Uso de la realidad virtual inmersiva como método de relajación en el entorno de una unidad de cuidados intensivos

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-04-01 DOI:10.1016/j.enfi.2023.05.004

L. Martí-Hereu MSN , G. Navarra-Ventura MSN , A.M. Navas-Pérez PhD , S. Férnandez-Gonzalo MSN , F. Pérez-López PhD , C. de Haro-López PhD , G. Gomà-Fernández MSN

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引用次数: 0

Abstract

Introduction

The usage of immersive virtual reality (iVR) in the context of an intensive care unit (ICU) is scarce. Our objective was to assess the feasibility of the usage of iVR in critical patients with or without mechanical ventilation (MV) and to determine the anxiety degree before and after each session.

Methods

Analytical, descriptive, prospective, and cross-sectional research. Pilot test with 20 patients from a polyvalent ICU of a tertiary hospital. Adult patients were included, either connected or not to MV, watchful and calmed (RASS −1/+1) and without delirium (negative CAM-ICU).

Oculus Go (Facebook Technologies, LLC) iVR glasses were the model used. The relaxation strategy consisted in the visualization of an experience of 15 minutes with scenes related to nature and fantasy, relaxing music with a plot. The sessions were individual, with the patient monitored in a fowler position or seated. The anxiety degree before and after each session was evaluated following a reduced version of the Spanish “Cuestionario de Ansiedad Estado-Rasgo (STAI-e)” and they were analysed using T samples coupled (statistical significance when p-value was <.05).

Results

Incorporation of 20 patients with an average age of 63.9 years old (60% men). A total of 34 sessions of iVR were conducted. The 32% patients mechanically ventilated, 32% high-flow oxygen therapy, 36% other breathing supports. 80% of the sessions were completed without serious side effects. A significant decrease in the anxiety degree was observed after each iVR session: first session mean change −2.68 (SD = 2.75), P = .000; second session mean change −1.86 (SD = 1.57), P=.021; third session mean change −1.67 (SD = 1.63), P=.054.

Conclusion

The usage of iVR in the context of an ICU is feasible, even with patients mechanically ventilated. iVR reduces the anxiety degree in the critic patient, which suggests that “digital therapies” can be effective to improve the emotional state during their stay in the ICU.

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在重症监护室使用沉浸式虚拟现实技术作为放松方法

引言在重症监护病房（ICU）中使用沉浸式虚拟现实技术（iVR）的情况很少。我们的目的是评估在使用或不使用机械通气（MV）的危重病人中使用 iVR 的可行性，并确定每次治疗前后的焦虑程度。对一家三级医院重症监护室的 20 名患者进行试点测试。试验对象包括成年患者，他们有的连接了 MV，有的没有，有的保持警惕和镇静（RASS -1/+1 ），有的没有谵妄（CAM-ICU 阴性）。使用的模型是 Oculus Go（Facebook Technologies, LLC）iVR 眼镜。放松策略包括可视化 15 分钟的体验，体验场景涉及自然和幻想，以及带有情节的放松音乐。每次体验都是单独进行的，患者可采取福勒式或坐姿接受监控。每次疗程前后的焦虑程度均按照西班牙 "Cuestionario de Ansiedad Estado-Rasgo（STAI-e）"的简化版进行评估，并采用 T 样本耦合法进行分析（当 p 值为 <.05 时具有统计学意义）。共进行了 34 次 iVR。32%的患者接受了机械通气，32%接受了高流量氧疗，36%接受了其他呼吸支持。80%的疗程在无严重副作用的情况下完成。在每次 iVR 治疗后，患者的焦虑程度都有明显降低：第一次治疗的平均变化为 -2.68 (SD = 2.75)，P = .000；第二次治疗的平均变化为 -1.86 (SD = 1.57)，P=.021；第三次治疗的平均变化为 -1.67 (SD = 1.63)，P=.054。iVR可降低重症监护患者的焦虑程度，这表明 "数字疗法 "可有效改善重症监护患者住院期间的情绪状态。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.