{"title":"虚拟现实视频应用对血液透析患者瘘管穿刺相关疼痛的影响：评估者盲法随机试验。","authors":"Nese Altınok Ersoy, Gülşah Kesik, Fatih Dede","doi":"10.1177/11297298241295447","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To elucidate the effect of virtual reality video application on fistula puncture-associated pain in patients undergoing hemodialysis.</p><p><strong>Design: </strong>Attention controlled and assessor-blinded randomized trial.</p><p><strong>Materials and methods: </strong>Attention controlled and assessor-blinded randomized trial was conducted 28 patients at the hemodialysis center of City Hospital. The patients in the intervention group (<i>n</i> = 14) participated in 12 hemodialysis sessions with virtual reality video application under the researcher's supervision. The patients in the control group (<i>n</i> = 14) received a 6-min training session on diet compliance. The Sociodemographic Form and Visual Analog Scale were used to collect data in person at various time points: baseline (t0), during the 1st to 12th hemodialysis sessions (t1-t12), and 1 week after implementation (t13).</p><p><strong>Results: </strong>Virtual reality video application helped in effectively decreasing pain over time, as revealed by significant differences in the measurements at t1-t12 and t13 (<i>p</i> < 0.05). Time-based variations in within-group differences revealed that the median fistula puncture-associated pain values were significantly higher at baseline and t13 measurements in the intervention group (<i>p</i> < 0.05). In contrast, no significant differences were observed in the median fistula puncture-associated pain values in the control group (<i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>In patients undergoing hemodialysis, the application of virtual reality helps decrease fistula puncture-associated pain values. Advances in technology, particularly virtual reality, may play a vital role in shaping the future of healthcare.</p>","PeriodicalId":56113,"journal":{"name":"Journal of Vascular Access","volume":" ","pages":"11297298241295447"},"PeriodicalIF":1.6000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effect of virtual reality video application on fistula puncture-associated pain in patients undergoing hemodialysis: Assessor-blinded randomized trial.\",\"authors\":\"Nese Altınok Ersoy, Gülşah Kesik, Fatih Dede\",\"doi\":\"10.1177/11297298241295447\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To elucidate the effect of virtual reality video application on fistula puncture-associated pain in patients undergoing hemodialysis.</p><p><strong>Design: </strong>Attention controlled and assessor-blinded randomized trial.</p><p><strong>Materials and methods: </strong>Attention controlled and assessor-blinded randomized trial was conducted 28 patients at the hemodialysis center of City Hospital. The patients in the intervention group (<i>n</i> = 14) participated in 12 hemodialysis sessions with virtual reality video application under the researcher's supervision. The patients in the control group (<i>n</i> = 14) received a 6-min training session on diet compliance. The Sociodemographic Form and Visual Analog Scale were used to collect data in person at various time points: baseline (t0), during the 1st to 12th hemodialysis sessions (t1-t12), and 1 week after implementation (t13).</p><p><strong>Results: </strong>Virtual reality video application helped in effectively decreasing pain over time, as revealed by significant differences in the measurements at t1-t12 and t13 (<i>p</i> < 0.05). Time-based variations in within-group differences revealed that the median fistula puncture-associated pain values were significantly higher at baseline and t13 measurements in the intervention group (<i>p</i> < 0.05). In contrast, no significant differences were observed in the median fistula puncture-associated pain values in the control group (<i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>In patients undergoing hemodialysis, the application of virtual reality helps decrease fistula puncture-associated pain values. Advances in technology, particularly virtual reality, may play a vital role in shaping the future of healthcare.</p>\",\"PeriodicalId\":56113,\"journal\":{\"name\":\"Journal of Vascular Access\",\"volume\":\" \",\"pages\":\"11297298241295447\"},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2024-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Vascular Access\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/11297298241295447\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PERIPHERAL VASCULAR DISEASE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Vascular Access","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/11297298241295447","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PERIPHERAL VASCULAR DISEASE","Score":null,"Total":0}
引用次数: 0
摘要
目的：阐明虚拟现实视频应用对血液透析患者瘘管穿刺相关疼痛的影响：阐明虚拟现实视频应用对血液透析患者瘘管穿刺相关疼痛的影响：设计：注意对照和评估者盲法随机试验：在市立医院血液透析中心对28名患者进行了注意力对照和评估者盲法随机试验。干预组患者（n = 14）在研究人员的监督下，通过虚拟现实视频应用参加了 12 次血液透析治疗。对照组患者（14 人）接受了 6 分钟的饮食依从性培训。研究人员使用社会人口学表格和视觉模拟量表收集了不同时间点的数据：基线（t0）、第 1 次至第 12 次血液透析期间（t1-t12）和实施后 1 周（t13）：结果：虚拟现实视频应用有助于随着时间的推移有效减轻疼痛，t1-t12 和 t13 的测量结果显示出显著差异（p p p 结论：虚拟现实视频应用有助于减轻血液透析患者的疼痛：在接受血液透析的患者中，应用虚拟现实技术有助于降低瘘管穿刺相关的疼痛值。技术的进步，尤其是虚拟现实技术的进步，可能会在塑造未来的医疗保健中发挥重要作用。
Effect of virtual reality video application on fistula puncture-associated pain in patients undergoing hemodialysis: Assessor-blinded randomized trial.
Objective: To elucidate the effect of virtual reality video application on fistula puncture-associated pain in patients undergoing hemodialysis.
Design: Attention controlled and assessor-blinded randomized trial.
Materials and methods: Attention controlled and assessor-blinded randomized trial was conducted 28 patients at the hemodialysis center of City Hospital. The patients in the intervention group (n = 14) participated in 12 hemodialysis sessions with virtual reality video application under the researcher's supervision. The patients in the control group (n = 14) received a 6-min training session on diet compliance. The Sociodemographic Form and Visual Analog Scale were used to collect data in person at various time points: baseline (t0), during the 1st to 12th hemodialysis sessions (t1-t12), and 1 week after implementation (t13).
Results: Virtual reality video application helped in effectively decreasing pain over time, as revealed by significant differences in the measurements at t1-t12 and t13 (p < 0.05). Time-based variations in within-group differences revealed that the median fistula puncture-associated pain values were significantly higher at baseline and t13 measurements in the intervention group (p < 0.05). In contrast, no significant differences were observed in the median fistula puncture-associated pain values in the control group (p < 0.05).
Conclusion: In patients undergoing hemodialysis, the application of virtual reality helps decrease fistula puncture-associated pain values. Advances in technology, particularly virtual reality, may play a vital role in shaping the future of healthcare.
期刊介绍：
The Journal of Vascular Access (JVA) is issued six times per year; it considers the publication of original manuscripts dealing with clinical and laboratory investigations in the fast growing field of vascular access. In addition reviews, case reports and clinical trials are welcome, as well as papers dedicated to more practical aspects covering new devices and techniques.
All contributions, coming from all over the world, undergo the peer-review process.
The Journal of Vascular Access is divided into independent sections, each led by Editors of the highest scientific level:
• Dialysis
• Oncology
• Interventional radiology
• Nutrition
• Nursing
• Intensive care
Correspondence related to published papers is also welcome.
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