Virtual Reality–Based Intervention to Reduce Preoperative Anxiety in Adults Undergoing Elective Surgery

医学 焦虑 择期手术 可视模拟标度 物理疗法 心理干预 随机对照试验 临床试验 干预(咨询) 术前护理 麻醉 外科 护理部 精神科 内科学
作者
Pak Lung Chiu,Huiyuan Li,Kevin Yi‐Lwern Yap,Ka-man Carmen Lam,Pui-ling Renee Yip,Cho Lee Wong
出处
期刊:JAMA network open [American Medical Association]
卷期号:6 (10): e2340588-e2340588 被引量:25
标识
DOI:10.1001/jamanetworkopen.2023.40588
摘要

IMPORTANCE Preoperative anxiety is common among adult patients undergoing elective surgery and is associated with negative outcomes. Virtual reality (VR)–based interventions have been considered simpler, safer, and more effective for reducing anxiety in patients undergoing surgery than conventional care. OBJECTIVE To examine the effectiveness of a VR-based intervention with preoperative education in reducing preoperative anxiety among adult patients undergoing elective surgery. DESIGN, SETTING, AND PARTICIPANTS An assessor-blinded prospective randomized clinical trial was conducted to recruit adult patients aged 18 years or older who were scheduled for their first elective surgery procedure under general anesthesia within the next 2 to 4 weeks at a preanesthesia assessment clinic in Hong Kong from July to December 2022. INTERVENTIONS Participants were randomly assigned to either an intervention group (an 8-minute immersive 360° VR video tour in the operating theater via a head-mounted display console) or a control group (standard care). MAIN OUTCOMES AND MEASURES The primary outcome of preoperative anxiety was measured using the Amsterdam Preoperative Anxiety and Information Scale (range, 6-30; higher scores indicate greater anxiety), and the secondary outcomes (ie, stress, preparedness, and pain) were assessed by Visual Analog Scale at 3 time points: baseline at beginning of clinical session (T0), at the end of the clinical session immediately after the intervention (T1), and before the surgery (T2). Pain, satisfaction levels, and postoperative length of stay were evaluated after the surgery (T3). Simulation sickness was assessed after the intervention by use of the Simulation Sickness Questionnaire. A generalized estimating equations model was applied to compare changes in outcomes over time. RESULTS A total of 74 participants (mean [SD] age, 46.34 [14.52] years; 38 men [51.4%] and 36 women [48.6%]) were recruited and randomized to the control group (37 participants) and intervention group (37 participants). Compared with the control group, the VR-based intervention group showed significantly decreased preoperative anxiety at T1 (β, −5.46; 95% CI, −7.60 to −3.32; P < .001) and T2 (β, −5.57; 95% CI, −7.73 to −3.41; P < .001), lower stress at T1 (β, −10.68; 95% CI, −16.00 to −5.36; P < .001) and T2 (β, −5.16; 95% CI, −9.87 to −0.45; P = .03), and higher preparedness at T1 (β, 6.60; 95% CI, 0.97 to 12.19; P = .02). Satisfaction levels were significantly increased in the intervention group vs the control group (mean [SD] score, 81.35 [9.24] vs 65.28 [8.16]; difference, 16.07; 95% CI, 12.00 to 20.15; P < .001). No significant differences in pain and postoperative length of stay were found. CONCLUSIONS AND RELEVANCE The findings of this study suggest that a VR-based intervention is a feasible and effective way to reduce preoperative anxiety in adult patients undergoing elective surgery. Given the promising results of this study, further study in the form of large-scale, multicenter, randomized clinical trials with broader implementation is warranted. TRIAL REGISTRATION Chinese Clinical Trial Registry Identifier: ChiCTR2100051690
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
量子星尘发布了新的文献求助10
1秒前
现代冷松完成签到,获得积分10
4秒前
Chimmy完成签到,获得积分10
9秒前
朴树朋友完成签到,获得积分20
9秒前
wlnhyF完成签到,获得积分10
11秒前
pursuit完成签到,获得积分10
14秒前
Neltharion完成签到,获得积分10
15秒前
沈海完成签到,获得积分10
17秒前
悦耳傥完成签到 ,获得积分10
17秒前
一叶知秋应助大橙子采纳,获得10
17秒前
科研小能手完成签到,获得积分10
18秒前
guoxingliu发布了新的文献求助200
19秒前
Double_N完成签到,获得积分10
22秒前
路路完成签到 ,获得积分10
23秒前
碧蓝的盼夏完成签到,获得积分10
27秒前
AU完成签到 ,获得积分10
28秒前
研友_yLpYkn完成签到,获得积分10
29秒前
兴奋的定帮完成签到 ,获得积分0
30秒前
一叶知秋应助大橙子采纳,获得10
31秒前
32秒前
金蛋蛋完成签到 ,获得积分10
32秒前
马琛尧完成签到 ,获得积分10
34秒前
一行白鹭上青天完成签到 ,获得积分10
38秒前
帅气的宽完成签到 ,获得积分10
39秒前
lixoii完成签到 ,获得积分10
41秒前
萌萌许完成签到,获得积分10
41秒前
sunce1990完成签到 ,获得积分10
44秒前
Bin_Liu完成签到,获得积分20
45秒前
宇老师完成签到,获得积分10
45秒前
研友_VZG7GZ应助马琛尧采纳,获得10
46秒前
安安的小板栗完成签到,获得积分10
49秒前
123_完成签到,获得积分10
51秒前
NexusExplorer应助大橙子采纳,获得10
52秒前
上善若水完成签到 ,获得积分10
54秒前
qiqi发布了新的文献求助10
58秒前
58秒前
英俊的铭应助cm采纳,获得10
59秒前
1分钟前
量子星尘发布了新的文献求助10
1分钟前
affy210310完成签到,获得积分10
1分钟前
高分求助中
【提示信息,请勿应助】关于scihub 10000
Les Mantodea de Guyane: Insecta, Polyneoptera [The Mantids of French Guiana] 3000
徐淮辽南地区新元古代叠层石及生物地层 3000
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
Handbook of Industrial Diamonds.Vol2 1100
Global Eyelash Assessment scale (GEA) 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 550
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 4038157
求助须知:如何正确求助?哪些是违规求助? 3575869
关于积分的说明 11373842
捐赠科研通 3305650
什么是DOI,文献DOI怎么找? 1819255
邀请新用户注册赠送积分活动 892655
科研通“疑难数据库(出版商)”最低求助积分说明 815022