Virtual Reality for advanced cancer patients assisted at home: A randomized controlled interventional study.

IF 3.3 2区 医学 Q2 ONCOLOGY Psycho‐Oncology Pub Date : 2024-07-01 DOI:10.1002/pon.6368
Andrea Giannelli, Serena Moscato, Rita Ostan, Raffaella Pannuti, Lorenzo Chiari, Guido Biasco, Silvia Varani
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Abstract

Objective: Virtual Reality (VR) has been demonstrated to be an effective option for integrating psychological interventions in different therapeutic settings. This randomized controlled interventional study aims to assess the effects of VR, compared to tablet controlled intervention, on anxiety, depression, pain, and short-term psychophysical symptoms in advanced cancer patients assisted at home.

Methods: Participants were provided with a VR headset or a tablet (TAB) for 4 days. On the first and last day, anxiety and depression were measured by Hospital Anxiety and Depression Scale and pain by Brief Pain Inventory. Before and after each VR and tablet session, symptoms were collected by the Edmonton Symptom Assessment Scale (ESAS).

Results: Fifty-three patients (27 VR vs. 26 TAB) completed the study. Anxiety significantly decreased in the VR group after the 4-day intervention. The analysis of ESAS showed a significant improvement in pain (p = 0.013), tiredness (p < 0.001), and anxiety (p = 0.013) for TAB group, and a significant reduction in tiredness (p < 0.001) in the VR group.

Conclusions: Technological and user-friendly tools, such as VR and tablets, might be integrated with traditional psychological interventions to improve anxiety and cancer-related short-term symptoms. Further studies are needed to better consolidate the possible beneficial effects of VR.

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为在家接受治疗的晚期癌症患者提供虚拟现实技术:随机对照干预研究。
目的:虚拟现实(VR)已被证明是在不同治疗环境中整合心理干预的有效选择。这项随机对照干预研究旨在评估 VR 与平板电脑对照干预相比,对在家接受协助的晚期癌症患者的焦虑、抑郁、疼痛和短期心理物理症状的影响:为参与者提供为期 4 天的 VR 头显或平板电脑(TAB)。在第一天和最后一天,焦虑和抑郁通过医院焦虑抑郁量表进行测量,疼痛通过简易疼痛量表进行测量。在每次使用 VR 和平板电脑之前和之后,使用埃德蒙顿症状评估量表(ESAS)收集症状:53 名患者(27 名 VR 患者与 26 名 TAB 患者)完成了研究。在为期 4 天的干预后,VR 组的焦虑症明显减轻。对 ESAS 的分析表明,疼痛(p = 0.013)、疲倦(p 结论:VR 组的焦虑明显减轻,而 TAB 组的焦虑明显减轻:VR 和平板电脑等技术和用户友好型工具可与传统心理干预相结合,改善焦虑和与癌症相关的短期症状。要更好地巩固虚拟现实技术可能带来的益处,还需要进一步的研究。
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来源期刊
Psycho‐Oncology
Psycho‐Oncology 医学-心理学
CiteScore
6.30
自引率
8.30%
发文量
220
审稿时长
3-8 weeks
期刊介绍: Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology. This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues. Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.
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