Using Virtual Reality in a Rehabilitation Program for Patients With Breast Cancer: Phenomenological Study.

IF 3.8 2区 医学 Q1 HEALTH CARE SCIENCES & SERVICES JMIR Serious Games Pub Date : 2024-04-16 DOI:10.2196/44025
Shih-Chung Wu, Chia-Wen Chuang, Wen-Chun Liao, Chung-Fang Li, Hsin-Hsin Shih
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Abstract

Background: Surgery is an essential treatment for early-stage breast cancer. However, various side effects of breast cancer surgery, such as arm dysfunction and lymphedema, remain causes for concern. Rehabilitation exercises to prevent such side effects should be initiated within 24 hours after surgery. Virtual reality (VR) can assist the process of rehabilitation; however, the feasibility of applying VR for rehabilitation must be explored, in addition to experiences of this application.

Objective: This study explored patients' attitudes toward and experiences of using VR for their rehabilitation to determine the feasibility of such VR use and to identify potential barriers.

Methods: A phenomenological qualitative study was conducted from September to December 2021. A total of 18 patients with breast cancer who had undergone surgical treatment were interviewed using open-ended questions. The Colaizzi 7-step procedure for phenomenological analysis was used for data analysis. To ensure high study reliability, this study followed previously reported quality criteria for trustworthiness.

Results: Three themes were identified: (1) VR was powerful in facilitating rehabilitation, (2) early and repetitive upper limb movements were an advantage of VR rehabilitation, and (3) extensive VR use had challenges to be overcome. Most of the interviewed patients reported positive experiences of using VR for rehabilitation. Specifically, VR helped these patients identify appropriate motion and angle limits while exercising; in other words, knowledge gained through VR can play a key role in the rehabilitation process. In addition, the patients reported that the use of VR provided them company, similar to when a physiotherapist is present. Finally, the gamified nature of the VR system seemed to make VR-based rehabilitation more engaging than traditional rehabilitation, particularly with respect to early rehabilitation; however, the high cost of VR equipment made VR-based rehabilitation difficult to implement at home.

Conclusions: The interviewed patients with breast cancer had positive experiences in using VR for rehabilitation. The high cost of both VR equipment and software development presents a challenge for applying VR-based rehabilitation.

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在乳腺癌患者康复计划中使用虚拟现实技术:现象学研究
背景:手术是早期乳腺癌的重要治疗手段。然而,乳腺癌手术的各种副作用,如手臂功能障碍和淋巴水肿,仍然令人担忧。应在术后 24 小时内开始进行康复锻炼,以防止出现此类副作用。虚拟现实(VR)可协助康复过程,但除了应用经验外,还必须探讨将 VR 应用于康复的可行性:本研究探讨了患者对使用 VR 进行康复的态度和经验,以确定使用 VR 的可行性,并找出潜在的障碍:方法:2021 年 9 月至 12 月进行了一项现象学定性研究。共有 18 名接受过手术治疗的乳腺癌患者接受了开放式问题访谈。采用科莱兹现象学分析七步法进行数据分析。为确保研究的高度可靠性,本研究遵循了之前报告的可信度质量标准:研究确定了三个主题(1) 虚拟现实技术在促进康复方面具有强大的作用;(2) 早期和重复性上肢运动是虚拟现实康复的优势;(3) 广泛使用虚拟现实技术需要克服一些挑战。大多数受访患者都报告了使用 VR 进行康复的积极体验。具体而言,VR 帮助这些患者在运动时确定适当的动作和角度限制;换句话说,通过 VR 获得的知识在康复过程中可以发挥关键作用。此外,患者还表示,VR 的使用为他们提供了陪伴,就像理疗师在场时一样。最后,VR 系统的游戏化特性似乎使基于 VR 的康复比传统康复更有吸引力,特别是在早期康复方面;然而,VR 设备的高昂成本使基于 VR 的康复难以在家中实施:结论:受访的乳腺癌患者在使用 VR 进行康复治疗方面有着积极的体验。结论:受访的乳腺癌患者在使用 VR 进行康复治疗方面有着积极的体验,但 VR 设备和软件开发的高昂成本对基于 VR 的康复治疗的应用构成了挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
JMIR Serious Games
JMIR Serious Games Medicine-Rehabilitation
CiteScore
7.30
自引率
10.00%
发文量
91
审稿时长
12 weeks
期刊介绍: JMIR Serious Games (JSG, ISSN 2291-9279) is a sister journal of the Journal of Medical Internet Research (JMIR), one of the most cited journals in health informatics (Impact Factor 2016: 5.175). JSG has a projected impact factor (2016) of 3.32. JSG is a multidisciplinary journal devoted to computer/web/mobile applications that incorporate elements of gaming to solve serious problems such as health education/promotion, teaching and education, or social change.The journal also considers commentary and research in the fields of video games violence and video games addiction.
期刊最新文献
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