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精神科病房减少限制措施的虚拟现实培训:新瓶装旧酒?

Diminishing restrictive practices in psychiatric wards virtual reality training: Old wine in a new bottle?

作者信息

Zeng Yan, Zhang Jun-Wen, Yang Jian

机构信息

Department of Psychology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China.

Department of Gastroenterology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.

出版信息

World J Psychiatry. 2024 Dec 19;14(12):1783-1787. doi: 10.5498/wjp.v14.i12.1783.

Abstract

This editorial examines the application of virtual reality (VR) training to mitigate restrictive practices (RPs) within psychiatric facilities. RPs include physical restraints, seclusion, and chemical restraints, used to ensure patient safety but with varying usage rates across regions. In recent years, there has been a growing focus on the adverse effects of RPs on both healthcare workers and patients, leading to calls for its reduction. Previous research has shown the efficiency of VR training in RP reduction. This editorial will analyze the limitations of VR training in prior research aimed at reducing RP, emphasizing that the essence of RPs is a medical safety issue, calling for careful differentiation of the causes of RPs, and avoiding the use of AR technology as a "new bottle" for "old wine" to improve the quality and reproducibility of future research in this field.

摘要

这篇社论探讨了虚拟现实(VR)训练在减少精神科机构中限制措施(RPs)方面的应用。限制措施包括身体约束、隔离和药物约束,用于确保患者安全,但不同地区的使用率有所不同。近年来,人们越来越关注限制措施对医护人员和患者的不良影响,因此呼吁减少使用。先前的研究表明,VR训练在减少限制措施方面具有有效性。这篇社论将分析先前旨在减少限制措施的研究中VR训练的局限性,强调限制措施的本质是一个医疗安全问题,呼吁仔细区分限制措施的成因,并避免将增强现实(AR)技术用作“旧瓶装新酒”,以提高该领域未来研究的质量和可重复性。

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