虚拟现实分散注意力和疲劳训练对癌症患儿焦虑和疲劳水平的影响：随机对照研究

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing Pub Date : 2024-12-01 DOI:10.1016/j.soncn.2024.151725

Gülçin Özalp Gerçeker , Murat Bektaş , Ayşe Önal , Aslı Akdeniz Kudubeş , Refik Emre Çeçen

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引用次数: 0

摘要

目的：本随机对照试验评估了虚拟现实（VR）分散注意力和疲劳训练对癌症儿童焦虑和疲劳的影响：这项随机对照试验评估了虚拟现实（VR）分散注意力和疲劳训练对癌症患儿焦虑和疲劳的影响：这项平行设计随机对照试验的样本包括 41 名 7 至 16 岁的儿童，他们正在一所大学医院的儿科血液和肿瘤病房接受化疗。在化疗前和化疗的前三天，两组儿童均使用儿童焦虑量表-状态、儿童疲劳量表-24 小时和视觉疲劳量表收集数据。所有在化疗期间入院的儿童都接受了疲劳教育。在化疗的第一天、第二天和第三天，研究组的儿童按照分层随机法接受了 15 分钟的 VR 转移注意力干预。重复测量方差分析用于比较不同组别、时间和组别-时间交互作用的量表得分：患者中有 63.4% 为男性，39% 患有神经母细胞瘤。各组之间在诊断、年龄、诊断持续时间、化疗或血红蛋白水平方面没有差异。干预组和对照组的焦虑和疲劳评分均值在组别、时间和组别-时间交互作用方面存在统计学差异：结论：在化疗的第一天、第二天和第三天应用虚拟现实分散注意力，除了疲劳训练外，还能有效降低焦虑和疲劳水平：对护理实践的启示：虚拟现实分散注意力是减轻该人群焦虑和疲劳的有效方法。

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The Effect of Virtual Reality Distraction and Fatigue Training on Anxiety and Fatigue Levels in Children with Cancer: A Randomized Controlled Study

Objectives

This randomized controlled trial evaluated the effect of virtual reality (VR) distraction and fatigue training on anxiety and fatigue in children with cancer.

Methods

The sample of this parallel design randomized controlled trial consisted of 41 children aged 7 to 16 who were receiving chemotherapy treatment in the pediatric hematology and oncology wards of a university hospital. Data was collected with the Child Anxiety Scale-State, Child Fatigue Scale-24-Hours, and Visual Fatigue Scale in both groups before and during the first three days of chemotherapy treatment. All children admitted to the clinic during chemotherapy received fatigue education. On the first, second, and third days of chemotherapy treatment, children in the study group underwent a 15-minute VR distraction intervention following stratified randomization. Repeated measures analysis of variance was used to compare scale scores by group, time, and group-time interaction.

Results

Of the patients, 63.4% were male, and 39% had neuroblastoma. There was no difference between the groups in terms of diagnosis, age, duration of diagnosis, chemotherapy, or hemoglobin levels. A statistically significant difference was found between the mean scores of the anxiety and fatigue scores in the intervention and control groups in terms of group, time, and group-time interaction.

Conclusion

Applying VR distraction on the first, second, and third days of chemotherapy treatment was found to be useful in lowering anxiety and fatigue levels in addition to fatigue training.

Implications for Nursing Practice

Virtual reality distraction is an effective method for reducing anxiety and fatigue in this population.

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来源期刊

Seminars in Oncology Nursing Nursing-Oncology (nursing)

CiteScore

3.40

自引率

0.00%

发文量

审稿时长

45 days

期刊介绍： Seminars in Oncology Nursing is a unique international journal published six times a year. Each issue offers a multi-faceted overview of a single cancer topic from a selection of expert review articles and disseminates oncology nursing research relevant to patient care, nursing education, management, and policy development.