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Effects of virtual reality on anxiety and pain in adult patients undergoing wound-closure procedures: A pilot randomized controlled trial.
Ko, S Y; Wong, Eliza Ml; Ngan, T L; Leung, H K; Kwok, Kennis Ty; Tam, H F; Chan, C C.
Afiliación
  • Ko SY; Accident and Emergency Department, Tuen Mun Hospital, Hospital Authority, Hong Kong, China.
  • Wong EM; School of Nursing, Tung Wah College, Hong Kong, China.
  • Ngan TL; Accident and Emergency Department, Tuen Mun Hospital, Hospital Authority, Hong Kong, China.
  • Leung HK; Accident and Emergency Department, Tuen Mun Hospital, Hospital Authority, Hong Kong, China.
  • Kwok KT; Accident and Emergency Department, Tuen Mun Hospital, Hospital Authority, Hong Kong, China.
  • Tam HF; Accident and Emergency Department, Tuen Mun Hospital, Hospital Authority, Hong Kong, China.
  • Chan CC; Accident and Emergency Department, Tuen Mun Hospital, Hospital Authority, Hong Kong, China.
Digit Health ; 10: 20552076241250157, 2024.
Article en En | MEDLINE | ID: mdl-38846363
ABSTRACT

Background:

In emergency departments, suturing is a typical procedure for closing lacerated wounds but is invasive and often causes anxiety and pain. Virtual reality (VR) intervention has been reported as a relaxing measure.

Objective:

The study aims to examine the effects of VR intervention on anxiety, pain, physiological parameters, local anesthesia requirements and satisfaction in Chinese adult patients undergoing wound closure in emergency departments in Hong Kong.

Methods:

Adult patients who had lacerated wounds and were undergoing wound closure by suturing can communicate in Chinese and were hemodynamically stable were invited for this trial. Eighty patients were randomly assigned to the VR group, which received VR intervention and standard care, or to the control group, which received standard care only. The primary outcome was anxiety, and the secondary outcomes included pain, blood pressure, pulse rate, satisfactory with pain management, service satisfactory, and extra local analgesia requirement. Outcomes were conducted at baseline, during the procedure and 5 min after the procedure.

Results:

The VR group had a significantly greater reduction in anxiety (p < 0.001), pain (p < 0.001), systolic blood pressure (p < 0.001), diastolic blood pressure (p < 0.001), pulse rate (p = 0.003) and requested less amount of additional local anesthesia (p = 0.025). The satisfactory level with pain management (p = 0.019) and service (p = 0.002) were significantly higher in participants who received VR intervention. In addition, most participants preferred to have VR in the future, and no major adverse events associated with the use of VR were reported.

Conclusion:

This pilot study provides insight into the use of VR and the direction of future studies. It may effectively improve psychological and physiological outcomes in adult patients during wound-closure procedures in emergency departments.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Digit Health Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Digit Health Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Estados Unidos