Gilboa Pras Yarden, Indursky Atara, Gilboa Pras Shai, Schaffer Ortal, Niazov Eleonora, Zmora Osnat
Faculty of Medicine and Health, Tel Aviv University, Tel Aviv 6997801, Israel.
Department of Pediatric Surgery, Shamir Medical Center, Zerifin 7073001, Israel.
J Clin Med. 2024 Sep 20;13(18):5572. doi: 10.3390/jcm13185572.
: Virtual reality (VR) technology has been reported as effective in mitigating fear, anxiety, and pain in children undergoing various medical procedures. Our aim was to test the effectiveness of non-sponge-coated mobile phone-operated VR goggles approved by infectious diseases (ID) control in pediatric surgical patients. A prospective randomized trial in which pre-procedural and post-procedural heart rate, fear, and anxiety, and post-procedural pain were measured in pediatric surgical patients assigned to receive standard care versus standard care and VR goggles. The patients underwent line insertions, peripheral venipunctures for blood draws, drain removals, and wound care. The control group and the intention-to-treat group were each randomly assigned twenty-four patients. Since eight patients who received VR goggles removed them prior to completion of the procedure, the study group included sixteen patients. In the study group, heart rate, fear, and anxiety scores were significantly lower after the procedure as compared to prior to the procedure. In the control group, these parameters were similar before and after the procedure. Post-procedural decrease in fear and anxiety was significant when comparing VR to control. However, despite better post-procedural physiological and emotional scores in the VR group as compared to control, the differences were not statistically significant. Pre-procedural anxiety was significantly higher in the study group. ID-approved VR goggles can reduce fear and anxiety associated with procedures commonly performed in pedicatric surgical patients. However, since increased baseline anxiety might be associated with VR, a higher benefit might be achieved if goggles were worn only by children who express a clear desire to use them.
据报道，虚拟现实（VR）技术在减轻接受各种医疗程序的儿童的恐惧、焦虑和疼痛方面有效。我们的目的是测试经传染病（ID）控制部门批准的无海绵涂层手机操作VR护目镜在儿科手术患者中的有效性。这是一项前瞻性随机试验，对分配接受标准护理与标准护理加VR护目镜的儿科手术患者，测量术前和术后的心率、恐惧和焦虑以及术后疼痛。患者接受了静脉置管、外周静脉采血、引流管拔除和伤口护理。对照组和意向性治疗组各随机分配24名患者。由于8名接受VR护目镜的患者在手术完成前摘掉了护目镜，研究组包括16名患者。在研究组中，与术前相比，术后心率、恐惧和焦虑评分显著降低。在对照组中，这些参数在术前和术后相似。将VR组与对照组相比，术后恐惧和焦虑的降低显著。然而，尽管与对照组相比，VR组术后的生理和情绪评分更好，但差异无统计学意义。研究组术前焦虑显著更高。经ID批准的VR护目镜可减少与儿科手术患者常见手术相关的恐惧和焦虑。然而，由于基线焦虑增加可能与VR有关，如果仅让明确表示希望使用护目镜的儿童佩戴，可能会获得更高的益处。
