在姑息治疗中使用虚拟现实的潜在心理风险及解决方案

IF 3.2 Q2 COMPUTER SCIENCE, SOFTWARE ENGINEERING Frontiers in virtual reality Pub Date : 2023-09-13 DOI:10.3389/frvir.2023.1256641
Olive K. L. Woo, Antoinette M. Lee
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引用次数: 0

摘要

初步证据表明,虚拟现实(VR)可以有效地减轻姑息性症状。虽然这些发现为VR暴露改善患者身体和情绪症状的能力提供了积极的启示,但VR可能有负面影响。由于报告的大多数不良反应与身体风险或技术挑战有关,因此关于姑息治疗环境中VR暴露可能造成的心理风险的报告很少,这是一个值得关注的领域。这是一个可能对未来临床实践和研究在姑息治疗中使用VR产生重大影响的领域。根据一名注册临床心理学家在姑息治疗单位实施VR 3年的临床经验,我们提出了在姑息治疗中使用VR的潜在心理并发症的观点。我们的临床经验表明,对患者有益的理想虚拟环境可能并不总是符合现实预期,如果考虑使用VR,则需要特别预防措施以尽量减少可能的心理伤害。这篇前瞻性文章进一步提出了三种方法,旨在最大限度地减少可能的心理危害:在虚拟现实管理之前进行心理评估,在虚拟现实之后进行心理干预,以及对虚拟现实辅导员进行专业培训。我们希望我们亲身见证的关注和观点可以提醒未来的VR促进者注意在接受姑息治疗的患者中使用VR的潜在心理危害,并启发未来的研究以尽量减少心理伤害。
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A perspective on potential psychological risks and solutions of using virtual reality in palliative care
Initial evidence suggests that virtual reality (VR) can effectively reduce palliative symptoms. While such findings shed a positive light on the ability of VR exposure to improve patients’ physical and emotional symptoms, VR could have downsides with adverse effects. As most of the reported adverse effects are related to physical risks or technical challenges, there is a scarcity of reports on possible psychological risks posed by VR exposure in palliative care settings, an area with considerable concerns. This is an area that is likely to have a significant impact on the future of clinical practice and research on the use of VR in palliative care. Based on the clinical experience of a registered clinical psychologist who has delivered VR in a palliative care unit for 3 years, we put forward a perspective on the potential psychological complications of using VR in palliative care. Our clinical experiences show that exposure to a desirable virtual environment that is beneficial to patients might not always align with realistic expectations, and that should the use of VR be considered, special precautions are needed to minimize possible psychological harms. This perspective article further proposes three approaches aiming to minimize possible psychological hazards: incorporation of psychological assessment prior to VR administration, psychological interventions right after VR, and professional training of the VR facilitators. We hope that our personally witnessed concerns and perspectives can alert future VR facilitators to the potential psychological hazards of using VR for patients receiving palliative care and inspire future research to minimize psychological harms.
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CiteScore
5.80
自引率
0.00%
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0
审稿时长
13 weeks
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