Ersoy Nese Altınok, Kesik Gülşah, Dede Fatih
Faculty of Nursing, Hacettepe University, Ankara, Turkey.
Department of Nephrology, Ankara City Hospital, Ankara, Turkey.
J Vasc Access. 2025 Sep;26(5):1619-1627. doi: 10.1177/11297298241295447. Epub 2024 Nov 1.
To elucidate the effect of virtual reality video application on fistula puncture-associated pain in patients undergoing hemodialysis.
Attention controlled and assessor-blinded randomized trial.
Attention controlled and assessor-blinded randomized trial was conducted 28 patients at the hemodialysis center of City Hospital. The patients in the intervention group ( = 14) participated in 12 hemodialysis sessions with virtual reality video application under the researcher's supervision. The patients in the control group ( = 14) received a 6-min training session on diet compliance. The Sociodemographic Form and Visual Analog Scale were used to collect data in person at various time points: baseline (t0), during the 1st to 12th hemodialysis sessions (t1-t12), and 1 week after implementation (t13).
Virtual reality video application helped in effectively decreasing pain over time, as revealed by significant differences in the measurements at t1-t12 and t13 ( < 0.05). Time-based variations in within-group differences revealed that the median fistula puncture-associated pain values were significantly higher at baseline and t13 measurements in the intervention group ( < 0.05). In contrast, no significant differences were observed in the median fistula puncture-associated pain values in the control group ( < 0.05).
In patients undergoing hemodialysis, the application of virtual reality helps decrease fistula puncture-associated pain values. Advances in technology, particularly virtual reality, may play a vital role in shaping the future of healthcare.
阐明虚拟现实视频应用对接受血液透析患者的瘘穿刺相关疼痛的影响。
注意力控制且评估者盲法随机试验。
在市医院血液透析中心对28例患者进行了注意力控制且评估者盲法随机试验。干预组（n = 14）的患者在研究人员的监督下参与了12次伴有虚拟现实视频应用的血液透析治疗。对照组（n = 14）的患者接受了6分钟的饮食依从性培训。在各个时间点亲自使用社会人口学表格和视觉模拟量表收集数据：基线（t0）、第1至12次血液透析治疗期间（t1 - t12）以及实施后1周（t13）。
虚拟现实视频应用有助于随着时间的推移有效减轻疼痛，t1 - t12和t13测量值的显著差异表明了这一点（P < 0.05）。组内差异的基于时间的变化表明，干预组在基线和t13测量时，瘘穿刺相关疼痛值的中位数显著更高（P < 0.05）。相比之下，对照组瘘穿刺相关疼痛值的中位数未观察到显著差异（P < 0.05）。
在接受血液透析的患者中，虚拟现实的应用有助于降低瘘穿刺相关疼痛值。技术进步，尤其是虚拟现实，可能在塑造医疗保健的未来方面发挥至关重要的作用。
