首次通过虚拟现实体验手术:膝关节手术病例报告

IF 1.6 4区 医学 Q2 NURSING Journal of Perianesthesia Nursing Pub Date : 2024-10-24 DOI:10.1016/j.jopan.2024.07.013
Aydanur Aydin, Ahmet Kıvanç Menekşeoğlu, Kerim Öner, Engin Ertürk
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引用次数: 0

摘要

接受手术的决定和手术室环境的重要性受到多种因素的影响,这些因素因人而异。对手术室环境的负面看法会影响接受手术的决定和治疗过程。虚拟现实(VR)技术通过提供不同的环境感知,为改变个人的环境遭遇提供了可能。本案例研究评估了对一名没有手术经验的患者在手术过程中应用 VR 模拟的结果。一名计划接受关节镜半月板手术的男性患者是 VR 模拟的对象。从进入手术室到离开手术室,病人对模拟环境的感知一直通过 VR 护目镜传输。不过,在实施麻醉期间,VR 应用程序被终止,而且没有对病人进行任何术前用药。VR 应用程序包括在森林、湖岸和草地等不同区域的自然漫步,并伴有鸟叫声。使用视觉模拟量表评估疼痛程度,并使用步行测试表收集数据。患者是一名 35 岁的男性,高中毕业,第一次接受外科手术。患者对接受手术的决定表示担忧和恐惧。患者的术前焦虑评分为 9 分(满分 10 分),但手术后焦虑评分降至 1 分(满分 10 分)。患者对手术体验的满意度为 9 分(满分 10 分)。患者在术中和术后 10 小时内都不需要镇静剂或镇痛剂。术后 15 小时时,患者成功下床活动。患者对应用效果非常满意。在手术过程中使用虚拟现实技术有可能减少术前用药的必要性,并提高患者术后的依从性。
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The First Surgery Experienced Through Virtual Reality: A Knee Surgery Case Report.

The decision to undergo surgery and the significance of the operating theater environment are influenced by several factors, which vary from person to person. Negative perceptions of the operating room environment can influence the decision to undergo surgery and the process of treatment. Virtual reality (VR) technology offers the potential to alter individuals' environmental encounters through the provision of diverse environmental perceptions. This case study evaluates the results of a VR simulation applied during surgery to an individual with no previous surgical experience. A male patient scheduled for arthroscopic meniscus surgery was the subject of a VR simulation. The patient's perception of the simulated environment was transmitted through VR goggles from the time he entered the operating room until he left. However, the VR application was terminated during the administration of anesthesia, and no premedication was administered to the patient. The VR application included nature walks in various regions, including forests, lakeshores, and meadows, accompanied by the sound of birds. Data were collected using a visual analog scale to assess pain levels and a walking test form. The patient, a 35-year-old male, is a high school graduate and is undergoing his first surgical procedure. The patient expressed concerns and fears regarding the decision to undergo surgery. The patient's preoperative anxiety was rated at 9 out of 10 but subsequently decreased to 1 out of 10 following the surgical procedure. The patient rated his satisfaction with the surgical experience as 9 out of 10. The patient did not require sedatives or analgesics during the intraoperative period or for the first 10 hours following the operation. The patient was successfully mobilized at the 15-hour mark following surgery. The patient was highly satisfied with the application. The utilization of VR during surgical procedures has the potential to reduce the necessity for premedication and enhance postoperative compliance among patients.

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来源期刊
CiteScore
2.20
自引率
17.60%
发文量
279
审稿时长
90 days
期刊介绍: The Journal of PeriAnesthesia Nursing provides original, peer-reviewed research for a primary audience that includes nurses in perianesthesia settings, including ambulatory surgery, preadmission testing, postanesthesia care (Phases I and II), extended observation, and pain management. The Journal provides a forum for sharing professional knowledge and experience relating to management, ethics, legislation, research, and other aspects of perianesthesia nursing.
期刊最新文献
Evaluation of Postanesthesia Handoff Checklist on Patient Outcomes in an Adult Postanesthesia Care Unit. Determination of Compassion Satisfaction and Compassion Fatigue Among Surgical Nurses. Nebulized Dexmedetomidine for Sedation and Mask Acceptance in Pediatric Patients Undergoing Surgery: A Systematic Review and Meta-analysis of Randomized Controlled Trials. Effects of Auricular Acupressure on Postoperative Nausea and Vomiting in Patients With Gynecological Laparoscopic Surgery: A Randomized Controlled Trial. Noise in the Postanesthesia Care Unit: Identifying Potential Causes for Increased Noise Levels.
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