Li Qianqian, Yang Zichang, Liu Xuyang, Zhang Qin, Li Mengyuan, Hu Ruilin, Huang Lianghui, Yu Qi, Dai Min
Department of Anesthesiology and Operative Medicine, Medical Center of Anesthesiology and Pain, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University Nanchang 330052, Jiangxi, China.
Department of The First Clinical Medical College, Jiangxi Medical College, Nanchang University Nanchang 330052, Jiangxi, China.
Am J Transl Res. 2024 Jun 15;16(6):2445-2452. doi: 10.62347/KOSE3119. eCollection 2024.
To explore the application effect of head-mounted virtual reality display immersive experience in improving the perioperative satisfaction of patients undergoing great saphenous vein surgery.
A total of 158 patients undergoing saphenous vein surgery at the First Affiliated Hospital, Jiangxi Medical College, Nanchang University from January 2020 to January 2023 were randomly divided into an observation group and a control group in a 1:1 ratio, with 79 cases in each group. The observation group received head-mounted display virtual reality immersive experience, whereas the control group received midazolam. The study compared the perioperative satisfaction, changes in preoperative and postoperative anxiety and depression scores, intraoperative blood pressure and heart rate, postoperative visual analog scale (VAS) score, and the incidence of postoperative nausea and vomiting between the two groups. Additionally, the satisfaction of patients, anesthesiologists, and chief surgeons was compared.
All surgeries were completed successfully. Patients in the observation group exhibited higher perioperative satisfaction compared to those in the control group (P<0.001). There were no significant differences in anxiety or depression scores between the two groups before surgery (P>0.05). However, both groups showed a reduction in anxiety and depression scores postoperatively, with the observation group demonstrating lower scores than the control group (both P<0.05). The observation group also had lower intraoperative blood pressure, heart rate, postoperative VAS scores, and incidence of nausea and vomiting compared to the control group (all P<0.05). Furthermore, the satisfaction levels of the anesthesiologists and chief surgeons were higher in the observation group than in the control group (P=0.043, 0.012).
Head-mounted display virtual reality immersive experience can enhance perioperative satisfaction among patients undergoing great saphenous vein surgery, reduce anxiety and depression scores, and contribute to the stabilization of hemodynamics during surgery, thereby decreasing postoperative nausea and vomiting.
探讨头戴式虚拟现实显示沉浸式体验在提高大隐静脉手术患者围手术期满意度中的应用效果。
选取2020年1月至2023年1月在南昌大学江西医学院第一附属医院行大隐静脉手术的158例患者，按1:1比例随机分为观察组和对照组，每组79例。观察组接受头戴式显示器虚拟现实沉浸式体验，对照组接受咪达唑仑。比较两组围手术期满意度、术前及术后焦虑和抑郁评分变化、术中血压和心率、术后视觉模拟评分（VAS）、术后恶心呕吐发生率。此外，比较患者、麻醉医生和主刀医生的满意度。
所有手术均顺利完成。观察组患者围手术期满意度高于对照组（P<0.001）。两组术前焦虑或抑郁评分无显著差异（P>0.05）。然而，两组术后焦虑和抑郁评分均降低，观察组评分低于对照组（均P<0.05）。观察组术中血压、心率、术后VAS评分及恶心呕吐发生率也低于对照组（均P<0.05）。此外，观察组麻醉医生和主刀医生的满意度高于对照组（P=0.043，0.012）。
头戴式显示器虚拟现实沉浸式体验可提高大隐静脉手术患者围手术期满意度，降低焦虑和抑郁评分，有助于术中血流动力学稳定，从而减少术后恶心呕吐。
