虚拟现实作为一种非医学工具，用于治疗急性淋巴细胞白血病治疗维持期儿童的焦虑、疼痛和时间感知。
Virtual reality as a non-medical tool in the treatment of anxiety, pain, and perception of time in children in the maintenance phase of acute lymphoblastic leukemia treatment.
作者信息
Velasco-Hidalgo Liliana, González-Garay Alejandro, Segura-Pacheco Blanca Angélica, Esparza-Silva Ana Luisa, Cuéllar Mendoza Miguel Enrique, Ochoa-Drucker Cecilia, Campos-Ugalde Sofía, Bernabé-Gaspar Luis Eduardo, Zapata-Tarrés Marta
机构信息
Oncology Department, Instituto Nacional de Pediatría, Mexico City, Mexico.
Methodology Research Department, Instituto Nacional de Pediatría, Mexico City, Mexico.
出版信息
Front Oncol. 2024 Mar 19;14:1303421. doi: 10.3389/fonc.2024.1303421. eCollection 2024.
INTRODUCTION
Management of pediatric cancer patients involves invasive procedures such as punctures, injections, catheter placements, and chemotherapy which can generate fatigue, nausea, vomiting, anxiety, and pain. Virtual Reality (VR) is a nonpharmacological intervention classified as a cognitive-behavioral method to relieve symptoms.
METHODS
We designed a crossover protocol and included 20 patients between 9 and 12 years old; ten were male. All patients had acute lymphoblastic leukemia diagnosis and were treatedwith St. Jude's XV protocol in the maintenance phase. Pain and anxiety were measured with validated scales in the pediatric population.
RESULTS
Although we used a small group of patients, we found statistical difference in the reduction of anxiety and perception of time.
DISCUSSION
These results open a window to non-pharmacological treatments and show a strategy to improve quality of life in children inside the hospital.
引言
儿科癌症患者的治疗涉及穿刺、注射、导管置入和化疗等侵入性操作，这些操作会导致疲劳、恶心、呕吐、焦虑和疼痛。虚拟现实（VR）是一种非药物干预措施，属于缓解症状的认知行为方法。
方法
我们设计了一项交叉试验方案，纳入了20名9至12岁的患者，其中10名男性。所有患者均诊断为急性淋巴细胞白血病，在维持期接受圣犹大XV方案治疗。使用经过验证的儿科量表测量疼痛和焦虑。
结果
尽管我们使用的患者群体较小，但我们发现焦虑减轻和时间感知方面存在统计学差异。
讨论
这些结果为非药物治疗打开了一扇窗，并展示了一种改善住院儿童生活质量的策略。
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