{"title":"虚拟现实技术对ICU重症患者谵妄、睡眠质量和负性情绪的影响","authors":"Liang Guo, Jingqi Zhang","doi":"10.1016/j.amepre.2025.107907","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><div>To investigate the effects of virtual reality technology on delirium, sleep quality, and negative emotions in critically ill patients in the intensive care unit (ICU), with the aim of assessing its potential application in clinical nursing</div></div><div><h3>Method</h3><div>A cohort of critically ill patients in the ICU underwent virtual reality interventions, which included immersive virtual environment experiences designed to alleviate patient anxiety and discomfort. Pre- and post-intervention assessments were conducted using the delirium assessment scale, the Pittsburgh Sleep Quality Index (PSQI), and a negative emotion scale to compare changes and quantify the effects of virtual reality technology.</div></div><div><h3>Results</h3><div>Following the intervention, the incidence of delirium significantly decreased, with patients’ scores on the delirium assessment scale showing a notable decline compared to pre-intervention levels (P<0.05), indicating a positive effect of virtual reality interventions in the prevention of delirium. In terms of sleep quality, patients demonstrated significant improvements in PSQI scores post-intervention (P<0.01), reflecting the effectiveness of virtual reality technology in enhancing sleep quality. Additionally, scores on the negative emotion scale also significantly decreased (P<0.01), indicating a substantial alleviation of patients’ anxiety and depressive symptoms.</div></div><div><h3>Discussion</h3><div>Virtual reality technology exhibits significant intervention effects in the nursing care of critically ill patients in the ICU, effectively reducing the incidence of delirium, improving sleep quality, and mitigating negative emotions. This technology offers an innovative psychological intervention approach for critically ill patients, demonstrating promising clinical application prospects that warrant further promotion and research in future nursing practice.</div></div>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":"69 2","pages":"Article 107907"},"PeriodicalIF":4.5000,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Impact of Virtual Reality Technology on Delirium, Sleep Quality, and Negative Emotions in Critically Ill Patients in the ICU\",\"authors\":\"Liang Guo, Jingqi Zhang\",\"doi\":\"10.1016/j.amepre.2025.107907\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><div>To investigate the effects of virtual reality technology on delirium, sleep quality, and negative emotions in critically ill patients in the intensive care unit (ICU), with the aim of assessing its potential application in clinical nursing</div></div><div><h3>Method</h3><div>A cohort of critically ill patients in the ICU underwent virtual reality interventions, which included immersive virtual environment experiences designed to alleviate patient anxiety and discomfort. Pre- and post-intervention assessments were conducted using the delirium assessment scale, the Pittsburgh Sleep Quality Index (PSQI), and a negative emotion scale to compare changes and quantify the effects of virtual reality technology.</div></div><div><h3>Results</h3><div>Following the intervention, the incidence of delirium significantly decreased, with patients’ scores on the delirium assessment scale showing a notable decline compared to pre-intervention levels (P<0.05), indicating a positive effect of virtual reality interventions in the prevention of delirium. In terms of sleep quality, patients demonstrated significant improvements in PSQI scores post-intervention (P<0.01), reflecting the effectiveness of virtual reality technology in enhancing sleep quality. Additionally, scores on the negative emotion scale also significantly decreased (P<0.01), indicating a substantial alleviation of patients’ anxiety and depressive symptoms.</div></div><div><h3>Discussion</h3><div>Virtual reality technology exhibits significant intervention effects in the nursing care of critically ill patients in the ICU, effectively reducing the incidence of delirium, improving sleep quality, and mitigating negative emotions. This technology offers an innovative psychological intervention approach for critically ill patients, demonstrating promising clinical application prospects that warrant further promotion and research in future nursing practice.</div></div>\",\"PeriodicalId\":50805,\"journal\":{\"name\":\"American Journal of Preventive Medicine\",\"volume\":\"69 2\",\"pages\":\"Article 107907\"},\"PeriodicalIF\":4.5000,\"publicationDate\":\"2025-07-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"American Journal of Preventive Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0749379725003988\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Journal of Preventive Medicine","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0749379725003988","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
The Impact of Virtual Reality Technology on Delirium, Sleep Quality, and Negative Emotions in Critically Ill Patients in the ICU
Introduction
To investigate the effects of virtual reality technology on delirium, sleep quality, and negative emotions in critically ill patients in the intensive care unit (ICU), with the aim of assessing its potential application in clinical nursing
Method
A cohort of critically ill patients in the ICU underwent virtual reality interventions, which included immersive virtual environment experiences designed to alleviate patient anxiety and discomfort. Pre- and post-intervention assessments were conducted using the delirium assessment scale, the Pittsburgh Sleep Quality Index (PSQI), and a negative emotion scale to compare changes and quantify the effects of virtual reality technology.
Results
Following the intervention, the incidence of delirium significantly decreased, with patients’ scores on the delirium assessment scale showing a notable decline compared to pre-intervention levels (P<0.05), indicating a positive effect of virtual reality interventions in the prevention of delirium. In terms of sleep quality, patients demonstrated significant improvements in PSQI scores post-intervention (P<0.01), reflecting the effectiveness of virtual reality technology in enhancing sleep quality. Additionally, scores on the negative emotion scale also significantly decreased (P<0.01), indicating a substantial alleviation of patients’ anxiety and depressive symptoms.
Discussion
Virtual reality technology exhibits significant intervention effects in the nursing care of critically ill patients in the ICU, effectively reducing the incidence of delirium, improving sleep quality, and mitigating negative emotions. This technology offers an innovative psychological intervention approach for critically ill patients, demonstrating promising clinical application prospects that warrant further promotion and research in future nursing practice.
期刊介绍:
The American Journal of Preventive Medicine is the official journal of the American College of Preventive Medicine and the Association for Prevention Teaching and Research. It publishes articles in the areas of prevention research, teaching, practice and policy. Original research is published on interventions aimed at the prevention of chronic and acute disease and the promotion of individual and community health.
Of particular emphasis are papers that address the primary and secondary prevention of important clinical, behavioral and public health issues such as injury and violence, infectious disease, women''s health, smoking, sedentary behaviors and physical activity, nutrition, diabetes, obesity, and substance use disorders. Papers also address educational initiatives aimed at improving the ability of health professionals to provide effective clinical prevention and public health services. Papers on health services research pertinent to prevention and public health are also published. The journal also publishes official policy statements from the two co-sponsoring organizations, review articles, media reviews, and editorials. Finally, the journal periodically publishes supplements and special theme issues devoted to areas of current interest to the prevention community.