Psychological effects of virtual reality intervention on breast cancer patients with different personalities: A randomized controlled trial

IF 2.9 3区医学 Q1 NURSING

International Journal of Nursing Sciences Pub Date : 2025-03-01 DOI:10.1016/j.ijnss.2025.02.008

Shanshan Wu , Guodu Liu , Jie Yang , Xinxin Xie , Mei-E Wu , Lili Wang , Yanhui Zhang , Jinmei Chen , Xiaowei Wang , Wanjiao Li , Yihong Qiu , Jie Chen

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引用次数: 0

Abstract

Objectives

To explore the efficacy and safety of virtual reality (VR) in relieving negative emotions in patients with breast cancer with different personalities.

Methods

A randomized controlled trial was conducted. Between April 2023 and October 2023, we enrolled patients with breast cancer treated in the Department of Breast Cancer and Oncology at Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangdong Province. The patients were randomly divided into an intervention group (n = 118) and a control group (n = 119) using block randomization. The intervention group received the VR intervention 3 – 5 times over 5 ± 2 weeks using natural landscapes with music or relaxation guidance, and the duration of each VR intervention was 15 ± 3 min. The control group received routine nursing care, including disease education and psychological counseling. Patients were assessed using the Type D Scale, Positive and Negative Affect Scale, and Distress Thermometer, and adverse events during the intervention were recorded.

Results

Overall, 85 patients completed the study (44 in the intervention group and 41 in the control group). Patients with Type D personalities showed more negative emotions [25.0 (21.5, 27.5) vs. 19.0 (16.0, 24.0), P = 0.001] and distressed attitudes [4.0 (2.0, 5.0) vs. 3.0 (1.0, 4.0), P = 0.020] with fewer positive emotions (27.2 ± 5.6 vs. 31.0 ± 5.9, P = 0.014) than those with non-Type D personalities. Total population analysis revealed no significant differences between the groups. However, in the subgroup analysis, patients with Type D personalities in the intervention group showed greater relief from negative emotions than those in the control group [median difference, −5.0 (−9.0, −2.5) vs. −2.0 (−4.0, 2.0), P = 0.046]. No significant differences were found between groups of patients with non-Type D personality traits. The proportion of adverse events was not significantly different between groups (P = 0.110).

Conclusions

Breast cancer patients with Type D personalities suffer more severe negative emotions and distress, and more attention should be paid to them. VR intervention significantly and safely reduced negative emotions in patients with Type D personalities.

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来源期刊

International Journal of Nursing Sciences Nursing-Nursing (all)

CiteScore

6.10

自引率

2.60%

发文量

408

审稿时长

25 days

期刊介绍： This journal aims to promote excellence in nursing and health care through the dissemination of the latest, evidence-based, peer-reviewed clinical information and original research, providing an international platform for exchanging knowledge, research findings and nursing practice experience. This journal covers a wide range of nursing topics such as advanced nursing practice, bio-psychosocial issues related to health, cultural perspectives, lifestyle change as a component of health promotion, chronic disease, including end-of-life care, family care giving. IJNSS publishes four issues per year in Jan/Apr/Jul/Oct. IJNSS intended readership includes practicing nurses in all spheres and at all levels who are committed to advancing practice and professional development on the basis of new knowledge and evidence; managers and senior members of the nursing; nurse educators and nursing students etc. IJNSS seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Contributions are welcomed from other health professions on issues that have a direct impact on nursing practice.