期刊论文详细信息
Frontiers in Medicine
Effects of immersive virtual reality on sensory overload in a random sample of critically ill patients
Medicine
Matthias Haenggi1  Stephan M. Jakob1  Marie-Madlen Jeitziner2  Michael Single3  Stephan M. Gerber3  Aileen C. Naef3  René M. Müri4  Tobias Nef4 
[1] Department of Intensive Care Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland;Department of Intensive Care Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland;Department of Public Health (DPH), Faculty of Medicine, Institute of Nursing Science (INS), University of Basel, Basel, Switzerland;Gerontechnology and Rehabilitation Group, ARTORG Center For Biomedical Engineering Research, University of Bern, Bern, Switzerland;Gerontechnology and Rehabilitation Group, ARTORG Center For Biomedical Engineering Research, University of Bern, Bern, Switzerland;Department of Neurology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland;
关键词: virtual reality;    intensive care unit;    critical care;    relaxation;    feasibility;   
DOI  :  10.3389/fmed.2023.1268659
 received in 2023-07-28, accepted in 2023-09-14,  发布年份 2023
来源: Frontiers
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【 摘 要 】

BackgroundSensory overload and sensory deprivation have both been associated with negative health outcomes in critically ill patients. While there is a lack of any clear treatment or prevention strategies, immersive virtual reality is a promising tool for addressing such problems, but which has not been repetitively tested in random samples. Therefore, this study aimed to determine how critically ill patients react to repeated sessions of immersive virtual reality.MethodsThis exploratory study was conducted in the mixed medical–surgical intermediate care unit of the University Hospital of Bern (Inselspital). Participants (N = 45; 20 women, 25 men; age = 57.73 ± 15.92 years) received two immersive virtual reality sessions via a head-mounted display and noise-canceling headphones within 24 h during their stay in the unit. Each session lasted 30-min and showed a 360-degree nature landscape. Physiological data were collected as part of the participants’ standard care, while environmental awareness, cybersickness, and general acceptance were assessed using a questionnaire designed by our team (1 = not at all, 10 = extremely).ResultsDuring both virtual reality sessions, there was a significant negative linear relationship found between the heart rate and stimulation duration [first session: r(43) = −0.78, p < 0.001; second session: r(38) = −0.81, p < 0.001] and between the blood pressure and stimulation duration [first session: r(39) = −0.78, p < 0.001; second session: r(30) = −0.78, p < 0.001]. The participants had a high comfort score [median (interquartile range {IQR}) = 8 (7, 10); mean = 8.06 ± 2.31], did not report being unwell [median (IQR) = 1 (1, 1); mean = 1.11 ± 0.62], and were not aware of their real-world surroundings [median (IQR) = 1 (1, 5); mean = 2.99 ± 3.22].ConclusionThe subjectively reported decrease in environmental awareness as well as the decrease in the heart rate and blood pressure over time highlights the ability of immersive virtual reality to help critically ill patients overcome sensory overload and sensory deprivation. Immersive virtual reality can successfully and repetitively be provided to a randomly selected sample of critically ill patients over a prolonged duration.

【 授权许可】

Unknown   
Copyright © 2023 Naef, Gerber, Single, Müri, Haenggi, Jakob, Jeitziner and Nef.

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