Virtual Reality as a Non-Pharmacological Adjunct to Reduce the Use of Analgesics in Hospitals.

Shunn Theingi, Ian Leopold, Tolulope Ola, Gary S Cohen, Hillel S Maresky
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Abstract

Virtual reality (VR) has become an increasingly viable non-pharmacological adjunct to reduce the use of analgesics in hospitals. Within the context of the ongoing opioid epidemic, VR can serve as an invaluable alternative to traditional pain management techniques. While VR research continues to advance, there is no clear consensus on the terms used to describe critical aspects of VR. This paper presents how immersion, presence, and agency encapsulate the VR experience and investigates the methods by which VR can relieve pain by changing users' cognition and perception of pain. Multiple clinical studies investigating VR efficacy indicate that higher degrees of immersion, presence, and agency are all correlated with greater pain reduction. These studies also demonstrate that VR analgesia is effective for patients with various medical conditions and for those undergoing painful medical procedures. Furthermore, the shared biological mechanisms between pain and anxiety suggest that reducing either through the use of VR will reduce the other. As a nascent field of research, VR analgesia has key obstacles to overcome in order to become a mainstream intervention for pain management in hospital settings.

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虚拟现实技术作为一种非药物辅助手段,可减少医院镇痛剂的使用。
虚拟现实(VR)已成为医院减少镇痛剂使用的一种日益可行的非药物辅助手段。在阿片类药物持续流行的背景下,VR 可以作为传统疼痛治疗技术的宝贵替代品。虽然 VR 研究在不断进步,但在描述 VR 关键方面的术语上还没有达成明确的共识。本文介绍了沉浸感、临场感和代入感如何概括 VR 体验,并研究了 VR 通过改变用户对疼痛的认知和感知来缓解疼痛的方法。调查 VR 疗效的多项临床研究表明,较高程度的沉浸感、临场感和代入感都与疼痛减轻程度相关。这些研究还表明,VR 镇痛对患有各种疾病的病人和正在接受痛苦医疗程序的病人有效。此外,疼痛和焦虑之间的共同生物机制表明,通过使用 VR 减少其中一种疼痛会减轻另一种焦虑。作为一个新兴的研究领域,VR 镇痛要想成为医院疼痛治疗的主流干预措施,还需要克服一些关键的障碍。
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