Using immersive virtual reality distraction to reduce fear and anxiety before surgery
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.14/42940 |
Resumo: | Presurgical anxiety is very common and is often treated with sedatives. Minimizing or avoiding sedation reduces the risk of sedation-related adverse events. Reducing sedation can increase early cognitive recovery and reduce time to discharge after surgery. The current case study is the first to explore the use of interactive eye-tracked VR as a nonpharmacologic anxiolytic customized for physically immobilized presurgery patients. Method: A 44-year-old female patient presenting for gallbladder surgery participated. Using a within-subject repeated measures design (treatment order randomized), the participant received no VR during one portion of her preoperative wait and interactive eye-tracked virtual reality during an equivalent portion of time in the presurgery room. After each condition (no VR vs. VR), the participant provided subjective 0–10 ratings and state–trait short form Y anxiety measures of the amount of anxiety and fear she experienced during that condition. Results: As predicted, compared to treatment as usual (no VR), the patient reported having 67% lower presurgical anxiety during VR. She also experienced “strong fear” (8 out of 10) during no VR vs. “no fear” (0 out of 10) during VR. She reported a strong sense of presence during VR and zero nausea. She liked VR, she had fun during VR, and she recommended VR to future patients during pre-op. Interactive VR distraction with eye tracking was an effective nonpharmacologic technique for reducing anticipatory fear and anxiety prior to surgery. The results add to existing evidence that supports the use of VR in perioperative settings. VR technology has recently become affordable and more user friendly, increasing the potential for widespread dissemination into medical practice. Although case studies are scientifically inconclusive by nature, they help identify new directions for future larger, carefully controlled studies. VR sedation is a promising non-drug fear and anxiety management technique meriting further investigation. |
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Using immersive virtual reality distraction to reduce fear and anxiety before surgeryAnalgesiaDigital therapeuticsDistractionHealthcaremHealthNonpharmacologic analgesic techniquesOpioidPainSedationVirtual realityPresurgical anxiety is very common and is often treated with sedatives. Minimizing or avoiding sedation reduces the risk of sedation-related adverse events. Reducing sedation can increase early cognitive recovery and reduce time to discharge after surgery. The current case study is the first to explore the use of interactive eye-tracked VR as a nonpharmacologic anxiolytic customized for physically immobilized presurgery patients. Method: A 44-year-old female patient presenting for gallbladder surgery participated. Using a within-subject repeated measures design (treatment order randomized), the participant received no VR during one portion of her preoperative wait and interactive eye-tracked virtual reality during an equivalent portion of time in the presurgery room. After each condition (no VR vs. VR), the participant provided subjective 0–10 ratings and state–trait short form Y anxiety measures of the amount of anxiety and fear she experienced during that condition. Results: As predicted, compared to treatment as usual (no VR), the patient reported having 67% lower presurgical anxiety during VR. She also experienced “strong fear” (8 out of 10) during no VR vs. “no fear” (0 out of 10) during VR. She reported a strong sense of presence during VR and zero nausea. She liked VR, she had fun during VR, and she recommended VR to future patients during pre-op. Interactive VR distraction with eye tracking was an effective nonpharmacologic technique for reducing anticipatory fear and anxiety prior to surgery. The results add to existing evidence that supports the use of VR in perioperative settings. VR technology has recently become affordable and more user friendly, increasing the potential for widespread dissemination into medical practice. Although case studies are scientifically inconclusive by nature, they help identify new directions for future larger, carefully controlled studies. VR sedation is a promising non-drug fear and anxiety management technique meriting further investigation.Veritati - Repositório Institucional da Universidade Católica PortuguesaFlores, AraceliHoffman, Hunter G.Navarro-Haro, Maria VicentaGarcia-Palacios, AzucenaAtzori, BarbaraLe May, SylvieAlhalabi, WadeeSampaio, MarianaFontenot, Miles R.Mason, Keira P.2023-10-31T14:34:51Z2023-10-092023-10-09T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.14/42940eng2227-903210.3390/healthcare1119269785173853022PMC1057269437830734001083005900001info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-07T01:33:11Zoai:repositorio.ucp.pt:10400.14/42940Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:26:51.159302Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Using immersive virtual reality distraction to reduce fear and anxiety before surgery |
