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沉浸式虚拟现实减轻急性创伤骨科手术患者疼痛和焦虑的随机临床试验

Immersive Virtual Reality to Reduce Pain and Anxiety in Individuals Undergoing Orthopedic Surgery for Acute Trauma: A Randomized Clinical Trial.

作者信息

Rhodes Joshua R, Corlett Chris E, Jensen Mark P, Patterson David R

机构信息

Department of Psychology, Abilene Christian University, Abilene, TX, USA.

Department of Psychology and Neuroscience, Baylor University, Waco, TX, USA.

出版信息

Int J Clin Exp Hypn. 2025 Jan-Mar;73(1):106-122. doi: 10.1080/00207144.2024.2433270. Epub 2024 Dec 11.

DOI:10.1080/00207144.2024.2433270
PMID:39661916
Abstract

Controlling acute pain for individuals undergoing orthopedic surgery is highly desirable as it is related to various treatment outcomes. Immersive, virtual reality hypnosis (VRH) is one potential treatment modality to aid in pain management. This three-arm, randomized clinical trial evaluated the efficacy of two hypnosis interventions for reducing post-surgical pain and anxiety in addition to evaluating the effects on sleep quality, mental health, and physical functioning. Results indicated no statistically significant main effects associated with intervention groups for pre-post change scores of pain intensity (F(3, 177) = 0.35,  = .71, partial η2 = .004), anxiety (F(3, 177) = 0.20, = .81, partial η2 = .002) or sleep quality (F(3, 175) = 0.81,  = .45, partial η2 = .009). Additionally, there were no statistically significant group effects of treatment condition on mental health (F(2, 162) = .71,  = .49, η2 = .009) or physical functioning (F(2, 165) = .43,  = .65, η2 = .005). Issues and future directions for this line of research are discussed.

摘要

对于接受骨科手术的患者而言,控制急性疼痛非常必要,因为这与多种治疗结果相关。沉浸式虚拟现实催眠(VRH)是一种有助于疼痛管理的潜在治疗方式。这项三臂随机临床试验评估了两种催眠干预措施在减轻术后疼痛和焦虑方面的疗效,同时还评估了其对睡眠质量、心理健康和身体功能的影响。结果表明,干预组在疼痛强度(F(3, 177) = 0.35,  = .71, 偏η2 = .004)、焦虑(F(3, 177) = 0.20, = .81, 偏η2 = .002)或睡眠质量(F(3, 175) = 0.81,  = .45, 偏η2 = .009)的前后变化得分上,均未显示出具有统计学意义的主效应。此外,治疗条件在心理健康(F(2, 162) = .71,  = .49, η2 = .009)或身体功能(F(2, 165) = .43,  = .65, η2 = .005)方面,也未显示出具有统计学意义的组间效应。本文还讨论了这一研究方向的问题及未来发展方向。

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