| 苏丹丹,赵倩文,汪美如,等.基于虚拟现实技术的术前宣教对乳腺癌病人术前焦虑与术后疼痛的影响[J].安徽医药,2025,29(9):1773-1777. |
| 基于虚拟现实技术的术前宣教对乳腺癌病人术前焦虑与术后疼痛的影响 |
| Effect of virtual reality based preoperative education on preoperative anxiety and postoperative pain of patients undergoing breast neoplasms surgery |
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| DOI：10.3969/j.issn.1009-6469.2025.09.015 |
| 中文关键词: 围手术期医护 健康教育 焦虑，术前 疼痛，手术后 虚拟现实技术 乳腺癌 麻醉，满意度 |
| 英文关键词: Perioperative care Health education Anxiety,preoperative Pain,postoperative Virtual reality exposure therapy Breast neoplasms Patient satisfaction,anesthetics |
| 基金项目:国家自然科学基金资助项目( 82071903)；徐州市彭城英才 -医学青年后备人才培养项目(XWRCHT20220017)；徐州市医学领军人才培养项目( XWRCHT20210033) |
| 作者 | 单位 | E-mail | | 苏丹丹 | 徐州医科大学麻醉学院,江苏徐州,221009
徐州医科大学徐州临床学院,江苏徐州 221009 | | | 赵倩文 | 徐州医科大学徐州临床学院,江苏徐州 221009 | | | 汪美如 | 徐州医科大学徐州临床学院,江苏徐州 221009 | | | 孙斌 | 徐州市中心医院麻醉科,江苏徐州 221009 | | | 孟宣 | 徐州医科大学麻醉学院,江苏徐州,221009 | | | 王立伟 | 徐州医科大学麻醉学院,江苏徐州,221009
徐州医科大学徐州临床学院,江苏徐州 221009 | doctorlww@sina.com |
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| 中文摘要: |
| 目的评价基于虚拟现实( VR)技术的术前宣教对乳腺癌手术病人术前焦虑及术后疼痛的影响。方法选取徐州市中心医院 2023年 7―10月拟在全麻下行乳腺癌手术的女性病人 80例，采用分层区组随机化分成两组:基于 VR技术的术前宣教组(VR组， n=40)，常规术前宣教组(C组， n=40)。手术前 1天， VR组使用 VR技术进行术前宣教， C组常规术前宣教。采用状态焦虑问卷评分评估病人术前焦虑水平，采用数字疼痛评分量表( NRS)评估病人术后各时间点( 24、48、72 h)疼痛水平。主要结局指标为手术当天状态焦虑问卷得分。结果与 C组相比， VR组手术当天状态焦虑问卷评分［( 46.50±10.39)分比( 52.85±10.28)分］、术后 24 h［(2.500±1.240)分比( 3.450±1.061)分］、 48 h［( 1.475±0.640)分比( 2.350±0.864)分］时 NRS疼痛评分均低于 C组( P<0.05)VR组首次要求补救镇痛的时间晚于 C组( P<0.05)。两组病人术后 72 h时 NRS评分差异无统计学意义( P>0.05)，VR组麻醉满意度评分高于 C组( P<0.05)。结论基于 VR技术的术前宣教能降低乳腺癌手术病人术前焦虑和术病人，后疼痛水平，改善病人手术与麻醉体验，提高病人麻醉满意度。 |
| 英文摘要: |
| Objective To evaluate the effect of preoperative education based on virtual reality technology on preoperative anxiety andpostoperative pain in patients undergoing breast cancer surgery.Methods A total of 80 female patients scheduled for breast cancersurgery under general anesthesia in Xuzhou Central Hospital from July to October were selected and assigned into two groups by strati-fied block randomization: preoperative education based on virtual reality technology group (VR group, n=40) and conventional preopera-tive education group (C group, n=40). On the day before surgery, VR group received preoperative education based on virtual realitytechnology, while C group received routine preoperative education. The preoperative anxiety level was evaluated by State Anxiety Inven-tory (SAI), and the pain level was evaluated by Numeric Rating Scale (NRS) for pain at each time point ( 24 h, 48 h, 72 h) after opera-tion. The primary outcome measure was the State Anxiety Inventory score on the day of surgery.Results Compared with C group, the scores of SAI on the day of operation [(46.50±10.39) points vs. (52.85±10.28) points] and NRS pain scores at 24 h [(2.500±1.240) points vs. (3.450±1.061) points] and 48 h [(1.475±0.640) points vs. (2.350±0.864) points] after operation in VR group were significantly lower (P<0.05), and the time to first request for rescue analgesia in VR group was later than that in C group (P<0.05). There was no signifi-cant difference in NRS score between the two groups at 72 hours after operation (P>0.05). The anesthesia satisfaction score in VR group was higher than that in C group (P<0.05).Conclusion Preoperative education based on virtual reality technology can reduce thepreoperative anxiety and postoperative pain levels of patients undergoing breast cancer surgery, improve the surgical and anesthetic ex-perience of patients, and enhance the anesthesia satisfaction of patients. |
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