苦恼
焦虑
医学
干预(咨询)
虚拟现实
物理疗法
心理干预
临床心理学
精神科
计算机科学
人工智能
作者
Luisa Russo,Alberto Eugenio Tozzi,Angela Mastronuzzi,Ileana Croci,Francesco Gesualdo,Ilaria Campagna,Kiersten Pilar Miller,Italo Ciaralli,Matteo Amicucci,Domitilla Elena Secco,Vito Andrea Dell’Anna,Adele Ripà,Elisa Piccinelli
标识
DOI:10.3390/ijerph191911953
摘要
Virtual reality (VR) represents a promising digital intervention for managing distress and anxiety in children with tumors undergoing painful medical procedures. In an experimental cross-over study, we administered a VR intervention consisting of relaxing games during central venous catheter (CVC) dressing. The VR sessions were compared with no-VR during CVC medication. We used the distress thermometer and RCMAS-2 scale to assess distress and anxiety levels. We also explored the satisfaction level in patients and families. We enrolled 22 children. The distress levels after medication were lower in the VR group than in those without VR (VR: median 2; IQR 0-2; no-VR: median 4; IQR: 3-5). No variation in anxiety levels was detected by VR intervention. Satisfaction for using VR was very high in children and their families although a total of 12% of children were disappointed by the effect of VR. Most healthcare workers felt that VR would be useful in routine clinical practice. A VR intervention is highly acceptable, may be efficacious in decreasing distress in children with cancer undergoing painful procedures, but it is less likely that it has a measurable impact on anxiety. Evidence from larger studies is needed to assess VR translation into the clinical workflow.
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