Department of Anesthesiology, Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen, China.
Biomedical Research Institute, Hubei University of Medicine, Shiyan, China.
Arch Gynecol Obstet. 2024 Sep;310(3):1509-1516. doi: 10.1007/s00404-024-07556-5. Epub 2024 May 25.
Cesarean section may result in adverse psychosocial and behavioral outcomes because women put considerable emphasis on the process of birth. Virtual reality treatment has been shown by many studies to reduce anxiety and improve patient satisfaction. Therefore, we designed a randomized controlled trial to investigate whether the application of virtual reality technology during cesarean section can reduce maternal anxiety and improve satisfaction.
We recruited 128 women undergoing elective cesarean delivery with proposed spinal anesthesia and randomly assigned them to either virtual reality or routine care. The virtual reality intervention was a virtual reality program tailored specifically for women undergoing cesarean section. Primary outcome was the change in anxiety score (change = preoperative-intraoperative score). Secondary outcomes included patient satisfaction score, requirement of intraoperative sedative and analgesic drugs, and respiratory rate.
The change in anxiety score in the virtual reality group was significantly higher than that in the routine care group (30 [20, 47.5] vs 10 [- 10, 23.8], respectively; P < 0.001, with Hodges-Lehmann median difference estimate of 20 (95% confidence interval CI, 15-30)). There were no significant differences between the two groups in patient satisfaction scores, the requirement of intraoperative sedative and analgesic drugs, and respiratory rate and side effects.
Virtual reality treatment could reduce the anxiety of women undergoing elective cesarean section, which is beneficial to the mother and baby. Trial registration This study was registered at the Chinese Clinical Trial Registry (ChiCTR2200061936) on July 11, 2022, and can be reached at https://www.chictr.org.cn/showprojEN.html?proj=173329.
剖宫产可能会导致不良的心理社会和行为结果，因为女性非常重视分娩过程。虚拟现实治疗已被多项研究证明可以降低焦虑并提高患者满意度。因此，我们设计了一项随机对照试验，旨在研究剖宫产术中应用虚拟现实技术是否可以降低产妇焦虑并提高满意度。
我们招募了 128 名拟行脊髓麻醉下择期剖宫产的女性，并将其随机分为虚拟现实组或常规护理组。虚拟现实干预是专门为行剖宫产术的女性量身定制的虚拟现实程序。主要结局是焦虑评分的变化（变化=术前-术中评分）。次要结局包括患者满意度评分、术中镇静和镇痛药的需求以及呼吸频率。
虚拟现实组的焦虑评分变化明显高于常规护理组（分别为 30[20,47.5]与 10[-10,23.8]；P<0.001，Hodges-Lehmann 中位数差值估计值为 20[95%置信区间 CI,15-30]）。两组患者满意度评分、术中镇静和镇痛药的需求以及呼吸频率和副作用无显著差异。
虚拟现实治疗可以降低择期剖宫产产妇的焦虑，有利于母婴健康。
本研究于 2022 年 7 月 11 日在中国临床试验注册中心（ChiCTR2200061936）注册，可在 https://www.chictr.org.cn/showprojEN.html?proj=173329 上查看。
