在老年住院患者护理过程中使用虚拟现实技术管理疼痛和焦虑：一项随机对照试验的研究方案

IF 1.9 3区医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL

Contemporary clinical trials Pub Date : 2025-06-23 DOI:10.1016/j.cct.2025.107990

Camille Corbel , Flora Le Cerf , Françoise Capriz , Anne Julie Vaillant-Ciszewicz , Jean Breaud , Olivier Guérin , Xavier Corveleyn

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引用次数: 0

摘要

医疗环境，特别是在老年护理环境中，可能是患者压力和焦虑的来源。这在反复发作和痛苦的护理过程中尤其如此，例如伤口敷料（用于压疮、外科伤口或慢性溃疡）和物理治疗过程，这在医院很常见。在这种情况下，身体疼痛、情感脆弱和机构常规的结合导致了全球压力环境，潜在地损害了护理质量并增加了护理失败的风险。虚拟现实（VR）提供了有希望的补充策略，以减少手术过程中的焦虑和疼痛。本研究旨在评估和比较个性化和非个性化虚拟现实干预相对于标准护理对老年住院患者疼痛和焦虑水平的有效性。方法该单中心随机对照试验将从法国尼斯Cimiez医院的老年服务部门招募120名参与者，包括康复和随访护理部门、长期护理部门和养老院。参与者将被随机分配到三组中的一组：对照组（标准护理），个性化VR组或非个性化VR组。每位参与者将在疼痛护理期间进行观察，并在手术前、过程中和手术后立即评估疼痛和焦虑。本研究旨在评估个性化和非个性化虚拟现实干预在缓解老年住院患者疼痛和焦虑方面的有效性，并将其与标准护理进行比较。最后，还将考虑相关保健专业人员的经验，以评估这些干预措施对工作条件和患者支持的影响。临床试验注册：clinicaltrials .gov, NCT05759026。注册日期：2023年3月8日

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The management of pain and anxiety using virtual reality during the care of elderly hospitalized patients: Study protocol for a randomized controlled trial

Background

The medical environment, particularly in geriatric care settings, can be a source of stress and anxiety for patients. This is especially true during recurrent and painful care procedures—such as wound dressing (for pressure ulcers, surgical wounds, or chronic sores) and physiotherapy sessions—which are common in hospitals. In this context, the combination of physical pain, emotional vulnerability, and institutional routines contributes to a globally stressful environment, potentially impairing care quality and increasing the risk of care failure. Virtual reality (VR) offers promising complementary strategies to reduce anxiety and pain during such procedures.

Objective

This study aims to assess and compare the effectiveness of personalized and non-personalized virtual reality interventions on pain and anxiety levels in elderly hospitalized patients, relative to standard care.

Method

This single-center, randomized controlled trial will involve 120 participants recruited from the geriatric services of Cimiez Hospital in Nice, France, including rehabilitation and follow-up care units, long-term care units, and nursing homes. Participants will be randomly assigned to one of three groups: control group (standard care), personalized VR group, or non-personalized VR group. Each participant will be observed during a painful care session, and pain and anxiety will be assessed before, during, and immediately after the procedure.

Discussion

This research aims to evaluate the effectiveness of a personalized and non-personalized virtual reality intervention in relieving pain and anxiety among older hospitalized individuals and compare it with standard care. Finally, the experiences of healthcare professionals involved will also be considered to assess the impact of these interventions on working conditions and patient support.

Trial registration

ClinicalTrials.gov, NCT05759026. Registered on March 8, 2023.

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来源期刊

Contemporary clinical trials 医学-药学

CiteScore

3.70

自引率

4.50%

发文量

281

审稿时长

44 days

期刊介绍： Contemporary Clinical Trials is an international peer reviewed journal that publishes manuscripts pertaining to all aspects of clinical trials, including, but not limited to, design, conduct, analysis, regulation and ethics. Manuscripts submitted should appeal to a readership drawn from disciplines including medicine, biostatistics, epidemiology, computer science, management science, behavioural science, pharmaceutical science, and bioethics. Full-length papers and short communications not exceeding 1,500 words, as well as systemic reviews of clinical trials and methodologies will be published. Perspectives/commentaries on current issues and the impact of clinical trials on the practice of medicine and health policy are also welcome.