Kamada Teppei, Ohdaira Hironori, Nishie Ryosuke, Yamagishi Daisuke, Aida Takashi, Takahashi Junji, Ito Eisaku, Ryu Shunjin, Narihiro Satoshi, Takizawa Reo, Hata Taigo, Yoshida Masashi, Eto Ken, Sumi Makoto, Suzuki Yutaka
Department of Surgery, International University of Health and Welfare Hospital, Nasushiobara, Japan;
Department of Surgery, International University of Health and Welfare Hospital, Nasushiobara, Japan.
In Vivo. 2025 May-Jun;39(3):1638-1646. doi: 10.21873/invivo.13964.
BACKGROUND/AIM: In this study, we aimed to evaluate the effect of virtual reality (VR) therapy on pain, anxiety, and other outcomes in patients with cancer undergoing central venous (CV) port placement.
We conducted a single-center randomized controlled trial with 10 adults with cancer undergoing CV port placement. Participants were randomized into the VR group (n=5), which received VR therapy with the Therapeia VR system (xCura), or the control group (n=5), which underwent conventional procedures. The primary and secondary outcomes included intraoperative pain, intraoperative and postoperative anxiety, blood loss, operative time, sensation of obstruction, and patient and surgeon satisfaction.
No significant differences were found between the VR and control groups regarding operative time, blood loss, preoperative anxiety, obstruction sensation, or surgeon satisfaction. However, compared with the control group, the VR group showed markedly lower intraoperative pain (=0.03), intraoperative/postoperative anxiety (=0.04), and higher patient satisfaction (=0.03).
The use of immersive VR therapy during CV port placement significantly reduced intraoperative pain and anxiety and enhanced patient satisfaction. These findings indicated that VR therapy may be an effective nonpharmacological adjunct for improving patient experience during invasive procedures.
背景/目的：在本研究中，我们旨在评估虚拟现实（VR）疗法对接受中心静脉（CV）端口置入的癌症患者的疼痛、焦虑及其他结果的影响。
我们对10名接受CV端口置入的成年癌症患者进行了一项单中心随机对照试验。参与者被随机分为VR组（n = 5），接受使用Therapeia VR系统（xCura）的VR疗法，或对照组（n = 5），接受传统程序。主要和次要结果包括术中疼痛、术中和术后焦虑、失血量、手术时间、阻塞感以及患者和外科医生的满意度。
在手术时间、失血量、术前焦虑、阻塞感或外科医生满意度方面，VR组和对照组之间未发现显著差异。然而，与对照组相比，VR组的术中疼痛（P = 0.03）、术中和术后焦虑（P = 0.04）明显更低，患者满意度更高（P = 0.03）。
在CV端口置入过程中使用沉浸式VR疗法可显著减轻术中疼痛和焦虑，并提高患者满意度。这些发现表明，VR疗法可能是一种有效的非药物辅助手段，可改善侵入性手术期间的患者体验。
