研究虚拟现实眼镜在儿童使用吸入器治疗过程中的效果:随机临床试验

IF 1.8 4区 医学 Q2 PEDIATRICS Paediatrics & child health Pub Date : 2024-05-29 DOI:10.1093/pch/pxae020
Berker Okay, Zeynep Üze Okay
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引用次数: 0

摘要

目的 虚拟现实(VR)眼镜已被用于医疗领域,因为人们认为它适合分散儿童的注意力。在本研究中,我们旨在比较使用 VR 眼镜接受吸入器治疗的患者与不借助任何设备接受治疗的患者在治疗依从性方面的差异。材料与方法 在征得家属知情同意后,我们对需要接受吸入器治疗(沙丁胺醇)的 2 至 5 岁儿童患者进行了一项前瞻性随机对照研究。接受标准治疗的参与研究的患者被随机分为三组:过山车 VR 组、野生海豚 VR 组和无附加装置组。在 15 分钟的吸入器治疗过程中观察患者的哭闹时间、治疗前后医生和家属的问卷数据(脸部、腿部、活动、哭闹、安慰量表[FLACC]、修正的耶鲁焦虑量表[MYPAS]、修正的父母疼痛量表[MPMM]、Wong-Baker 脸部疼痛评分量表[WBS])以及呼吸频率(RR)、外周血氧饱和度和心率值的变化,以确定各组之间的差异。结果 第一组和第二组与对照组相比,治疗后的问卷评分、呼吸频率、哭泣持续时间和疗效均有显著差异。第 1 组和第 2 组在治疗后的心率方面有明显差异,但在其他参数方面没有观察到差异。结论 在吸入器治疗过程中使用 VR 眼镜有可能将疼痛等不良反应降至最低,并提高患者治疗环境的整体舒适度。
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Investigating the effect of virtual reality glasses during inhaler therapy use in children: A randomized clinical trial
Objectives Virtual reality (VR) glasses have been used in the medical field, as they are perceived to be suitable for distracting children. In this study, we aimed to compare patients who received inhaler treatment with VR glasses with those who received treatment without the aid of any device in terms of treatment compliance. Materials and Methods A prospective, randomized controlled study was conducted on pediatric patients aged 2 to 5 years requiring inhaler treatment (salbutamol), with the informed consent of their families. Participating patients who received standard care were divided into three groups via randomization: roller coaster VR group, wild dolphin VR group, and no additional device group. The patients were observed during their 15-minute inhaler treatment, and the groups were compared in terms of crying times, pre- and post-treatment physician and family questionnaire data (Face, Legs, Activity, Cry, Consolabity Scale [FLACC], Modified Yale Anxiety Scale [MYPAS], Modifiye Parents’ Pain Measure [MPMM], Wong–Baker Faces Pain Rating Scale [WBS]), and respiratory rate (RR), peripheral oxygen saturation, and heart rate value changes to determine any differences between them. Results Post-treatment questionnaire scores, RR, crying duration, and efficacy of treatment exhibited significant differences in Groups 1 and 2 compared to the control group. A significant difference was found in the post-treatment RR between groups 1 and 2, but no difference was observed in the other parameters. Conclusions Utilizing VR glasses during inhaler therapy has the potential to minimize adverse effects, such as pain, and enhance the overall comfort of the treatment environment for patients.
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来源期刊
Paediatrics & child health
Paediatrics & child health 医学-小儿科
CiteScore
2.10
自引率
5.30%
发文量
208
审稿时长
>12 weeks
期刊介绍: Paediatrics & Child Health (PCH) is the official journal of the Canadian Paediatric Society, and the only peer-reviewed paediatric journal in Canada. Its mission is to advocate for the health and well-being of all Canadian children and youth and to educate child and youth health professionals across the country. PCH reaches 8,000 paediatricians, family physicians and other child and youth health professionals, as well as ministers and officials in various levels of government who are involved with child and youth health policy in Canada.
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