Güler Sevil, Öztürk Selçuk, Şahan Seda, Topaloğlu Ulaş Serkan
Department of Nursing, Faculty of Health Sciences, Erciyes University, Kayseri, Türkiye.
Kayseri City Education and Research Hospital, Kayseri, Türkiye.
Hemodial Int. 2025 Jul 24. doi: 10.1111/hdi.70010.
Virtual reality headsets are increasingly used in medical procedures to help manage pain and anxiety. This study investigated the effect of a video played through a virtual reality headset on pain and anxiety levels during arteriovenous (AV) fistula needle insertion in patients undergoing hemodialysis.
This randomized controlled trial included 80 patients from a hemodialysis ward, with 40 in the intervention group and 40 in the control group. Data were collected using a Personal Information Form (developed by the researcher based on relevant literature to gather descriptive and medical characteristics), the visual analogue scale (VAS) for pain severity, and the State-Trait Anxiety Inventory to measure anxiety levels. The intervention group utilized a virtual reality headset during the procedure. The intervention was applied during a single dialysis treatment.
The mean pain score in the intervention (virtual reality headset) group was 6.2 ± 0.8, significantly lower than the control group's mean pain score of 8.3 ± 0.9 (p < 0.001). The mean State Anxiety Inventory score for the intervention (virtual reality headset) group was 41.9 ± 3.6, which was significantly lower than the control group's mean score of 64.6 ± 3.4 (p < 0.001).
The results of this pilot study suggest that using a virtual reality headset significantly reduced both pain and anxiety in patients undergoing AV fistula needle insertion during hemodialysis. Further studies are indicated to evaluate the utility of virtual reality headset use over a prolonged period.
https://clinicaltrials.gov: NCT06776497.
虚拟现实头显在医疗程序中越来越多地被用于帮助控制疼痛和焦虑。本研究调查了通过虚拟现实头显播放的视频对接受血液透析的患者进行动静脉（AV）内瘘穿刺时疼痛和焦虑水平的影响。
这项随机对照试验纳入了来自血液透析病房的80名患者，干预组40名，对照组40名。使用个人信息表（由研究者根据相关文献编制，用于收集描述性和医学特征）、疼痛严重程度视觉模拟量表（VAS）以及状态-特质焦虑量表来收集数据以测量焦虑水平。干预组在操作过程中使用虚拟现实头显。干预在单次透析治疗期间进行。
干预（虚拟现实头显）组的平均疼痛评分为6.2±0.8，显著低于对照组的平均疼痛评分8.3±0.9（p<0.001）。干预（虚拟现实头显）组的平均状态焦虑量表评分为41.9±3.6，显著低于对照组的平均评分64.6±3.4（p<0.001）。
这项初步研究的结果表明，使用虚拟现实头显可显著降低血液透析期间接受AV内瘘穿刺患者的疼痛和焦虑。需要进一步研究以评估长期使用虚拟现实头显的效用。
