虚拟疗愈环境干预对血液透析患者感知压力和症状负担的影响  

Effects of a virtual healing environments intervention on perceived stress and symptom burden in hemodialysis patients

作　　者：齐思远 杨倩倩 胡世海 王丽娜 张岩 Qi Siyuan;Yang Qianqian;Hu Shihai;Wang Lina;Zhang Yan(School of Nursing,Xinxiang Medical University,Xinxiang 453000,China)

机构地区：[1]新乡医学院护理学院,河南新乡453000 [2]新乡医学院第一附属医院血液净化室

出　　处：《护理学杂志》2025年第3期78-81,108,共5页Journal of Nursing Science

基　　金：新乡医学院2023年研究生科研创新支持计划资助项目(YJSCX202331Y);河南省科技厅科技攻关项目(212102310671)。

摘　　要：目的 探讨基于虚拟现实技术的虚拟疗愈环境干预对减轻血液透析患者感知压力和症状负担的效果。方法 选取血液透析患者52例,随机分为对照组和干预组各26例,将两组患者分配至不同病房。对照组接受血液透析常规护理,干预组在常规护理基础上,血液透析期间实施虚拟疗愈环境干预,每周3次,持续4周。于干预前、第4周干预后及干预结束后1个月评估两组感知压力和症状负担总分。结果 干预组有25例、对照组有26例完成研究及随访。两组感知压力和症状负担总分比较,时间效应、组间效应和交互效应差异有统计学意义(均P<0.05)。结论 对血液透析患者实施虚拟疗愈环境干预,为患者提供多样性、随时性、重复性和标准化的疗愈环境选择,能有效减轻其感知压力和症状负担,改善其心理健康。Objective To explore the effects of a virtual healing environments intervention based on virtual reality technology on alleviating perceived stress and symptom burden in hemodialysis patients.Methods A total of 52 hemodialysis patients were randomly assigned to a control group and an intervention group,with 26 patients in each,then the two groups were assigned to two different wards.The control group received routine hemodialysis care,while the intervention group additionally received virtual healing environments intervention during hemodialysis,three times a week for four weeks.Perceived stress and symptom burden before the intervention,at the end of the fourth week of the intervention,and one month after the intervention were assessed and compared between the two groups.Results A total of 25 patients in the intervention group and 26 patients in the control group completed the study and follow-up.There were statistically significant differences in the total scores of perceived stress and symptom burden between the two groups,with time effects,group effects,and time × group interaction effects being significant(all P<0.05).Conclusion Implementing virtual healing environments intervention for hemodialysis patients provides a diverse,accessible,repetitive,and standardized therapeutic environment,it can effectively reduce patients′ perceived stress and symptom burden,and improve their mental health.

关 键 词：血液透析 虚拟疗愈环境 虚拟现实技术 感知压力 症状负担 心理健康 护理干预 

分 类 号：R473.5[医药卫生—护理学] R395.5[医药卫生—临床医学]