{"title":"基于虚拟现实的Roy适应模型护理干预对青少年社交焦虑的影响","authors":"Aytuğ Türk, Ayşegül Dönmez","doi":"10.3928/02793695-20250401-01","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To determine the effects of an innovative nursing practice approach based on the Roy Adaptation Model (RAM) integrated with virtual reality (VR) on social anxiety levels among young adults.</p><p><strong>Method: </strong>A single-blind, randomized controlled trial was conducted with 55 young adults aged 18 to 25 years. The intervention, based on the RAM, comprised six sessions focusing on psychoeducation, relaxation, and cognitive restructuring. VR was integrated into four of the sessions, aiming to simulate social situations and provide real-time feedback. Data were collected using the Liebowitz Social Anxiety Scale (LSAS), Life Satisfaction Scale (LSS), and an individual introduction form, with pretest, posttest, and follow-up measurements.</p><p><strong>Results: </strong>LSAS scores indicated that the intervention had a significant positive impact on the experimental group regarding anxiety (<i>F</i> = 24.005, <i>p</i> < 0.001) and avoidance (<i>F</i> = 44.915, <i>p</i> < 0.001), as well as total scale scores. However, LSS scores revealed no significant differences between experimental and control groups (<i>F</i> = 0.429, <i>p</i> = 0.654).</p><p><strong>Conclusion: </strong>Nursing interventions based on the VR-integrated RAM significantly reduced social anxiety among young adults. VR should be incorporated into nursing interventions to provide innovative, cost-effective therapy for patients, especially those with anxiety disorders. In addition, VR-focused training programs for nurses and inclusion of VR in nursing curricula could enhance nurses' skills in modern therapeutic approaches from the undergraduate level.</p>","PeriodicalId":50071,"journal":{"name":"Journal of Psychosocial Nursing and Mental Health Services","volume":" ","pages":"29-37"},"PeriodicalIF":1.1000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effects of a Virtual Reality-Based Nursing Intervention Using the Roy Adaptation Model on Social Anxiety in Young Adults.\",\"authors\":\"Aytuğ Türk, Ayşegül Dönmez\",\"doi\":\"10.3928/02793695-20250401-01\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>To determine the effects of an innovative nursing practice approach based on the Roy Adaptation Model (RAM) integrated with virtual reality (VR) on social anxiety levels among young adults.</p><p><strong>Method: </strong>A single-blind, randomized controlled trial was conducted with 55 young adults aged 18 to 25 years. The intervention, based on the RAM, comprised six sessions focusing on psychoeducation, relaxation, and cognitive restructuring. VR was integrated into four of the sessions, aiming to simulate social situations and provide real-time feedback. Data were collected using the Liebowitz Social Anxiety Scale (LSAS), Life Satisfaction Scale (LSS), and an individual introduction form, with pretest, posttest, and follow-up measurements.</p><p><strong>Results: </strong>LSAS scores indicated that the intervention had a significant positive impact on the experimental group regarding anxiety (<i>F</i> = 24.005, <i>p</i> < 0.001) and avoidance (<i>F</i> = 44.915, <i>p</i> < 0.001), as well as total scale scores. However, LSS scores revealed no significant differences between experimental and control groups (<i>F</i> = 0.429, <i>p</i> = 0.654).</p><p><strong>Conclusion: </strong>Nursing interventions based on the VR-integrated RAM significantly reduced social anxiety among young adults. VR should be incorporated into nursing interventions to provide innovative, cost-effective therapy for patients, especially those with anxiety disorders. In addition, VR-focused training programs for nurses and inclusion of VR in nursing curricula could enhance nurses' skills in modern therapeutic approaches from the undergraduate level.</p>\",\"PeriodicalId\":50071,\"journal\":{\"name\":\"Journal of Psychosocial Nursing and Mental Health Services\",\"volume\":\" \",\"pages\":\"29-37\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2025-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Psychosocial Nursing and Mental Health Services\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3928/02793695-20250401-01\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/4/23 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Psychosocial Nursing and Mental Health Services","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3928/02793695-20250401-01","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/4/23 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
摘要
目的:探讨基于Roy适应模型(RAM)与虚拟现实(VR)相结合的创新护理实践方法对青少年社交焦虑水平的影响。方法:采用单盲、随机对照试验,选取年龄在18 ~ 25岁的青壮年55人。以RAM为基础的干预包括六个会议,重点是心理教育,放松和认知重组。VR被整合到其中四个环节中,旨在模拟社会情境并提供实时反馈。数据收集使用Liebowitz社交焦虑量表(LSAS)、生活满意度量表(LSS)和个人介绍表,包括前测、后测和随访测量。结果:LSAS评分显示干预对实验组焦虑(F = 24.005, p < 0.001)、回避(F = 44.915, p < 0.001)及总量表得分均有显著正向影响。而LSS评分在实验组与对照组间差异无统计学意义(F = 0.429, p = 0.654)。结论:基于vr集成RAM的护理干预可显著降低青少年的社交焦虑。应将虚拟现实纳入护理干预措施,为患者,特别是焦虑症患者提供创新的、具有成本效益的治疗方法。此外,以VR为重点的护士培训计划和将VR纳入护理课程可以从本科阶段开始提高护士在现代治疗方法方面的技能。[社会心理护理与精神卫生服务杂志,xx(xx), xx-xx.]
Effects of a Virtual Reality-Based Nursing Intervention Using the Roy Adaptation Model on Social Anxiety in Young Adults.
Purpose: To determine the effects of an innovative nursing practice approach based on the Roy Adaptation Model (RAM) integrated with virtual reality (VR) on social anxiety levels among young adults.
Method: A single-blind, randomized controlled trial was conducted with 55 young adults aged 18 to 25 years. The intervention, based on the RAM, comprised six sessions focusing on psychoeducation, relaxation, and cognitive restructuring. VR was integrated into four of the sessions, aiming to simulate social situations and provide real-time feedback. Data were collected using the Liebowitz Social Anxiety Scale (LSAS), Life Satisfaction Scale (LSS), and an individual introduction form, with pretest, posttest, and follow-up measurements.
Results: LSAS scores indicated that the intervention had a significant positive impact on the experimental group regarding anxiety (F = 24.005, p < 0.001) and avoidance (F = 44.915, p < 0.001), as well as total scale scores. However, LSS scores revealed no significant differences between experimental and control groups (F = 0.429, p = 0.654).
Conclusion: Nursing interventions based on the VR-integrated RAM significantly reduced social anxiety among young adults. VR should be incorporated into nursing interventions to provide innovative, cost-effective therapy for patients, especially those with anxiety disorders. In addition, VR-focused training programs for nurses and inclusion of VR in nursing curricula could enhance nurses' skills in modern therapeutic approaches from the undergraduate level.
期刊介绍:
The Journal of Psychosocial Nursing and Mental Health Services is a peer-reviewed, monthly journal for psychosocial and mental health nurses in a variety of community and institutional settings. For more than 50 years, the Journal has provided the most up-to-date, practical information available for today’s psychosocial-mental health nurse, including short contributions about psychopharmacology, mental health care of older adults, addictive behaviors and diagnoses, and child/adolescent disorders and issues. Begin to explore the Journal and all of its great benefits such as:
• Monthly feature, “Clip & Save: Drug Chart,” a one-page resource of up-to-date information on current medications for various psychiatric illnesses
• Access to current articles, as well as several years of archived content
• Articles posted online just 2 months after acceptance
• Continuing Nursing Education credits available each month