Somaa Fahad, Ahmed Balhmer Sultan, Ahmed Alamri Mohammed, Rabei Mominah Tareq, Mahmood Alhawsawi Fahd, Yahya Majhali Faisal, Khan Azka
Occupational Therapy Department, Faculty of Medical Rehabilitation Sciences, King AbdulAziz University, Jeddah, SAU.
Occupational Therapy Department, Faculty of Medical Rehabilitation Sciences, King Abdulaziz University, Jeddah, SAU.
Cureus. 2025 Jul 30;17(7):e89035. doi: 10.7759/cureus.89035. eCollection 2025 Jul.
Background and objective Arterial blood puncture (ABP) is a common, painful procedure frequently associated with anxiety. It is well-known that traditional methods of pain management do not provide relief in all cases, making it imperative to explore alternative methods like virtual reality (VR)-aided distraction. This study was designed to evaluate the influence of VR on pain and anxiety levels during ABP procedures. Methods A total of 79 adults were recruited to undergo ABP and were assessed using the State-Trait Anxiety Inventory (STAI) for anxiety and the Numerical Pain Rating Scale (NPRS) for pain. The VR intervention was performed before the second ABP. The data were analyzed with the help of SPSS Statistics, version 23 (IBM Corp., Armonk, NY), using paired sample t-tests. Results It was found that the VR intervention significantly decreased levels of pain (p<0.0005), with the average pain intensity improving from 4.21 ± 2.14 before intervention at baseline to 3.23 ± 1.88 after intervention. In contrast, there was no significant difference in anxiety levels before VR intervention versus after (p = 0.858). Conclusions VR-aided distraction has emerged as a non-pharmacological method to reduce pain during ABP procedures. Further studies are required to determine its effect on anxiety and to evaluate its use in the broader clinical environment.
背景与目的 动脉穿刺（ABP）是一种常见的、会引起疼痛的操作，常伴有焦虑情绪。众所周知，传统的疼痛管理方法并非在所有情况下都能缓解疼痛，因此有必要探索虚拟现实（VR）辅助分散注意力等替代方法。本研究旨在评估VR对ABP操作过程中疼痛和焦虑水平的影响。方法 共招募79名成年人接受ABP，并使用状态-特质焦虑量表（STAI）评估焦虑水平，使用数字疼痛评分量表（NPRS）评估疼痛程度。VR干预在第二次ABP之前进行。借助SPSS Statistics 23版（IBM公司，纽约州阿蒙克）对数据进行分析，采用配对样本t检验。结果 发现VR干预显著降低了疼痛水平（p<0.0005），平均疼痛强度从基线干预前的4.21±2.14改善至干预后的3.23±1.88。相比之下，VR干预前后焦虑水平无显著差异（p = 0.858）。结论 VR辅助分散注意力已成为一种在ABP操作过程中减轻疼痛的非药物方法。需要进一步研究以确定其对焦虑的影响，并评估其在更广泛临床环境中的应用。
