕吐、疼痛和疲劳，这些副作用加上心理困扰，会极大地降低他们的生活质量和对治疗的依从性，从而降低个体生存的概率。虚拟现实是最具创新性和前景的数字健康干预措施之一，能够快速有效地对身心轴产生积极影响，改善化疗期间患者的生活质量。虚拟现实通过其 3 维多感官技术，将感觉通道与负面外部环境隔离开来，使患者能够在虚拟场景中体验到身体和心理上的存在，在这些场景中，患者可以感知到感觉、情绪、认知和互动，就好像他们真的身处不同的环境中一样。本文系统阐述了在整体护理实践中有效、适当和安全地实施虚拟现实干预所需的科学条件，描述了虚拟现实干预的基础概念框架、类型、技术特点、使用方法、时长、虚拟内容类型和实施程序。
