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评估虚拟现实对减少精神科病房约束措施的影响。

Evaluating the impact of virtual reality on reducing restrictive practices in psychiatric wards.

作者信息

Deborah Akpoveta Eguono, Okpete Uchenna Esther, Byeon Haewon

机构信息

Department of Medical Centre, Alex Ekwueme Federal University, Ndufu-Alike Ikwo 1111, Ebonyi State, Nigeria.

Department of Digital Anti-aging Healthcare (BK21), Inje University, Gimhae 50834, South Korea.

出版信息

World J Psychiatry. 2025 Feb 19;15(2):101287. doi: 10.5498/wjp.v15.i2.101287.

Abstract

This manuscript critically evaluates the randomized controlled trial (RCT) conducted by Phiri , which assessed the effectiveness of virtual reality (VR) training for psychiatric staff in reducing restrictive practices (RPs). Specifically, this RCT investigated the impact of VR on the handling of aggressive patients by psychiatric staff compared to traditional training methods. Despite significant reductions in perceived discrimination in the VR group, there were no major improvements in self-efficacy or anxiety levels. The system usability scale rated the VR platform highly, but it did not consistently outperform traditional training methods. Indeed, the study shows the potential for VR to reduce RPs, although fluctuations in RP rates suggest that external factors, such as staff turnover, influenced the outcomes. This manuscript evaluates the study's methodology, results, and broader implications for mental health training. Additionally, it highlights the need for more comprehensive research to establish VR as a standard tool for psychiatric staff education, focusing on patient care outcomes and real-world applicability. Finally, this study explores future research directions, technological improvements, and the potential impact of policies that could enhance the integration of VR in clinical training.

摘要

本手稿对Phiri进行的随机对照试验(RCT)进行了批判性评估,该试验评估了虚拟现实(VR)培训对精神科工作人员减少限制性措施(RPs)的有效性。具体而言,该RCT研究了与传统培训方法相比,VR对精神科工作人员处理攻击性患者的影响。尽管VR组中感知到的歧视显著减少,但自我效能感或焦虑水平并无重大改善。系统可用性量表对VR平台评价很高,但它并没有始终优于传统培训方法。事实上,该研究表明VR有减少RPs的潜力,尽管RPs发生率的波动表明外部因素,如人员流动,影响了结果。本手稿评估了该研究的方法、结果以及对心理健康培训的更广泛影响。此外,它强调需要进行更全面的研究,以将VR确立为精神科工作人员教育的标准工具,重点关注患者护理结果和实际适用性。最后,本研究探索了未来的研究方向、技术改进以及可能加强VR在临床培训中整合的政策的潜在影响。

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Virtual reality and the transformation of medical education.虚拟现实与医学教育的变革。
Future Healthc J. 2019 Oct;6(3):181-185. doi: 10.7861/fhj.2019-0036.

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