虚拟现实催眠面罩对门诊外翻手术焦虑的管理:随机对照试验。

IF 2.4 2区 医学 Q2 ORTHOPEDICS
Grégoire Rougereau, Marie Hélène Sandiford, Robin Lévêque, Christophe Ménigaux, Thomas Bauer, Alexandre Hardy
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引用次数: 0

摘要

背景:本研究的目的是评估使用虚拟现实口罩对门诊拇外翻手术患者术前焦虑管理的影响及其对术后和出院前焦虑以及术后镇痛的影响。方法:对2020年6月至2021年9月拟行经皮外翻手术患者的术前焦虑进行分析,采用会诊期间完成的状态-特质焦虑量表(STAI)。所有重度焦虑患者,定义为STAI评分高于40,被纳入一项随机前瞻性比较单中心研究。60名患者参与了这项研究,根据他们在手术前是否接受了虚拟现实面具的术前催眠,随机分为两组,每组30名患者。结论:在这个接受经皮外翻手术的研究队列中,我们发现术前使用虚拟现实催眠面罩可以适度减少术前焦虑明显的成人术后和出院前的焦虑,以及术后早期使用高水平镇痛药。证据等级:II级,前瞻性队列研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Management of Anxiety for Ambulatory Hallux Valgus Surgery With a Virtual Reality Hypnosis Mask: Randomized Controlled Trial.

Background: The purpose of this study was to evaluate the impact of using virtual reality masks for the management of preoperative anxiety and its impact on postoperative and predischarge anxiety as well as postoperative analgesia during outpatient hallux valgus surgery.

Methods: From June 2020 to September 2021, preoperative anxiety of patients scheduled for a percutaneous hallux valgus surgery were analyzed using the State Trait Anxiety Inventory (STAI) questionnaire completed during the consultation. All patients with major anxiety, defined as a STAI score above 40, were included in a randomized prospective comparative single-center study. Sixty patients were included in the study and randomized into 2 arms of 30 patients according to whether or not they underwent a preoperative hypnosis session with a virtual reality mask before surgery.

Results: There was an improvement in the postoperative (42.5 vs 45.2, P < .04) and predischarge (25.3 vs 30.2 P < .03) anxiety scores in the group that used the mask before the procedure. There was a notable decrease in immediate higher-level postoperative analgesics such as morphine or ketamine (3.3% vs 26.6%, P < .03) in the arm using the mask.

Conclusion: In this study cohort undergoing percutaneous hallux valgus surgery, we found that use of a virtual reality hypnosis mask before surgery modestly reduced postoperative and predischarge anxiety as well as early postoperative consumption of higher-level analgesics in adults with significant preoperative anxiety.

Level of evidence: Level II, prospective cohort study.

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来源期刊
Foot & Ankle International
Foot & Ankle International 医学-整形外科
CiteScore
5.60
自引率
22.20%
发文量
144
审稿时长
2 months
期刊介绍: Foot & Ankle International (FAI), in publication since 1980, is the official journal of the American Orthopaedic Foot & Ankle Society (AOFAS). This monthly medical journal emphasizes surgical and medical management as it relates to the foot and ankle with a specific focus on reconstructive, trauma, and sports-related conditions utilizing the latest technological advances. FAI offers original, clinically oriented, peer-reviewed research articles presenting new approaches to foot and ankle pathology and treatment, current case reviews, and technique tips addressing the management of complex problems. This journal is an ideal resource for highly-trained orthopaedic foot and ankle specialists and allied health care providers. The journal’s Founding Editor, Melvin H. Jahss, MD (deceased), served from 1980-1988. He was followed by Kenneth A. Johnson, MD (deceased) from 1988-1993; Lowell D. Lutter, MD (deceased) from 1993-2004; and E. Greer Richardson, MD from 2005-2007. David B. Thordarson, MD, assumed the role of Editor-in-Chief in 2008. The journal focuses on the following areas of interest: • Surgery • Wound care • Bone healing • Pain management • In-office orthotic systems • Diabetes • Sports medicine
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