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虚拟现实在肺癌患者化疗期间症状管理中的效用:一项准实验研究。

The Usefulness of Virtual Reality in Symptom Management during Chemotherapy in Lung Cancer Patients: A Quasi-Experimental Study.

作者信息

Mitello Lucia, Marti Flavio, Mauro Lucia, Siano Ludovica, Pucci Antonello, Tarantino Concetta, Rocco Gennaro, Stievano Alessandro, Iacorossi Laura, Anastasi Giuliano, Ferrara Rosaria, Marucci Anna Rita, Varrassi Giustino, Giannarelli Diana, Latina Roberto

机构信息

Department of Health Professions, San Camillo-Forlanini Hospital, 00152 Rome, Italy.

School of Nursing and Midwifery, Faculty of Medicine and Psychology, Sapienza University of Rome, 00152 Rome, Italy.

出版信息

J Clin Med. 2024 Jul 26;13(15):4374. doi: 10.3390/jcm13154374.

Abstract

Virtual reality (VR) emerges as a promising non-pharmacological intervention for managing symptoms and providing distraction during chemotherapy. This study aims to assess VR's effectiveness on cancer-related symptoms, vital signs, and the patients' perception of chemotherapy in lung cancer patients. : A quasi-experimental study was conducted on 100 patients. Participants were allocated into an intervention group (n = 55), which experienced immersive VR, and a comparison group (n = 45), which received usual care. Data were collected through questionnaires and checklists, including feedback on the VR experience, pain, vital signs, and common cancer symptoms, assessed through the Edmonton Symptom Assessment Scale. : VR had a significant impact on reducing the perception of chemotherapy length. Patients reported high levels of satisfaction and tolerability. No adverse events were observed. VR did not have significant influence on pain intensity or vital signs. The only exceptions were oxygen saturation, where a significant difference ( = 0.02) was reported, and the perception of chemotherapy duration. : As a non-pharmacological intervention, VR proves to be beneficial in minimizing the perceived length of chemotherapy sessions for lung cancer patients, enhancing their overall treatment experience. The intervention was found to be a safe, feasible, and well-accepted distraction technique. Future research should explore VR's potential effects on a wider range of symptoms and evaluate its impact on long-term outcomes.

摘要

虚拟现实(VR)作为一种有前景的非药物干预手段,可用于在化疗期间管理症状并提供分散注意力的作用。本研究旨在评估VR对肺癌患者癌症相关症状、生命体征以及患者对化疗的认知的有效性。:对100名患者进行了一项准实验研究。参与者被分为干预组(n = 55),该组体验沉浸式VR,以及对照组(n = 45),该组接受常规护理。通过问卷和清单收集数据,包括对VR体验、疼痛、生命体征以及常见癌症症状的反馈,通过埃德蒙顿症状评估量表进行评估。:VR对降低对化疗时长的认知有显著影响。患者报告了高水平的满意度和耐受性。未观察到不良事件。VR对疼痛强度或生命体征没有显著影响。唯一的例外是氧饱和度,报告了显著差异(= 0.02),以及对化疗持续时间的认知。:作为一种非药物干预手段,VR被证明有助于将肺癌患者对化疗疗程时长的认知降至最低,提升他们的整体治疗体验。该干预措施被发现是一种安全、可行且广受接受的分散注意力技术。未来的研究应探索VR对更广泛症状的潜在影响,并评估其对长期结果的影响。

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