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乳腺癌患者参与虚拟现实心理康复的体验:一项定性研究。

Experience of breast cancer patients participating in a virtual reality psychological rehabilitation: a qualitative study.

作者信息

Chen Junyi, Wu Jialing, Xie Xinxin, Wu Shanshan, Yang Jie, Bi Zhuofei, Qiu Yihong, Chen Jie

机构信息

Phase I Clinical Research Center, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, China.

Radiation Oncology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, Guangdong, China.

出版信息

Support Care Cancer. 2025 Jan 25;33(2):122. doi: 10.1007/s00520-025-09182-6.

Abstract

OBJECTIVE

Breast cancer is one of the most common types of cancer in China and worldwide. Apart from cancer, a majority of breast cancer patients suffer from various psychological disorders concurrently. The purpose of this study is to understand the actual experiences of breast cancer patients participating in Virtual Reality (VR) for psychological intervention, and to provide a theoretical basis for the development of VR psychological rehabilitation in China.

METHODS

Twenty-three breast cancer patients who met the inclusion criteria were selected using purposive sampling method for this qualitative study. Semi-structured interviews were conducted to explore their experiences with VR psychological rehabilitation. The data were analyzed, summarized, and generalized using the Colaizzi analysis method.

RESULTS

The results of the interviews were consistent with the PAC structural analysis. Three themes and six sub-themes captured how patients felt about adopting VR for their psychological rehabilitation, including parent ego state (the feeling of loss when expectations are not met, improvement of sleep), adult ego state (relief of psychological stress, optimization, and recommendations for VR therapy), and child ego state (novel and fun immersive experience, contagiousness of variable emotions).

CONCLUSION

Breast cancer patients participating in the VR psychological rehabilitation had a favorable experience. To maximize the benefit of VR psychological rehabilitation, healthcare professionals should comprehensively assess the psychological state of breast cancer, optimize VR technology, and enable patients to enter the adult ego state. The new model of VR psychological rehabilitation needs to be further explored.

摘要

目的

乳腺癌是中国乃至全球最常见的癌症类型之一。除了癌症本身,大多数乳腺癌患者还同时患有各种心理障碍。本研究旨在了解乳腺癌患者参与虚拟现实(VR)心理干预的实际体验,为中国VR心理康复的发展提供理论依据。

方法

采用目的抽样法选取23名符合纳入标准的乳腺癌患者进行该定性研究。通过半结构化访谈探讨他们在VR心理康复方面的体验。运用Colaizzi分析法对数据进行分析、总结和归纳。

结果

访谈结果与PAC结构分析一致。三个主题和六个子主题体现了患者对采用VR进行心理康复的感受,包括父母自我状态(期望未达成时的失落感、睡眠改善)、成人自我状态(心理压力缓解、优化及对VR治疗的建议)和儿童自我状态(新奇有趣的沉浸式体验、多变情绪的感染力)。

结论

参与VR心理康复的乳腺癌患者体验良好。为使VR心理康复效益最大化,医护人员应全面评估乳腺癌患者的心理状态,优化VR技术,促使患者进入成人自我状态。VR心理康复新模式有待进一步探索。

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