利用虚拟现实技术改善病人术前焦虑临床研究

Clinical application of virtual reality to improve preoperative anxiety in patients

目的探讨虚拟现实(virtual reality,VR)技术在改善外科手术病人术前焦虑状态的应用效果。方法前瞻性入组上海交通大学医学院附属瑞金医院普外科2020-05-04—2020-07-10拟行外科手术治疗的病人100例,1∶1随机分为VR体验组(50例)与传统术前谈话组(50例)。VR体验组病人在常规术前谈话后观看手术室术前准备流程及麻醉苏醒过程的第一人称视角VR全景视频,传统谈话组则仅采取常规术前谈话,完成后两组病人均填写焦虑自评量表(self-rating anxiety scale,SAS)评估其术前焦虑水平。结果VR体验组病人的SAS评分显著低于传统谈话组,差异具有统计学意义(P<0.05)。结论利用VR技术拍摄的第一人称视角全景视频能帮助病人了解进入手术室后术前准备流程及麻醉苏醒过程,可以有效缓解病人术前焦虑状态,在临床工作中有广阔的应用前景。

Objective To investigate the role of Virtual Reality(VR)technology in improving preoperative patients’anxiety states.Methods One hundred patients were prospectively enrolled in the general surgery department of Ruijin Hospital,Shanghai Jiaotong University School of Medicine from 2020-05-04—2020-07-10.They were 1:1 randomly divided into a VR experience group(50 patients)and a conventional preoperative conversation group(50 patients).After the regular preoperative conversation,the VR experience group patients watched the first-person VR panoramic video of the preoperative preparation process and the anesthesia recovery process in the operating room,while the traditional conversation group only got preoperative conversations.Both groups of patients completed the Self-Rating Anxiety Inventory(SAS)to assess their preoperative anxiety level.Results The SAS scores of patients in the VR experience group were significantly lower than those in the traditional conversation group,and the difference was statistically significant(P<0.05).Conclusion The first-person view panoramic videos using VR technology can help patients understand the preoperative preparation process and anesthesia recovery process after entering the operating room,which can effectively relieve the preoperative anxiety state of patients and has broad application prospects in clinical work.