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虚拟现实与音乐对烧伤患者护理中疼痛、焦虑及疼痛相关焦虑的影响。

The effect of virtual reality and music on pain, anxiety, and pain-related anxiety in burn patient care.

作者信息

Görücü Rabia, Özteki̇n Seher Deniz, Fi̇li̇nte Gaye

机构信息

Karabuk University, Faculty of Health Sciences, Department of Nursing, Department of Surgical Diseases Nursing, Karabuk, Turkey.

Doğuş University, School of Health Sciences, Department of Nursing, Istanbul, Turkey.

出版信息

Burns. 2025 Sep;51(7):107580. doi: 10.1016/j.burns.2025.107580. Epub 2025 Jun 19.

Abstract

This study was conducted with a pre-test, post-test, randomized controlled experimental design to determine the effects of virtual reality and music on pain, anxiety, and pain-related anxiety in burn patient care. Between May 2022 and May 2023, 120 patients who voluntarily applied to the Burn Unit of a City Hospital in Istanbul were selected based on power analysis. They were divided into three groups: the virtual reality group, in which patients viewed 360° videos (n = 40); the music group, in which patients listened to music (n = 40); and the control group, which did not receive any intervention (n = 40). Data were collected using the "Patient Demographic Information Form," "Visual Analogue Scale," "The State-Trait Anxiety Inventory," and "The Burn Specific Pain Anxiety Scale." After obtaining ethical approval and institutional permission, data were analyzed using SPSS ( v. 26), with statistical significance set at p < 0.05. The groups were homogenous in terms of demographic and clinical characteristics and no statistically significant difference was found in pre-intervention level of pain, anxiety, and pain-related anxiety. Post-intervention, both the virtual reality and music groups showed a significant reduction in anxiety and pain-related anxiety compared to the control group (p < 0.001), and a significant decrease in pain levels was found in the virtual reality group (p < 0.05). In conclusion, virtual reality and music interventions are effective complementary therapies for managing pain, anxiety, and pain-related anxiety in burn patients and can be safely implemented within nursing practice.

摘要

本研究采用前测、后测、随机对照实验设计,以确定虚拟现实和音乐对烧伤患者护理中疼痛、焦虑及疼痛相关焦虑的影响。在2022年5月至2023年5月期间,根据功效分析,从伊斯坦布尔一家城市医院烧伤科自愿申请的120名患者中进行了选取。他们被分为三组:虚拟现实组,患者观看360°视频(n = 40);音乐组,患者听音乐(n = 40);对照组,不接受任何干预(n = 40)。使用“患者人口统计学信息表”“视觉模拟量表”“状态-特质焦虑量表”和“烧伤特异性疼痛焦虑量表”收集数据。在获得伦理批准和机构许可后,使用SPSS(v. 26)对数据进行分析,设定统计学显著性为p < 0.05。各组在人口统计学和临床特征方面具有同质性,干预前疼痛、焦虑及疼痛相关焦虑水平未发现统计学显著差异。干预后,与对照组相比,虚拟现实组和音乐组的焦虑及疼痛相关焦虑均显著降低(p < 0.001),虚拟现实组的疼痛水平显著下降(p < 0.05)。总之,虚拟现实和音乐干预是管理烧伤患者疼痛、焦虑及疼痛相关焦虑的有效辅助疗法,可在护理实践中安全实施。

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