Immersive Virtual Reality for the Management of Pain in Community-Dwelling Older Adults
Immersive Virtual Reality for the Management of Pain in Community-Dwelling Older Adults
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DOI：
10.1177/1539449218817291
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发表时间：
2019-04-01
期刊：
影响因子：
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通讯作者：
Grampurohit, Namrata
中科院分区：
文献类型：
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作者：
Benham, Sara;Kang, Minhee;Grampurohit, Namrata
沉浸式虚拟现实（VR）可以提供高水平的参与和分散镇痛来解决疼痛。然而，这项技术在老年人中的社区应用尚未得到研究。本研究的目的是检验沉浸式VR干预对老年人疼痛、抑郁和生活质量（QOL）的适用性和有效性。这项前测后测混合方法设计纳入了疼痛干扰日常功能的老年中心成员（n = 12）。结果包括数字疼痛评定量表、患者报告结果测量信息系统（PROMIS）抑郁量表、世界卫生组织生活质量量表简要版（WHO QOL-BREF）和开放式问题。VR干预（15- 45分钟一次，6周12次）被广泛接受，没有退出。疼痛明显减轻（p = 0.002, d = -1.54），对抑郁和生活质量无影响。没有不良反应，并且报告了对VR的积极看法。为期6周的沉浸式VR干预在减轻社区居住老年人的疼痛强度方面是适用和有效的。
Immersive virtual reality (VR) can provide a high level of engagement and distraction analgesia to address pain. However, community-based applications of this technology for older adults have not been studied. The objective of this study was to examine the applicability and effectiveness of an immersive VR intervention for pain, depression, and quality of life (QOL) in older adults. This pretest-posttest, mixed-methods design included senior center members (n = 12) with pain that interfered with daily functioning. The outcomes included the Numeric Pain Rating Scale, Patient-Reported Outcomes Measurement Information System (PROMIS) depression scale, World Health Organization Quality of Life Scale Brief Version (WHO QOL-BREF), and open-ended questions. The VR intervention (15- to 45-min sessions, 12 sessions over 6 weeks) was well accepted with no dropouts. There was a significant decrease in pain (p = .002, d = -1.54) with no effect on depression and QOL. There were no adverse effects, and positive perceptions of VR were reported. The 6-week immersive VR intervention was applicable and effective in reducing pain intensity for community-dwelling older adults.