J Hosp Palliat Nurs. 2023 Dec 1;25(6):300-308. doi: 10.1097/NJH.0000000000000983. Epub 2023 Oct 12.
Virtual reality (VR) is an emerging technology that can provide a nonpharmacological approach to symptom management for those with serious illnesses. The VR platform offers a unique perspective to connect patients with places and experiences they might otherwise miss. This rapid review aims to present the current literature on the uses and benefits of VR for palliative care and hospice patients. Through a systematic process, we identified 14 articles published between 2018 and 2023 that used VR as an interventional strategy for symptom management. The VR equipment includes a head-mounted display, such as the Oculus Go, and sometimes requires hand controllers or joysticks. Virtual reality software was contained exclusively in the head-mounted displays or required a laptop. Nature scenes, memorable locations, and the solar system are examples of options patients could select for the VR experience. Assessments of the intervention were measured before, during, after, and several hours afterward to evaluate benefits and potential adverse effects. Pain was the predominant symptom assessed in the studies. Overall, most of the studies focused on establishing the safety, efficacy, and feasibility of VR using a single-arm interventional method. Future research should implement randomized controlled trials, increase sample size, and expand to pediatric populations.
虚拟现实(VR)是一种新兴技术,可以为患有严重疾病的人提供非药物治疗方法来控制症状。VR 平台提供了一个独特的视角,将患者与他们可能错过的地方和体验联系起来。本快速综述旨在介绍 VR 在姑息治疗和临终关怀患者中的用途和益处的现有文献。通过系统的过程,我们确定了 14 篇发表于 2018 年至 2023 年期间的文章,这些文章将 VR 用作症状管理的干预策略。VR 设备包括头戴式显示器,如 Oculus Go,有时还需要手控器或操纵杆。VR 软件仅包含在头戴式显示器中,或者需要笔记本电脑。自然场景、记忆中的地点和太阳系是患者可以选择的 VR 体验选项。干预措施的评估在干预之前、期间、之后以及几个小时后进行,以评估益处和潜在的不良反应。疼痛是这些研究中评估的主要症状。总的来说,大多数研究都集中在使用单臂干预方法来确定 VR 的安全性、有效性和可行性。未来的研究应该实施随机对照试验,增加样本量,并扩展到儿科人群。
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