热机械刺激和虚拟现实眼镜对外周静脉置管疼痛和患者满意度的影响：一项随机对照试验。

IF 2.3 4区医学 Q2 EMERGENCY MEDICINE

Journal of Emergency Nursing Pub Date : 2025-05-26 DOI:10.1016/j.jen.2025.04.005

Zuleyha Setenay Serin MSN, RN, Ebru Erek Kazan PhD, RN

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引用次数: 0

摘要

外周静脉置管是一个痛苦的过程，对患者来说可能不舒服。本研究旨在确定使用热机械刺激装置和虚拟现实眼镜对成人患者外周静脉置管过程中疼痛和患者满意度的影响。方法：采用随机对照实验研究，研究时间为2021年6月至2022年2月。样本由126名自愿参与的患者组成。患者按性别均匀随机分为热机械刺激组、虚拟现实眼镜组或对照组。在外周静脉置管过程中，热机械刺激组的患者使用冷振动装置治疗，虚拟现实眼镜组的患者观看自然视频。使用基线人口统计表格和视觉模拟量表收集数据。疼痛视觉模拟评分范围为0 ~ 10分，0分为最佳；满意度视觉模拟评分范围为0 ~ 10分，10分为最佳。该研究是根据合并标准报告试验指南进行的，该研究的ClinicalTrials.gov ID号为NCT05422287。结果：虚拟现实眼镜组、热机械刺激组和对照组的视觉模拟量表疼痛评分均值（SD）分别为2.71 （SD 1.45）、2.66 （SD 1.22）和4.85 （SD 1.71）。虚拟现实眼镜组、热机械刺激组和对照组的视觉模拟量表满意度均值（SD）分别为8.19 （SD 1.40）、8.30 （SD 1.52）和6.11 （SD 1.31）。两组患者疼痛评分均低于对照组，满意度评分均高于对照组，差异均有统计学意义（p < 0.05）。讨论：热机械刺激和虚拟现实眼镜被发现减少疼痛和提高患者满意度在周围静脉导管插入成人患者。建议护士使用热机械刺激或虚拟现实眼镜在周围静脉导管的过程中。

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The Effect of Using Thermomechanical Stimulation and Virtual Reality Glasses During Peripheral Intravenous Catheterization on Pain and Patient Satisfaction: A Randomized Controlled Trial

Introduction

Peripheral intravenous catheterization is a painful procedure that can be uncomfortable for patients. This study was conducted to determine the effects of using a thermomechanical stimulation device and virtual reality glasses on pain and patient satisfaction during peripheral intravenous catheterization procedure in adult patients.

Methods

The research was conducted as a randomized controlled experimental study between June 2021 and February 2022. The sample consisted of 126 voluntarily participating patients. Patients were randomized homogeneously according to sex into the thermomechanical stimulation group, the virtual reality glasses group, or the control group. During peripheral intravenous catheterization procedures, patients in the thermomechanical stimulation group were treated with a cold vibrating device and patients in the virtual reality glasses group were shown a nature video. Data were collected using a baseline demographics form and a visual analog scale. The pain visual analog scale ranges from 0 to 10, with 0 being the best, and the satisfaction visual analog scale ranges from 0 to 10, with 10 being the best. The study was conducted based on Consolidated Standards of Reporting Trials guidelines, and the ClinicalTrials.gov ID number of the study is NCT05422287.

Results

Visual analog scale pain scores with mean (SD) for the virtual reality glasses, thermomechanical stimulation, and control groups were 2.71 (SD 1.45) 2.66 (SD 1.22), and 4.85 SD (1.71), respectively. Visual analog scale satisfaction scores with mean (SD) for the virtual reality glasses, thermomechanical stimulation, and control groups were 8.19 (SD 1.40), 8.30 (SD 1.52), and 6.11 (SD 1.31), respectively. Thus, the pain scores of patients in both experimental groups were statistically and clinically significantly lower than those in the control group and their satisfaction scores increased (P<.05). Reductions in pain and increases in patient satisfaction did not differ statistically between the thermomechanical stimulation and virtual reality glasses groups (P>.05).

Discussion

Thermomechanical stimulation and virtual reality glasses were found to reduce pain and increase patient satisfaction during peripheral intravenous catheterization insertion in adult patients. It is recommended that nurses use thermomechanical stimulation or virtual reality glasses during peripheral intravenous catheterization procedures.

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来源期刊

Journal of Emergency Nursing 医学-护理

CiteScore

3.10

自引率

11.80%

发文量

132

审稿时长

46 days

期刊介绍： The Journal of Emergency Nursing, the official journal of the Emergency Nurses Association (ENA), is committed to the dissemination of high quality, peer-reviewed manuscripts relevant to all areas of emergency nursing practice across the lifespan. Journal content includes clinical topics, integrative or systematic literature reviews, research, and practice improvement initiatives that provide emergency nurses globally with implications for translation of new knowledge into practice. The Journal also includes focused sections such as case studies, pharmacology/toxicology, injury prevention, trauma, triage, quality and safety, pediatrics and geriatrics. The Journal aims to mirror the goal of ENA to promote: community, governance and leadership, knowledge, quality and safety, and advocacy.