Eker Aslı, Karadeniz Ebru Yıldız, Aşkan Fahri
Faculty of Health Sciences, Department of Midwifery, Mersin University, Mersin, Turkey.
Faculty of Nursing, Department of Nursing Fundamentals, Mersin University, Mersin, Turkey.
BMC Pregnancy Childbirth. 2025 Jul 3;25(1):710. doi: 10.1186/s12884-025-07819-2.
This study aimed to evaluate the effect of virtual reality (VR) headsets on breast milk production and anxiety levels in mothers of preterm infants admitted to the neonatal intensive care unit (NICU).
This quasi-experimental study included 30 mothers whose preterm infants (30-37 weeks of gestation) were admitted to the NICU at Van Yuzuncu Yil University Dursun Odabas Medical Center between November 2, 2023, and June 1, 2024. Mothers expressed their first milk of the day for three days, and the volume was recorded using the Breast Milk Quantity Monitoring Form. The State-Trait Anxiety Inventory (STAI) was administered before milking. After three days, mothers underwent VR relaxation sessions (10 min daily) for three consecutive days, followed by milk expression and volume recording. The STAI was re-administered on the final day.
Post-VR anxiety scores were significantly lower than pre-VR scores (t = 5.487, p < 0.001). Breast milk volume increased significantly after VR sessions (z = 4.553, p < 0.001). A moderate negative correlation was found between anxiety and milk quantity (r = -0.394, p = 0.031). Multivariable analyses showed that prior breastfeeding experience and education level influenced milk volume.
VR headsets may reduce anxiety (p < 0.001) and enhance breast milk production (p < 0.001) in mothers of preterm infants in the NICU. Further research with larger samples and longer interventions is needed to confirm these findings and optimize VR's role in maternal health.
本研究旨在评估虚拟现实(VR)头显对入住新生儿重症监护病房(NICU)的早产儿母亲的母乳分泌量及焦虑水平的影响。
这项准实验研究纳入了30名母亲,她们的早产儿(妊娠30 - 37周)于2023年11月2日至2024年6月1日期间入住凡于尊居伦厄尔大学杜尔孙·奥达巴斯医学中心的NICU。母亲们连续三天挤出当天的初乳,使用母乳量监测表记录乳汁量。在挤奶前进行状态 - 特质焦虑量表(STAI)测试。三天后,母亲们连续三天每天进行10分钟的VR放松训练,之后再次挤奶并记录乳汁量。在最后一天再次进行STAI测试。
VR训练后的焦虑得分显著低于训练前(t = 5.487,p < 0.001)。VR训练后母乳量显著增加(z = 4.553,p < 0.001)。焦虑与乳汁量之间存在中度负相关(r = -0.394,p = 0.031)。多变量分析表明,既往母乳喂养经验和教育水平会影响乳汁量。
VR头显可能会降低NICU中早产儿母亲的焦虑水平(p < 0.001)并增加母乳分泌量(p < 0.001)。需要进行更大样本量和更长干预时间的进一步研究来证实这些发现,并优化VR在孕产妇健康中的作用。