Effects of immersive virtual reality and non-immersive video distraction on preoperative anxiety in patients undergoing elective abdominal surgery: a three-arm randomised controlled trial.

IF 3.3 2区医学 Q2 SURGERY

Surgical Endoscopy And Other Interventional Techniques Pub Date : 2026-10-12 DOI:10.1007/s00464-026-13417-w

Sevim Akbal, Seher Ünver, Doğan Albayrak

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引用次数: 0

Abstract

Background: Preoperative anxiety negatively impacts surgical outcomes. This study evaluated the effects of immersive virtual reality (VR) vs non-immersive video distraction on preoperative anxiety, physiological stress, and heart rate in elective abdominal surgery.

Methods: In this three-arm randomized controlled trial (NCT05718661), 96 elective abdominal surgery patients were allocated to immersive VR, non-immersive video, or a control group ( $n = 32$ per group). Both intervention groups viewed identical relaxing audiovisual content for 15 min via a VR headset or a smartphone screen; controls received standard care. Preoperative anxiety was measured with the Visual Analogue Scale-Anxiety (VAS-A). Physiological stress scores and heart rate were tracked using a wearable smart band before and after the intervention.

Results: VAS-A scores worsened in controls (p < 0.001) but decreased significantly in both the VR (p < 0.001) and video (p = 0.002) groups, with no significant difference between the two active interventions (p > 0.05). Device-derived stress scores increased in controls (p = 0.018) and decreased in the video group (p = 0.017), with no change in the VR group (p = 0.568). Heart rate changes did not differ significantly among groups (p < 0.206).

Conclusions: Both immersive VR and non-immersive video distraction significantly reduce preoperative anxiety compared with standard care; however, VR is not superior to conventional video viewing. Given its equivalent efficacy, lower cost, and simpler implementation, non-immersive video represents a practical, scalable non-pharmacological strategy for perioperative anxiety management.

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沉浸式虚拟现实和非沉浸式视频干扰对选择性腹部手术患者术前焦虑的影响：一项三组随机对照试验。

背景：术前焦虑对手术结果有负面影响。本研究评估了沉浸式虚拟现实（VR）与非沉浸式视频分心对择期腹部手术术前焦虑、生理应激和心率的影响。方法：在这项三组随机对照试验（NCT05718661）中，96例选择性腹部手术患者被分配到沉浸式VR、非沉浸式视频或对照组（每组n = 32）。两个干预组通过VR头显或智能手机屏幕观看相同的15分钟放松视听内容；对照组接受标准护理。术前焦虑用视觉模拟焦虑量表（VAS-A）测量。在干预前后，使用可穿戴智能手环跟踪生理应激评分和心率。结果：对照组VAS-A评分加重（p < 0.05）。设备衍生的压力评分在对照组中增加（p = 0.018），在视频组中下降（p = 0.017）， VR组没有变化（p = 0.568）。结论：与标准护理相比，沉浸式VR和非沉浸式视频分心均可显著减少术前焦虑，但VR并不优于传统视频观看。鉴于其同等的疗效、更低的成本和更简单的实施，非沉浸式视频代表了围手术期焦虑管理的一种实用的、可扩展的非药物策略。

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

Surgical Endoscopy And Other Interventional Techniques 医学-外科

CiteScore

6.10

自引率

12.90%

发文量

890

审稿时长

6 months

期刊介绍： Uniquely positioned at the interface between various medical and surgical disciplines, Surgical Endoscopy serves as a focal point for the international surgical community to exchange information on practice, theory, and research. Topics covered in the journal include: -Surgical aspects of: Interventional endoscopy, Ultrasound, Other techniques in the fields of gastroenterology, obstetrics, gynecology, and urology, -Gastroenterologic surgery -Thoracic surgery -Traumatic surgery -Orthopedic surgery -Pediatric surgery