Cargando…

Using Immersive Virtual Reality Distraction to Reduce Fear and Anxiety before Surgery

Presurgical anxiety is very common and is often treated with sedatives. Minimizing or avoiding sedation reduces the risk of sedation-related adverse events. Reducing sedation can increase early cognitive recovery and reduce time to discharge after surgery. The current case study is the first to expl...

Descripción completa

Detalles Bibliográficos
Autores principales: Flores, Araceli, Hoffman, Hunter G., Navarro-Haro, Maria Vicenta, Garcia-Palacios, Azucena, Atzori, Barbara, Le May, Sylvie, Alhalabi, Wadee, Sampaio, Mariana, Fontenot, Miles R., Mason, Keira P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10572694/
https://www.ncbi.nlm.nih.gov/pubmed/37830734
http://dx.doi.org/10.3390/healthcare11192697
_version_ 1785120293143969792
author Flores, Araceli
Hoffman, Hunter G.
Navarro-Haro, Maria Vicenta
Garcia-Palacios, Azucena
Atzori, Barbara
Le May, Sylvie
Alhalabi, Wadee
Sampaio, Mariana
Fontenot, Miles R.
Mason, Keira P.
author_facet Flores, Araceli
Hoffman, Hunter G.
Navarro-Haro, Maria Vicenta
Garcia-Palacios, Azucena
Atzori, Barbara
Le May, Sylvie
Alhalabi, Wadee
Sampaio, Mariana
Fontenot, Miles R.
Mason, Keira P.
author_sort Flores, Araceli
collection PubMed
description Presurgical anxiety is very common and is often treated with sedatives. Minimizing or avoiding sedation reduces the risk of sedation-related adverse events. Reducing sedation can increase early cognitive recovery and reduce time to discharge after surgery. The current case study is the first to explore the use of interactive eye-tracked VR as a nonpharmacologic anxiolytic customized for physically immobilized presurgery patients. Method: A 44-year-old female patient presenting for gallbladder surgery participated. Using a within-subject repeated measures design (treatment order randomized), the participant received no VR during one portion of her preoperative wait and interactive eye-tracked virtual reality during an equivalent portion of time in the presurgery room. After each condition (no VR vs. VR), the participant provided subjective 0–10 ratings and state–trait short form Y anxiety measures of the amount of anxiety and fear she experienced during that condition. Results: As predicted, compared to treatment as usual (no VR), the patient reported having 67% lower presurgical anxiety during VR. She also experienced “strong fear” (8 out of 10) during no VR vs. “no fear” (0 out of 10) during VR. She reported a strong sense of presence during VR and zero nausea. She liked VR, she had fun during VR, and she recommended VR to future patients during pre-op. Interactive VR distraction with eye tracking was an effective nonpharmacologic technique for reducing anticipatory fear and anxiety prior to surgery. The results add to existing evidence that supports the use of VR in perioperative settings. VR technology has recently become affordable and more user friendly, increasing the potential for widespread dissemination into medical practice. Although case studies are scientifically inconclusive by nature, they help identify new directions for future larger, carefully controlled studies. VR sedation is a promising non-drug fear and anxiety management technique meriting further investigation.
format Online
Article
Text
id pubmed-10572694
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-105726942023-10-14 Using Immersive Virtual Reality Distraction to Reduce Fear and Anxiety before Surgery Flores, Araceli Hoffman, Hunter G. Navarro-Haro, Maria Vicenta Garcia-Palacios, Azucena Atzori, Barbara Le May, Sylvie Alhalabi, Wadee Sampaio, Mariana Fontenot, Miles R. Mason, Keira P. Healthcare (Basel) Case Report Presurgical anxiety is very common and is often treated with sedatives. Minimizing or avoiding sedation reduces the risk of sedation-related adverse events. Reducing sedation can increase early cognitive recovery and reduce time to discharge after surgery. The current case study is the first to explore the use of interactive eye-tracked VR as a nonpharmacologic anxiolytic customized for physically immobilized presurgery patients. Method: A 44-year-old female patient presenting for gallbladder surgery participated. Using a within-subject repeated measures design (treatment order randomized), the participant received no VR during one portion of her preoperative wait and interactive eye-tracked virtual reality during an equivalent portion of time in the presurgery room. After each condition (no VR vs. VR), the participant provided subjective 0–10 ratings and state–trait short form Y anxiety measures of the amount of anxiety and fear she experienced during that condition. Results: As predicted, compared to treatment as usual (no VR), the patient reported having 67% lower presurgical anxiety during VR. She also experienced “strong fear” (8 out of 10) during no VR vs. “no fear” (0 out of 10) during VR. She reported a strong sense of presence during VR and zero nausea. She liked VR, she had fun during VR, and she recommended VR to future patients during pre-op. Interactive VR distraction with eye tracking was an effective nonpharmacologic technique for reducing anticipatory fear and anxiety prior to surgery. The results add to existing evidence that supports the use of VR in perioperative settings. VR technology has recently become affordable and more user friendly, increasing the potential for widespread dissemination into medical practice. Although case studies are scientifically inconclusive by nature, they help identify new directions for future larger, carefully controlled studies. VR sedation is a promising non-drug fear and anxiety management technique meriting further investigation. MDPI 2023-10-09 /pmc/articles/PMC10572694/ /pubmed/37830734 http://dx.doi.org/10.3390/healthcare11192697 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Flores, Araceli
Hoffman, Hunter G.
Navarro-Haro, Maria Vicenta
Garcia-Palacios, Azucena
Atzori, Barbara
Le May, Sylvie
Alhalabi, Wadee
Sampaio, Mariana
Fontenot, Miles R.
Mason, Keira P.
Using Immersive Virtual Reality Distraction to Reduce Fear and Anxiety before Surgery
title Using Immersive Virtual Reality Distraction to Reduce Fear and Anxiety before Surgery
title_full Using Immersive Virtual Reality Distraction to Reduce Fear and Anxiety before Surgery
title_fullStr Using Immersive Virtual Reality Distraction to Reduce Fear and Anxiety before Surgery
title_full_unstemmed Using Immersive Virtual Reality Distraction to Reduce Fear and Anxiety before Surgery
title_short Using Immersive Virtual Reality Distraction to Reduce Fear and Anxiety before Surgery
title_sort using immersive virtual reality distraction to reduce fear and anxiety before surgery
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10572694/
https://www.ncbi.nlm.nih.gov/pubmed/37830734
http://dx.doi.org/10.3390/healthcare11192697
work_keys_str_mv AT floresaraceli usingimmersivevirtualrealitydistractiontoreducefearandanxietybeforesurgery
AT hoffmanhunterg usingimmersivevirtualrealitydistractiontoreducefearandanxietybeforesurgery
AT navarroharomariavicenta usingimmersivevirtualrealitydistractiontoreducefearandanxietybeforesurgery
AT garciapalaciosazucena usingimmersivevirtualrealitydistractiontoreducefearandanxietybeforesurgery
AT atzoribarbara usingimmersivevirtualrealitydistractiontoreducefearandanxietybeforesurgery
AT lemaysylvie usingimmersivevirtualrealitydistractiontoreducefearandanxietybeforesurgery
AT alhalabiwadee usingimmersivevirtualrealitydistractiontoreducefearandanxietybeforesurgery
AT sampaiomariana usingimmersivevirtualrealitydistractiontoreducefearandanxietybeforesurgery
AT fontenotmilesr usingimmersivevirtualrealitydistractiontoreducefearandanxietybeforesurgery
AT masonkeirap usingimmersivevirtualrealitydistractiontoreducefearandanxietybeforesurgery