مجله دانشکده پزشکی اصفهان

مجله دانشکده پزشکی اصفهان

بررسی تأثیر استفاده از فناوری ‌واقعیت‌ مجازی بر سطح اضطراب و شاخص‌های همودینامیک بیماران مبتلا به سرطان در حین شیمی‌‌درمانی

نوع مقاله : مقاله های پژوهشی

نویسندگان
مارال کریم 1
نوشین عباسی ابیانه 2
سپیده نصراله 2
1 دانشجوی کارشناسی ارشد، گروه پرستاری، واحد علوم پزشکی تهران، دانشگاه آزاد اسلامی، تهران، ایران
2 استادیار، گروه پرستاری، واحد علوم پزشکی تهران، دانشگاه آزاد اسلامی، تهران، ایران
10.48305/jims.v44.i876.1591
چکیده
مقدمه: با توجه به ماهیت مزمن سرطان، بیماران اغلب نیاز به شیمی‌درمانی طولانی‌مدت دارند که ممکن است با افزایش اضطراب و تغییرات در شاخص‌های همودینامیک همراه باشد. فناوری واقعیت‌ مجازی به‌عنوان مداخله‌‌ای غیر‌دارویی و غیر‌تهاجمی، به‌عنوان رویکردی امیدبخش برای کاهش اضطراب و حفظ ثبات همودینامیک مطرح می‌‌شود. این مطالعه با هدف تعیین تأثیر استفاده از فناوری ‌واقعیت‌‌مجازی بر سطح اضطراب و شاخص‌های همودینامیک بیماران مبتلا به سرطان در حین شیمی‌‌درمانی انجام شد.
روش‌ها: در این کارآزمایی بالینی با طرح پیش‌آزمون– پس‌آزمون، ۵۴ بیمار بطور تصادفی در گروه مداخله و کنترل اختصاص یافتند. گروه مداخله از واقعیت مجازی استفاده کرد و گروه کنترل مراقبت روتین دریافت نمود. داده‌ها با پرسشنامه دموگرافیک، پرسشنامه اضطراب حالت اسپیلبرگر و تجهیزات استاندارد سنجش شاخص‌های همودینامیک جمع‌آوری و با استفاده از آزمون‌های پارامتریک و ناپارامتریک تحلیل شدند
یافته‌ها: اضطراب در هر دو گروه، در مقایسه‌های درون گروهی، کاهش معناداری داشت؛ این کاهش در گروه مداخله با اندازه اثر بزرگتر (0/001 > P، 0/875 - = r) نسبت به گروه کنترل (0/001 > P، 0/760 - = r) همراه بود. در مقایسه‌های بین گروهی، در نوبت اول تفاوت بین دو گروه معنادار نبود (0/494 = P)، اما در 30 دقیقه نخست شیمی‌درمانی، اضطراب در گروه مداخله بطور معناداری کمتر بود (0/004 = P، 0/391 - = r). در گروه کنترل هیچ‌یک از شاخص‌های همودینامیک تغییر معناداری نداشت. در گروه مداخله، فشارخون سیستولیک (0/001 > P، 0/658 - = r)، فشارخون دیاستولیک (0/001 > P، 0/755 - = d)، میانگین فشارخون شریانی (0/001 > P، 1/045 = d) و نبض (0/001 > P، 0/998 = d) بطور معناداری کاهش یافتند؛ اما اشباع اکسیژن، تعداد تنفس و درجه حرارت تغییر معناداری نداشتند (به ترتیب 0/138 = P، 0/187 = P، 0/340 = P).
نتیجه‌گیری: واقعیت مجازی با کاهش معنادار اضطراب و تغییرات مطلوب در برخی شاخص‌های همودینامیک همراه بود و می‌تواند به‌عنوان مداخله‌ای مکمل و غیرتهاجمی در مراقبت از بیماران تحت شیمی‌درمانی مورد استفاده قرار گیرد..

تازه های تحقیق

مارال کریم: Google Scholar, PubMed 

نوشین عباسی ابیانه: Google Scholar, PubMed 

سپیده نصراله: Google Scholar, PubMed 

کلیدواژه‌ها
‌واقعیت‌‌مجازی
اضطراب
همودینامیک
نئوپلاسم‌‌ها
پروتکل های ترکیبی شیمی درمانی ضد نئوپلاسم
موضوعات

عنوان مقاله English

Investigating the Impact of Virtual Reality Technology on Anxiety Levels and Hemodynamic Indices in Cancer Patients during Chemotherapy

نویسندگان English

Maral Karim 1
Nooshin Abbasi Abiane 2
Sepideh Nasrollah 2
1 MSc Student, Department of Nursing, TeMS.C., Islamic Azad University, Tehran, Iran.
2 Assistant Professor, Department of Nursing, TeMS.C., Islamic Azad University, Tehran, Iran
چکیده English

Background: Considering the chronic nature of cancer, patients often require long-term chemotherapy, which may be associated with increased anxiety and changes in hemodynamic indices. Virtual reality (VR) technology, as a non-pharmacological and non-invasive intervention, has emerged as a promising approach for reducing anxiety and maintaining hemodynamic stability. This study aimed to evaluate the impact of virtual reality technology on anxiety levels and hemodynamic indices in cancer patients during chemotherapy.
Methods: In this pretest–posttest clinical trial, 54 patients were randomly assigned to intervention and control groups. The intervention group used virtual reality, while those in the control group received routine care. Data were collected using a demographic questionnaire, the Spielberger State Anxiety Inventory, and standard equipment for assessing hemodynamic indices. The data were analyzed using parametric and non-parametric tests.
Findings: Anxiety significantly decreased in both groups in within-group comparisons. This reduction was associated with a larger effect size in the intervention group (P < 0.001, r = −0.875) than in the control group (P < 0.001, r = −0.760). In between-group comparisons, no significant difference was observed between the two groups at the first assessment (P = 0.494); however, during the first 30 minutes of chemotherapy, anxiety was significantly lower in the intervention group (P = 0.004, r = −0.391). None of the hemodynamic indices changed significantly in the control group. In the intervention group, systolic blood pressure (P < 0.001, r = −0.658), diastolic blood pressure (P < 0.001, d = −0.755), mean arterial pressure (P < 0.001, d = 1.045), and pulse rate (P < 0.001, d = 0.998) decreased significantly; however, oxygen saturation, respiratory rate, and body temperature did not change significantly (P = 0.138, P = 0.187, and P = 0.340, respectively).
Conclusion: Virtual reality was associated with a significant reduction in anxiety and favorable changes in some hemodynamic indices and may be used as a complementary and non-invasive intervention in the care of patients during chemotherapy.

کلیدواژه‌ها English

Virtual Reality Technology
Anxiety Levels
Hemodynamic Indices
Cancer
Chemotherapy
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مجله دانشکده پزشکی اصفهان
دوره 44، شماره 876
هفته 3، مهر
مهر و آبان 1405
صفحه 1591-1603

  • تاریخ دریافت 27 مرداد 1405
  • تاریخ پذیرش 12 شهریور 1405