Virtual reality for acute pain in outpatient hysteroscopy: a randomised controlled trial.

Autor: Deo N; Imperial College London, London, UK.; Whipps Cross University Hospital, London, UK., Khan KS; Queen Mary University, London, UK., Mak J; Queen Mary University, London, UK., Allotey J; The London School of Medicine and Dentistry, London, UK., Gonzalez Carreras FJ; The London School of Medicine and Dentistry, London, UK., Fusari G; Helix Centre, Imperial College London and the Royal College of Art, London, UK., Benn J; School of Psychology, University of Leeds, Leeds, UK.
Jazyk: angličtina
Zdroj: BJOG : an international journal of obstetrics and gynaecology [BJOG] 2021 Jan; Vol. 128 (1), pp. 87-95. Date of Electronic Publication: 2020 Jul 22.
DOI: 10.1111/1471-0528.16377
Abstrakt: Objective: To evaluate the effectiveness of virtual reality as a distraction technique in the management of acute pain and anxiety during outpatient hysteroscopy.
Design: Parallel group, prospective randomised controlled trial.
Setting: UK University Hospital.
Methods: Forty consenting, eligible women were randomised to virtual reality intervention (immersive video content as a distraction method) or standard care during outpatient hysteroscopy from August to October 2018.
Main Outcome Measures: Pain and anxiety outcomes were measured as a numeric rating score (scale 0-10).
Results: Compared with standard care, women with virtual reality intervention experienced less average pain (score 6.0 versus 3.7, mean difference 2.3, 95% CI 0.61-3.99, P = 0.009) and anxiety (score 5.45 versus 3.3, mean difference 2.15, 95% CI 0.38-3.92, P = 0.02).
Conclusion: Virtual reality was effective in reducing pain and anxiety during outpatient hysteroscopy in a mixed-methods randomised control trial. Its wide potential role in ambulatory gynaecological procedures needs further evaluation.
Tweetable Abstract: Virtual reality can be used as a part of a multimodal strategy to reduce acute pain and anxiety in patients undergoing outpatient hysteroscopy.
(© 2020 Royal College of Obstetricians and Gynaecologists.)
Databáze: MEDLINE
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