title |
Using immersive virtual reality distraction to reduce fear and anxiety before surgery |
spellingShingle |
Using immersive virtual reality distraction to reduce fear and anxiety before surgery Flores, Araceli Analgesia Digital therapeutics Distraction Healthcare mHealth Nonpharmacologic analgesic techniques Opioid Pain Sedation Virtual reality |
title_short |
Using immersive virtual reality distraction to reduce fear and anxiety before surgery |
title_full |
Using immersive virtual reality distraction to reduce fear and anxiety before surgery |
title_fullStr |
Using immersive virtual reality distraction to reduce fear and anxiety before surgery |
title_full_unstemmed |
Using immersive virtual reality distraction to reduce fear and anxiety before surgery |
title_sort |
Using immersive virtual reality distraction to reduce fear and anxiety before surgery |
author |
Flores, Araceli |
author_facet |
Flores, Araceli Hoffman, Hunter G. Navarro-Haro, Maria Vicenta Garcia-Palacios, Azucena Atzori, Barbara Le May, Sylvie Alhalabi, Wadee Sampaio, Mariana Fontenot, Miles R. Mason, Keira P. |
author_role |
author |
author2 |
Hoffman, Hunter G. Navarro-Haro, Maria Vicenta Garcia-Palacios, Azucena Atzori, Barbara Le May, Sylvie Alhalabi, Wadee Sampaio, Mariana Fontenot, Miles R. Mason, Keira P. |
author2_role |
author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Veritati - Repositório Institucional da Universidade Católica Portuguesa |
dc.contributor.author.fl_str_mv |
Flores, Araceli Hoffman, Hunter G. Navarro-Haro, Maria Vicenta Garcia-Palacios, Azucena Atzori, Barbara Le May, Sylvie Alhalabi, Wadee Sampaio, Mariana Fontenot, Miles R. Mason, Keira P. |
dc.subject.por.fl_str_mv |
Analgesia Digital therapeutics Distraction Healthcare mHealth Nonpharmacologic analgesic techniques Opioid Pain Sedation Virtual reality |
topic |
Analgesia Digital therapeutics Distraction Healthcare mHealth Nonpharmacologic analgesic techniques Opioid Pain Sedation Virtual reality |
description |
Presurgical anxiety is very common and is often treated with sedatives. Minimizing or avoiding sedation reduces the risk of sedation-related adverse events. Reducing sedation can increase early cognitive recovery and reduce time to discharge after surgery. The current case study is the first to explore the use of interactive eye-tracked VR as a nonpharmacologic anxiolytic customized for physically immobilized presurgery patients. Method: A 44-year-old female patient presenting for gallbladder surgery participated. Using a within-subject repeated measures design (treatment order randomized), the participant received no VR during one portion of her preoperative wait and interactive eye-tracked virtual reality during an equivalent portion of time in the presurgery room. After each condition (no VR vs. VR), the participant provided subjective 0–10 ratings and state–trait short form Y anxiety measures of the amount of anxiety and fear she experienced during that condition. Results: As predicted, compared to treatment as usual (no VR), the patient reported having 67% lower presurgical anxiety during VR. She also experienced “strong fear” (8 out of 10) during no VR vs. “no fear” (0 out of 10) during VR. She reported a strong sense of presence during VR and zero nausea. She liked VR, she had fun during VR, and she recommended VR to future patients during pre-op. Interactive VR distraction with eye tracking was an effective nonpharmacologic technique for reducing anticipatory fear and anxiety prior to surgery. The results add to existing evidence that supports the use of VR in perioperative settings. VR technology has recently become affordable and more user friendly, increasing the potential for widespread dissemination into medical practice. Although case studies are scientifically inconclusive by nature, they help identify new directions for future larger, carefully controlled studies. VR sedation is a promising non-drug fear and anxiety management technique meriting further investigation. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-10-31T14:34:51Z 2023-10-09 2023-10-09T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.14/42940 |
url |
http://hdl.handle.net/10400.14/42940 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
2227-9032 10.3390/healthcare11192697 85173853022 PMC10572694 37830734 001083005900001 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.source.none.fl_str_mv |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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