Is Virtual Reality Ready for Prime Time in the Medical Space? A Randomized Control Trial of Pediatric Virtual Reality for Acute Procedural Pain Management
Is Virtual Reality Ready for Prime Time in the Medical Space? A Randomized Control Trial of Pediatric Virtual Reality for Acute Procedural Pain Management
复制标题
DOI：
10.1093/jpepsy/jsx129
复制
发表时间：
2018-04-01
影响因子：
3.6
通讯作者：
Mahrer, Nicole E.
中科院分区：
文献类型：
--
作者：
Gold, Jeffrey I.;Mahrer, Nicole E.
目的通过一项随机对照试验，评价虚拟现实（VR）与标准护理（SOC）相比在减轻10-21岁儿童抽血相关疼痛、焦虑和提高满意度方面的可行性和有效性。方法在一家儿科医院的门诊静脉切开术中招募了总共143名三人组（患者、其护理人员和抽血师），并在进行常规抽血时随机接受VR或SOC。患者和护理人员完成了术前和术后疼痛，焦虑和满意度的标准化措施，放血医生报告了患者在手术过程中的经历。结果研究结果表明，VR显着减少急性手术疼痛和焦虑相比，SOC。患者报告的焦虑敏感性和治疗条件之间的显着相互作用表明，接受常规抽血的患者受益于VR干预时，他们更害怕的生理感觉相关的焦虑。VR条件下的患者和护理人员对手术的满意度很高。结论VR用于常规抽血是可行的，耐受性好，患者，照顾者和抽血者都很喜欢。鉴于VR体验的沉浸式和吸引力，VR有能力作为一种预防性干预措施，将抽血体验转变为一种不那么痛苦、可能无痛的常规医疗程序，特别是对于焦虑敏感度高的儿科患者。VR有望减少儿童的负面健康结果，减少照顾者的痛苦，同时促进提高繁忙的门诊抽血诊所的满意度和吞吐量。
Objective To conduct a randomized control trial to evaluate the feasibility and efficacy of virtual reality (VR) compared with standard of care (SOC) for reducing pain, anxiety, and improving satisfaction associated with blood draw in children ages 10-21 years. Methods In total, 143 triads (patients, their caregiver, and the phlebotomist) were recruited in outpatient phlebotomy at a pediatric hospital and randomized to receive either VR or SOC when undergoing routine blood draw. Patients and caregivers completed preprocedural and postprocedural standardized measures of pain, anxiety, and satisfaction, and phlebotomists reported about the patient's experience during the procedure. Results Findings showed that VR significantly reduced acute procedural pain and anxiety compared with SOC. A significant interaction between patient-reported anxiety sensitivity and treatment condition indicated that patients undergoing routine blood draw benefit more from VR intervention when they are more fearful of physiological sensations related to anxiety. Patients and caregivers in the VR condition reported high levels of satisfaction with the procedure. Conclusion VR is feasible, tolerated, and well-liked by patients, caregivers, and phlebotomists alike for routine blood draw. Given the immersive and engaging nature of the VR experience, VR has the capacity to act as a preventive intervention transforming the blood draw experience into a less distressing, potentially pain-free routine medical procedure, particularly for pediatric patients with high anxiety sensitivity. VR holds promise to reduce negative health outcomes for children and reduce distress in caregivers, while facilitating increased satisfaction and throughput in hectic outpatient phlebotomy clinics.