Dataset used to refine a treatment protocol of a biofeedback-based virtual reality intervention for pain and anxiety in children and adolescents undergoing surgery.
Dataset used to refine a treatment protocol of a biofeedback-based virtual reality intervention for pain and anxiety in children and adolescents undergoing surgery.
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数据集用于完善基于生物反馈的虚拟现实干预措施的治疗方案，以治疗接受手术的儿童和青少年的疼痛和焦虑。
DOI：
10.1016/j.dib.2023.109331
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发表时间：
2023-08
期刊：
影响因子：
1.2
通讯作者：
中科院分区：
文献类型：
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作者：
鉴于阿片类药物流行的灾难性影响以及阿片类药物处方在促进成瘾方面的作用，特别是在手术后有慢性疼痛和阿片类药物使用风险的儿童和青少年中，非常需要非药理学的疼痛管理策略。基于生物反馈的虚拟现实(VR-BF)是一种管理疼痛的创新方法，它补充并可能增加现有的用于疼痛管理的心身疗法的可及性和可接受性，如生物反馈(BF)。BF教授患者影响非自愿过程的行为矫正技术。例如，缓慢的呼吸增加心率变异性(HRV)，通过下调交感神经系统来减少疼痛。然而，广泛使用的障碍，如需要训练有素的人员和直接干预的高昂成本，阻碍了其临床广泛使用和获得这种疗法。VR-BF尚未被整合到围手术期护理中，因此，对于VR-BF的术前训练和术后应用，特别是在儿童中，还没有明确的治疗方案。本文提供的数据集可能有助于满足未得到满足的、对可获得的、有效的、替代治疗选择的关键需求，以减少儿童术后疼痛和阿片类药物暴露。这项研究旨在建立影响VR-BF围手术期治疗方案的可测量结果，VR-BF是一种新型的基于VR的治疗方案，它向患者传授放松技巧，并监测心率变异性(HRV)对不同VR-BF治疗频率和持续时间的敏感性。包括心率变异性在内的目标生理参数的实现情况是在接受手术的儿童和青少年中测量的，这些手术预计会导致中度到重度的疼痛(如整形外科、胸部)，需要由全国儿童医院(NCH)的急性疼痛服务部门进行术后疼痛管理。这一数据集包括23名外科患者，对其进行了定量和定性的评估，以完善治疗方案，以确定(A)术前放松教育和训练的可行性和可接受性，以及(B)术后应用VR-BF干预进行疼痛管理。使用调查者衍生的问卷收集定性数据，以获得反馈，并使用VR-BF了解患者和家庭的体验。描述性统计(连续变量的平均值±标准差或四分位数区间的中位数[IQR]；分类变量的频率和百分比)和探索性样条式回归分析被生成，以定义未来试点随机临床试验方案的可测量结果。
There is a great need for nonpharmacologic pain management strategies, given the catastrophic effects of the opioid epidemic and the role of opioid prescription in precipitating addiction, particularly in children and adolescents at risk of chronic pain and opioid use after surgery. Biofeedback-based virtual reality (VR-BF) is an innovative approach to managing pain that compliments and may even increase accessibility and acceptability of existing mind-body therapies for pain management, like biofeedback (BF). BF teaches patients behavioral modification techniques that impact involuntary processes. For example, slow breathing increases heart rate variability (HRV) to reduce pain through the downregulation of the sympathetic nervous system. However, barriers to widespread use, such as the need for trained personnel and high costs of direct intervention, have hindered its widespread clinical use and access to this therapy. VR-BF has not yet been integrated into perioperative care, and as such, no defined treatment protocols for preoperative training and postoperative application of VR-BF exist, particularly in children. The dataset presented in this article may help fill the unmet, critical need for accessible, effective, alternative therapeutic options for reducing postoperative pain and opioid exposure in children. This investigation aimed to establish measurable outcomes impacting a perioperative treatment protocol of VR-BF, a novel VR-based therapy that teaches patients relaxation techniques and monitors the sensitivity of heart rate variability (HRV) to different frequencies and durations of VR-BF sessions. Achievement of target physiological parameters, including HRV, was measured in children and adolescents undergoing surgery anticipated to cause moderate to severe pain (e.g., orthopedic, chest) requiring postoperative pain management by the Acute Pain Services at Nationwide Children's Hospital (NCH). This dataset included 23 surgical patients evaluated quantitatively and qualitatively to refine a treatment protocol for the feasibility and acceptability of (a) preoperative education and training in relaxation, and (b) postoperative application of a VR-BF intervention for pain management. Qualitative data was collected using an investigator-derived questionnaire to obtain feedback and understand the patient and family experience using VR-BF. Descriptive statistics (mean±SD or median with interquartile range [IQR] for continuous variables; frequencies and percentages for categorical variables) and exploratory spline regression analyses were generated to define measurable outcomes for a future pilot, randomized clinical trial protocol.