Virtual reality pain control during burn wound debridement in the hydrotank
Virtual reality pain control during burn wound debridement in the hydrotank
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DOI：
10.1097/ajp.0b013e318164d2cc
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发表时间：
2008-05-01
影响因子：
2.9
通讯作者：
Sharar, Sam R.
中科院分区：
文献类型：
--
作者：
Hoffman, Hunter G.;Patterson, David R.;Sharar, Sam R.
严重到极度痛苦的烧伤伤口清创术我们探讨了连续使用水友好，沉浸式虚拟现实（VR），以分散患者的疼痛，在烧伤创面清创的水疗池设置：这项研究是在一个主要的区域烧伤中心的住院病人中进行的。11名9至40岁的住院患者（平均年龄，27岁）在部分浸没在水箱中时，对烧伤伤口进行清创和包扎。尽管护士对烧伤伤口进行了清创，每名患者在没有分心的情况下进行了3分钟的伤口护理，并在单次伤口护理过程中进行了3分钟的VR伤口护理结果测量：对于2种治疗条件中的每一种，三个0至10图形评定量表疼痛评分（最严重的疼痛、思考疼痛所花费的时间和疼痛不愉快）作为主要因变量。结果如下：患者报告称，使用VR分散注意力时疼痛明显减轻[例如，伤口护理期间的“最严重疼痛”评级从“重度”（7.6）降至“中度”（5.1）]。报告“进入”虚拟世界的幻觉最强烈的6名患者报告了VR对最严重疼痛评级的最大镇痛效果，从严重疼痛下降到严重疼痛。（7.2）在无VR条件下至轻度疼痛（3.7）在VR期间。结论：结果提供了来自对照研究的第一个可用证据，即沉浸式VR可以成为烧伤患者有效的非药物性疼痛减轻技术在伤口护理期间经历严重到难以忍受的疼痛。VR镇痛的潜在应用，以其他疼痛的程序（如，运动或运动疗法）和其他疼痛人群进行了讨论。
burn wound debridement as severe to excruciating. We explored the adjunctive use of water-friendly, immersive virtual reality (VR) to distract patients from their pain during burn wound debridement in the hydrotherapy tank (hydrotank).Setting: This study was conducted on inpatients at a major regional burn center.Patients: Eleven hospitalized inpatients ages 9 to 40 years (mean age, 27 y) had their burn wounds debrided and dressed while partially submerged in the hydrotank.Intervention: Although a nurse debrided the burn wound, each patient spent 3 minutes of wound care with no distraction and 3 minutes of wound care in VR during a single wound care session (within-subject condition order randomized).Outcome Measures: Three 0 to 10 graphic rating scale pain scores (worst pain, time spent thinking about pain, and pain unpleasantness) for each of the 2 treatment conditions served as the primary dependent variables. Results: Patients reported significantly less pain when distracted with VR [eg, "worst pain" ratings during wound care dropped from "severe" (7.6) to "moderate" (5.1)]. The 6 patients who reported the strongest illusion of "going inside" the virtual world reported the greatest analgesic effect of VR on worst pain ratings, dropping from severe pain (7.2) in the no VR condition to mild pain (3.7) during VR.Conclusions: Results provide the first available evidence from a controlled study that immersive VR can be an effective nonpharmacologic pain reduction technique for burn patients experiencing severe to excruciating pain during wound care. The potential applications of VR analgesia to other painful procedures (eg, movement or exercise therapy) and other pain populations are discussed.