虚拟现实分散患者注意力缓解伤口换药焦虑的效果  

The effct of the Virtual reality on anxiety caused by wound dressing change

作　　者：郭春兰[1,2] 付向阳[1,2] 

机构地区：[1]三峡大学第一临床医学院 [2]宜昌市中心人民医院门诊外科,湖北宜昌443003

出　　处：《吉林医学》2013年第30期6348-6349,共2页Jilin Medical Journal

基　　金：宜昌市中心人民医院科研基金资助项目[项目编号KFJ2013031]

摘　　要：目的:探讨虚拟现实分散患者注意力缓解伤口换药焦虑的效果。方法:90例腿部溃疡的患者按换药的先后顺序随机分为A组、B组、C组,A组与B组分别采用虚拟现实技术、听音乐分散注意力,C组换药时不分散注意力。换药的所有操作由同一名伤口治疗师使用相同的方法完成,采用状态焦虑问卷评估患者的焦虑水平。结果:三组换药后的焦虑评分均降低(P<0.05),组间两两比较,A组与B组之间差异无统计学意义(P>0.05),A组和C组、B组和C组之间差异有统计学意义(P<0.01)。结论:虚拟现实技术和听音乐均能有效缓解换药中患者的焦虑情绪,但虚拟现实因使患者高度投入到虚拟环境而获得较好的焦虑缓解效果(尽管两组间未达统计学意义),临床中应根据患者的焦虑水平和喜好选择有效合适的缓解措施。Objective To explore the effect of the Virtual reality on anxiety caused by wound dressing.Methods 90 cases undergoing wound dressing were randomly divided into A、B、C groups,group A abd B were assigned to virtual reality（VR） and music group while group C was non-virtual reality group（NO-VR）,questionnaire was used to assess the level of anxiety.Results The anxiety score of three groups decreased,The comparision between the VR group and NO-VR group had statistical signifcance（P〈0.05）.Conclusion The virtual reality technology and music can effectively relieve anxiety in wound dressing by enhancing the patient＇s focus level.

关 键 词：伤口换药 焦虑 虚拟现实 听音乐 分散注意力 

分 类 号：R472[医药卫生—护理学]