OCULUS study: Virtual reality-based education in daily clinical practice
OCULUS study: Virtual reality-based education in daily clinical practice
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DOI：
10.5603/cj.a2017.0154
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发表时间：
2019-05-01
影响因子：
2.9
通讯作者：
Opolski, Grzegorz
中科院分区：
文献类型：
--
作者：
Balsam, Pawel;Borodzicz, Sonia;Opolski, Grzegorz
背景：心房颤动（AF）与卒中和其他血栓栓塞并发症的高风险相关。OCULUS研究旨在评估三维（3D）电影的有效性，教导患者有关AF和药物预防卒中的后果。方法：该研究基于问卷调查，包括100名连续患者（38%女性，62%有AF病史）。使用Oculus眼镜和智能手机，播放描述AF中风风险的3D电影。结果：预测前22/100（22.0%）的患者宣称中风是AF的后果，而预测后83/100（83.0%）的患者宣称中风是AF的后果（p <0.0001）。7天后，与基线知识相比，74/94（78.7%）vs. 22/94（23.4%）选择卒中作为AF后果; p <0.0001，在1年随访中也观察到类似趋势（64/90 [71.1%] vs. 21/90 [23.3%]; p <0.0001）。在预测之前，88.3%（83/94）的患者有反应，认为药物可以降低卒中风险，1周后患者数量增加至（94/94 [100%]; p = 0.001）。1年后，87/90（96.7%）回答药物可能降低卒中风险（与基线调查78/90 [86.7%]相比，p = 0.02）。66/94的患者最初选择口服抗凝剂以降低卒中风险（70.2%），90/94（95.7%; p <0.0001）7d后和83/90（92.2%; p <0.0001）1年后。3D电影是一种有效的工具，可以传递有关房颤后果的知识，以及口服抗凝剂在预防卒中中的关键作用。
Background: Atrial fibrillation (AF) is associated with high risk of stroke and other thromboembolic complications. The OCULUS study aimed to evaluate the effectiveness of the three-dimensional (3D) movie in teaching patients about the consequences of AF and pharmacological stroke prevention.Methods: The study was based on a questionnaire and included 100 consecutive patients (38% women, 62% with AF history). Using the oculus glasses and a smartphone, a 3D movie describing the risk of stroke in AF was shown. Similar questions were asked immediately after, 1 week and 1 year after the projection.Results: Before the projection 22/100 (22.0%) declared stroke a consequence of AF while immediately after 83/100 (83.0%) (p < 0.0001) patients declared this consequence. Seven days after, stroke as AF consequence was chosen by 74/94 (78.7%) vs. 22/94 (23.4%) when compared to the baseline knowledge; p < 0.0001, a similar trend was also observed in 1-year follow-up (64/90[71.1%] vs. 21/90[23.3%]; p < 0.0001). Before the projection 88.3% (83/94) patients responded, that drugs may reduce the risk of stroke, and after 1 week the number of patients increased to (94/94 [100%]; p = 0.001). After 1 year 87/90 (96.7%) answered that drugs may diminish the risk of stroke (p = 0.02 in comparison to the baseline survey 78/90[86.7%]). Use of oral anticoagulation to reduce the risk of stroke was initially chosen by 66/94 (70.2%), by 90/94 (95.7%; p < 0.0001) 7 days after and by 83/90 (92.2%; p < 0.0001) 1 year after.Conclusions: 3D movie is an effective tool in transferring knowledge about the consequences of AF and the pivotal role of oral anticoagulation in stroke prevention.