目的 探讨虚拟现实（VR）技术在晚期癌症患者安宁疗护症状管理中的应用效果。方法 选取2022年7月到2024年1月在浙江省某肿瘤专科医院接受治疗的61例复发/转移的晚期癌症住院患者为研究对象,给予1次30 min的VR放松体验。运用埃德蒙顿症状评估系统（ESAS）中文版对患者的躯体及情绪症状在干预前后即时进行多维度评估,以评价有效性。并使用11点数字评价量表（NRS）即时评估患者在干预前后头晕变化,以观察不良反应发生情况。结果 61例入组患者经VR放松干预后,ESAS评分明显低于干预前,且差异具有统计学意义（P<0.05）。头晕NRS评分高于干预前,差异具有统计学意义（P<0.05）。干预后9例患者出现轻度头晕或头晕稍微加重现象,发生率为15%。头晕NRS评分波动在1~2分之间,均可自行缓解。结论 虚拟现实技术在晚期癌症患者安宁疗护中的应用,可有效改善晚期癌症患者即时的疼痛、疲乏、恶心、厌食,焦虑和抑郁等症状,且安全可靠,VR技术有望成为晚期癌症患者安宁疗护症状管理中的一种辅助治疗技术。
Abstract
Objective To explore the application effect of virtual reality (VR) technology in symptom management of hospice care for patients with advanced cancer. Methods Sixty-one advanced cancer patients with recurrence/metastasis who received treatment at a specialized cancer hospital in Zhejiang Province from July 2022 to January 2024 were selected for the study and provided one 30-minute VR relaxation experience. The Edmonton Symptom Assessment System (ESAS)---Chinese version was used to conduct multidimensional evaluations of the physical and emotional symptoms of patients before and after intervention to evaluate the effectiveness, and the 11 point Numeric Rating Scale (NRS) to immediately evaluate the changes in dizziness of patients before and after intervention to observe the occurrence of adverse reactions. Results After the VR relaxation intervention, the ESAS score of 61 enrolled patients were significantly lower than that before the intervention, and the difference was statistically significant (P<0.05). The NRS score for dizziness was higher than that before intervention, and the difference was statistically significant (P<0.05). After intervention, 9 patients experienced mild dizziness or slightly aggravated dizziness, with an incidence rate of 15%. NRS score of dizziness fluctuated between 1 and 2 points, and all the symptoms can be alleviated on their own. Conclusion The application of VR technology in the hospice care of patients with advanced cancer can effectively improve their immediate symptoms such as pain, fatigue, nausea, anorexia, anxiety, and depression. It is safe and reliable. VR technology is expected to become an auxiliary treatment technology in the symptom management of hospice care for patients with advanced cancer.
关键词
虚拟现实技术 /
症状管理 /
晚期癌症患者 /
安宁疗护
Key words
virtual reality technology /
symptom management /
patients with advanced cancer /
hospice care
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基金
浙江省医药卫生科技计划项目（2022KY089）
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