Enhancing patient experience in the surgical ICU through virtual reality: A pre-post mixed-methods study

IF 2.4 4区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Heart & Lung Pub Date : 2024-12-03 DOI:10.1016/j.hrtlng.2024.11.014

Xinxing Ju , Li Jiang , Jie Yang , Qiyuan Zheng , Xiaoxin Liu

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引用次数: 0

Abstract

Background

Patients in the Surgical Intensive Care Unit (SICU) often experience psychological stress.

Objectives

To evaluate the feasibility, acceptability, and potential outcomes of virtual reality (VR) interventions for enhancing patient experience during SICU stay.

Methods

This mixed-method study employed a pre-post-test design complemented by a sequential explanatory approach, conducted from January to December 2023 in the SICU of a hospital in China. Quantitative data (n = 32) were collected using a Visual Analog Scale to assess pain, fatigue, depression, anxiety, and comfort. Physiological parameters, including blood pressure (BP), heart rate (HR), respiratory rate (RR), and oxygen saturation (SpO²) were obtained from a bedside patient monitor. Additionally, self-designed questionnaires were used to evaluate VR acceptance, while the Visually Induced Motion Sickness Susceptibility Questionnaire (VIMSSQ) was used to assess discomfort related to VR interventions. Qualitative data from experimental patients (n = 10) were analyzed through in-depth interviews.

Results

Post-intervention, patients showed significant reductions in pain, fatigue, depression, and anxiety, along with increased comfort levels (P < 0.05). There were no significant differences in pre- and post-intervention BP, HR, RR, or SpO². The mean VR acceptance score was 3.90±0.62, with minimal discomfort reported. Qualitative analysis revealed four themes: positive patient attitude toward VR, benefits of VR for well-being, multiple influences on VR implementation, and implementation of VR with safety assurance.

Conclusion

VR interventions significantly reduced psychological stress and improved comfort in SICU patients, with high acceptance and minimal side effects. Further research is needed to optimize VR use in this setting.

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通过虚拟现实增强外科ICU患者体验：一项前后混合方法的研究。

背景：外科重症监护病房（SICU）的患者经常经历心理压力。目的：评估虚拟现实（VR）干预增强SICU住院期间患者体验的可行性、可接受性和潜在结果。方法：这项混合方法研究采用前-后测试设计，辅以顺序解释方法，于2023年1月至12月在中国一家医院的SICU进行。采用视觉模拟量表收集定量数据（n = 32），评估疼痛、疲劳、抑郁、焦虑和舒适度。生理参数包括血压（BP）、心率（HR）、呼吸频率（RR）和血氧饱和度（SpO2）。此外，研究人员使用自行设计的问卷来评估虚拟现实的接受程度，并使用视觉诱发晕动病易感性问卷（VIMSSQ）来评估与虚拟现实干预相关的不适。通过深度访谈对实验患者（n = 10）的定性数据进行分析。结果：干预后，患者疼痛、疲劳、抑郁、焦虑明显减轻，舒适度明显提高（P < 0.05）。干预前和干预后的血压、HR、RR或SpO2无显著差异。平均VR接受评分为3.90±0.62，报告的不适感最小。定性分析揭示了四个主题：患者对虚拟现实的积极态度、虚拟现实对健康的益处、对虚拟现实实施的多重影响以及有安全保障的虚拟现实实施。结论：VR干预可显著降低SICU患者的心理压力，提高患者的舒适度，接受度高，副作用小。需要进一步的研究来优化VR在这种情况下的使用。

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

Heart & Lung 医学-呼吸系统

CiteScore

4.60

自引率

3.60%

发文量

184

审稿时长

35 days

期刊介绍： Heart & Lung: The Journal of Cardiopulmonary and Acute Care, the official publication of The American Association of Heart Failure Nurses, presents original, peer-reviewed articles on techniques, advances, investigations, and observations related to the care of patients with acute and critical illness and patients with chronic cardiac or pulmonary disorders. The Journal''s acute care articles focus on the care of hospitalized patients, including those in the critical and acute care settings. Because most patients who are hospitalized in acute and critical care settings have chronic conditions, we are also interested in the chronically critically ill, the care of patients with chronic cardiopulmonary disorders, their rehabilitation, and disease prevention. The Journal''s heart failure articles focus on all aspects of the care of patients with this condition. Manuscripts that are relevant to populations across the human lifespan are welcome.