Fonseca Ahtziri, Qian Daniel, Forbes Ty, Li Brian S-K, Lee Charles, Burdsall Kylie, Rodriguez Samuel, Jackson Christian, Wang Ellen Y, Caruso Thomas J
Chariot Program, Stanford Children's Health, Palo Alto, CA, USA.
Division of Pediatric Anesthesia, Department of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, Stanford University, Palo Alto, CA, USA.
J Patient Exp. 2024 Jan 5;11:23743735231220190. doi: 10.1177/23743735231220190. eCollection 2024.
Pediatric patients and their caregivers often experience perioperative anxiety. Interventions reduce caregiver anxiety improve cooperation and contribute to an improved patient experience. This study seeks to evaluate the efficacy of virtual reality (VR)-assisted mindfulness on perioperative caregiver anxiety. Participants were randomized into a standard of care (SOC) group, which included snacks but no technology-based distractions, or a VR group, which included snacks and a VR-guided meditation. Caregiver anxiety was measured before and after the intervention using the Visual Analogue Scale for Anxiety (VAS-A). Secondary aims explored participants' baseline anxiety with the State-Trait Anxiety Inventory (STAI). VR group participants completed a satisfaction survey. Linear regression models of VAS-A and STAI were used to compare group differences. Satisfaction survey results were reported with descriptive statistics. 26 participants were included, with 12 randomized to the SOC group and 14 to the VR group. VAS-A scores in the VR group were lower than those in the SOC group ( = .002). The STAI found no change in participants' state of anxiety in the SOC group ( = .7108), compared to a significant reduction ( = .014) in the VR group when controlling for anxiety traits. 12 of 14 caregivers in the VR group expressed satisfaction or strong satisfaction. This study supports the implementation of VR mindfulness as a method to reduce caregiver anxiety. VR use in the pediatric healthcare setting is safe and inexpensive, and the intervention had a high degree of participant satisfaction.
儿科患者及其护理人员在围手术期常常会感到焦虑。采取干预措施可减轻护理人员的焦虑，提高配合度，并有助于改善患者体验。本研究旨在评估虚拟现实（VR）辅助的正念减压对围手术期护理人员焦虑的疗效。参与者被随机分为标准护理（SOC）组，该组提供零食但没有基于技术的分散注意力的方式，或VR组，该组提供零食并进行VR引导的冥想。使用焦虑视觉模拟量表（VAS - A）在干预前后测量护理人员的焦虑程度。次要目标是通过状态 - 特质焦虑量表（STAI）探究参与者的基线焦虑情况。VR组参与者完成了一项满意度调查。使用VAS - A和STAI的线性回归模型比较组间差异。满意度调查结果用描述性统计进行报告。共纳入26名参与者，其中12名被随机分配到SOC组，14名被分配到VR组。VR组的VAS - A得分低于SOC组（P = 0.002）。STAI发现，在控制焦虑特质的情况下，SOC组参与者的焦虑状态没有变化（P = 0.7108），而VR组有显著降低（P = 0.014）。VR组14名护理人员中有12名表示满意或非常满意。本研究支持将VR正念减压作为一种减轻护理人员焦虑的方法加以实施。在儿科医疗环境中使用VR安全且成本低廉，并且该干预措施具有较高的参与者满意度。
