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虚拟现实在内镜检查中对疼痛、焦虑及生命体征的影响。

Effect of Virtual Reality on Pain, Anxiety, and Vital Signs in Endoscopy.

作者信息

Aslan Kübra, Özer Zülfünaz, Yöntem Mustafa Kemal

机构信息

Graduate School of Education, Department of Nursing, Istanbul Sabahattin Zaim University, Istanbul, Turkey.

Department of Nursing, Faculty of Health Sciences, Istanbul Sabahattin Zaim University, Istanbul, Turkey..

出版信息

Pain Manag Nurs. 2025 Aug;26(4):e371-e380. doi: 10.1016/j.pmn.2024.11.009. Epub 2025 Jan 13.

DOI:10.1016/j.pmn.2024.11.009
PMID:39809653
Abstract

AIM

This study was conducted to evaluate the effect of relaxation exercise with VR (Virtual Reality) glasses on pain severity, anxiety level, and vital signs in patients undergoing endoscopy.

METHODS

This is a quasi-experimental study including a control group with a pretest/post-test applied. This study was conducted with a total of 100 patients, including 50 patients in the intervention and 50 patients in the control group. The data were collected by using Personal Information Form, Visual Analogue Scale (VAS), Visual Anxiety Scale, Vital Signs Form and Virtual Reality Glass Application Satisfaction Form.

RESULTS

In the inter group evaluation, the mean systolic and diastolic blood pressure, heart rate and respiratory rate of the patients in the experimental group after endoscopy were found to be lower than the control group (p < .05). When the effect size value (Cohen d) of this finding was examined, it was found that the application of virtual reality glasses had a large effect on systolic and diastolic blood pressure and a moderate effect on respiration and heart rate. It was found that the mean VAS score of the patients in the control group after the endoscopy procedure was significantly higher than their mean values before the procedure (p = .001). There was no statistically significant difference in the mean VAS scores, anxiety scores and O2 saturation values of the patients in the experimental and control groups after the endoscopy. The mean virtual reality glasses satisfaction value of the patients was found to be 6.98.

CONCLUSION

Relaxation exercise performed with virtual reality glasses has positive effects on mean systolic and diastolic blood pressure values, heart rate and respiratory rate in patients undergoing endoscopy. In line with these results, it is recommended that the use of virtual reality glasses during endoscopy should be widespread by nurses.

摘要

目的

本研究旨在评估使用虚拟现实(VR)眼镜进行放松训练对接受内镜检查患者的疼痛严重程度、焦虑水平和生命体征的影响。

方法

这是一项准实验研究,包括一个进行了前测/后测的对照组。本研究共纳入100例患者,其中干预组50例,对照组50例。通过个人信息表、视觉模拟评分法(VAS)、视觉焦虑量表、生命体征表和虚拟现实眼镜应用满意度表收集数据。

结果

组间评估发现,实验组患者内镜检查后的平均收缩压、舒张压、心率和呼吸率均低于对照组(p < .05)。检查该结果的效应量值(Cohen d)时发现,虚拟现实眼镜的应用对收缩压和舒张压有较大影响,对呼吸和心率有中等影响。发现对照组患者内镜检查后的平均VAS评分显著高于检查前的平均值(p = .001)。内镜检查后,实验组和对照组患者的平均VAS评分、焦虑评分和血氧饱和度值无统计学显著差异。患者对虚拟现实眼镜的平均满意度值为6.98。

结论

使用虚拟现实眼镜进行放松训练对接受内镜检查患者的平均收缩压、舒张压值、心率和呼吸率有积极影响。基于这些结果,建议护士在内镜检查期间广泛使用虚拟现实眼镜。

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