Gwag Minju, Yoo Jaeyong
Department of Nursing, College of Health and Welfare and Education, Gwangju University, Gwangju 61743, Republic of Korea.
Department of Nursing, College of Medicine, Chosun University, Gwangju 61452, Republic of Korea.
Healthcare (Basel). 2024 Jul 20;12(14):1448. doi: 10.3390/healthcare12141448.
Providing patients with accurate and organized information about colonoscopy, while reducing anxiety, is critical to the procedure's success. This study evaluated the impact of an immersive 360° virtual reality (VR)-based educational intervention for first-time adult colonoscopy patients regarding anxiety, attitudes, knowledge, compliance with bowel preparation, and bowel cleanliness. A quasi-experimental design with a non-equivalent control group and non-synchronized pretest-post-test clinical trial was conducted with 40 patients in the experimental group and 40 in the control group. The 360° VR intervention included two sessions: precautions before colonoscopy and the colonoscopy process. The control group received education through individual verbal explanations with written materials. The findings indicated that the VR intervention significantly improved patients' colonoscopy-related anxiety, attitudes, adherence to bowel preparation instructions, and bowel cleanliness. Utilizing 360° VR as an educational tool has the potential to enhance the effectiveness of educational programs by providing realistic information and engaging patients. These findings suggest that 360° VR has the capacity to enhance screening rates and clinical outcomes by reducing negative perceptions associated with colonoscopy. Furthermore, the application of this method can extend to diverse diagnostic testing-related nursing situations in clinical settings.
在减少患者焦虑的同时,为其提供有关结肠镜检查的准确且有条理的信息,对该检查的成功至关重要。本研究评估了针对首次接受结肠镜检查的成年患者,基于沉浸式360°虚拟现实(VR)的教育干预对焦虑、态度、知识、肠道准备依从性和肠道清洁度的影响。采用非等效对照组和非同步前后测临床试验的准实验设计,实验组40例患者,对照组40例患者。360°VR干预包括两个环节:结肠镜检查前的注意事项和结肠镜检查过程。对照组通过个人口头解释并辅以书面材料接受教育。研究结果表明,VR干预显著改善了患者与结肠镜检查相关的焦虑、态度、对肠道准备说明的依从性以及肠道清洁度。将360°VR用作教育工具,有可能通过提供逼真的信息并吸引患者来提高教育项目的效果。这些发现表明,360°VR有能力通过减少与结肠镜检查相关的负面认知来提高筛查率和临床结果。此外,这种方法的应用可以扩展到临床环境中各种与诊断测试相关的护理情况。