使用虚拟现实对新生儿重症监护室工作人员疲劳和心理负荷的影响：作为感知压力关键决定因素的一项随机对照试验可行性研究及方案

Effect of using virtual reality on fatigue and mental workload as key determinants of perceived stress in neonatal intensive care staff: A randomized controlled trial feasibility study and protocol.

作者信息

Desai Saumil, Athalye-Jape Gayatri, Bottcher Sarah, Campbell Catherine, Chiffings Debbie, Nathan Elizabeth, Fardinpour Ali, Kinnaird Lindsay, Bulsara Max, Rao Shripada

机构信息

Neonatal Intensive Care Unit, Perth Children's Hospital, Nedlands, Western Australia, Australia.

School of Medicine, The University of Western Australia, Crawley, Western Australia, Australia.

出版信息

Nurs Crit Care. 2025 Mar;30(2):e13249. doi: 10.1111/nicc.13249.

DOI:10.1111/nicc.13249

PMID:39989032

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11848232/

Abstract

BACKGROUND

Health care professionals (HCPs) in neonatal intensive care units (NICUs) are prone to significant stress, leading to deleterious mental health effects. Recently, some studies have explored virtual reality (VR) immersion experience to mitigate these risks. However, these studies vary in clinical settings, design and mental health parameters.

AIM

To report on the safety and feasibility of VR immersion experience in busy tertiary NICU HCPs.

STUDY DESIGN

Ten eligible NICU HCPs without photosensitive epilepsy or cardiopulmonary disease participated. Participants underwent VR immersion (intervention arm; maximum of 15 min/session and 1 session/shift) during breaktimes in three consecutive shifts. They underwent a washout period, after which they completed 3 sessions as routine breaks (control arm) without VR experience. They completed pre-post break stress and survey questionnaires in both arms.

RESULTS

Analyses comprised data from 28 VR immersion and 27 control arm sessions (nine participants completed three sessions in both arms and one participant completed one session in intervention arm only). All VR immersion sessions were 'really liked' (60.7%) or 'liked' (39.3%). As far as the usage of VR devices were concerned, majority were deemed to be 'really easy' (25%) or 'easy' (57.14%). Quality of VR environments were reported to be 'Excellent' (28.6%) or 'good' (60.71%) in majority of sessions. Experience of chosen VR environments were 'really liked' (46.42%) or 'liked' (50%). Most importantly, the impact of VR experience on enhancing the break was deemed to be 'Yes, a lot' (46.42%) or 'Yes, a bit' (39.28%) in most sessions. Participants reported 'very minor' side effects in three VR sessions, none requiring any therapeutic interventions. Rest of the sessions reported 'no' side effects.

CONCLUSIONS

VR immersion experience is safe and feasible in busy HCPs in a tertiary NICU. Future recommendations would be to compare VR immersion experience with other well-being measures of staff.

RELEVANCE TO CLINICAL PRACTICE

Virtual reality immersion experience could be utilized for stress reduction in NICU HCPs.

摘要

背景

新生儿重症监护病房（NICU）的医护人员极易承受巨大压力，从而对心理健康产生有害影响。最近，一些研究探索了虚拟现实（VR）沉浸式体验以减轻这些风险。然而，这些研究在临床环境、设计和心理健康参数方面存在差异。

目的

报告VR沉浸式体验在繁忙的三级NICU医护人员中的安全性和可行性。

研究设计

十名符合条件且无光敏性癫痫或心肺疾病的NICU医护人员参与其中。参与者在连续三个班次的休息时间接受VR沉浸式体验（干预组；每次体验最多15分钟，每班一次）。他们经历了一个洗脱期，之后作为常规休息（对照组）完成3次体验，期间无VR体验。两组参与者在休息前后均完成了压力调查问卷和一般调查问卷。

结果

分析包括来自28次VR沉浸式体验和27次对照组体验的数据（9名参与者在两组中均完成了3次体验，1名参与者仅在干预组完成了1次体验）。所有VR沉浸式体验均被评价为“非常喜欢”（60.7%）或“喜欢”（39.3%）。就VR设备的使用而言，大多数被认为“非常容易”（25%）或“容易”（57.14%）。在大多数体验中，VR环境质量被报告为“优秀”（28.6%）或“良好”（60.71%）。对所选VR环境的体验被评价为“非常喜欢”（46.42%）或“喜欢”（50%）。最重要的是，在大多数体验中，VR体验对增强休息效果的影响被认为是“是的，很大程度上”（46.42%）或“是的，有一点”（39.28%）。参与者报告在3次VR体验中有“非常轻微”的副作用，均无需任何治疗干预。其余体验报告“无”副作用。