检索结果-内蒙古大学图书馆

virtual reality education program for women with uterine tumors treated by high-intensity focused ultrasound

HELIYON 2024年第1期10卷 e23759页

作者： Park, Seo A. Lee, Jumi Kim, Hye Young Kyungwoon Univ Dept Nursing 730 Gangdong Ro Gumi 730739 South Korea Ulsan Univ Dept Nursing 93 Daehak Ro Ulsan 44610 South Korea Keimyung Univ Coll Nursing 1095 Dalgubeol Daero Daegu 42601 South Korea

This study aimed to develop and determine the effects of a nursing education program using virtual reality (VR) for women with uterine tumors undergoing treatment with high-intensity focused ultrasound (HIFU). Various nursing education methods need to be developed alongside new treatment methods and their effects should be clinically verified. Nursing intervention using VR has recently been attempted. The study comprises a pre-and post-test design with a non-equivalent control *** assigned 54 women to experimental (n = 26) and control (n = 28) groups. The patients were diagnosed with benign uterine tumors and were treated with HIFU at two women's hospitals in D city. Data collected from these hospitals were analyzed using descriptive statistics, a pre-test of homogeneity, independent t-tests, and repeated measures analysis of variance. In the experimental group, uncertainty (t = 4.26, p < 0.001) and anxiety (t = 4.09, p < 0.001) were significantly lower compared to the control group. However, nursing satisfaction was significantly higher in the experimental group than in the control group (t =-4.50, p < 0.001). The VR education program is an educational nursing intervention that reduces uncertainty and anxiety and improves nursing satisfaction among women with uterine tumors treated by HIFU. We suggest that future nursing research integrates and converges disciplines according to progressive treatment methods and technological advancements for patients.

关键词： Uterus Leiomyoma Nursing virtual reality Ultrasound

来源：评论

学校读者我要写书评

暂无评论

virtual reality for pain management in hospitalized patients with cancer: A randomized controlled trial

引用

CANCER 2024年第14期130卷 2552-2560页

作者： Groninger, Hunter Violanti, Diana Mete, Mihriye MedStar Hlth Res Inst Hyattsville MD USA Georgetown Univ Sch Med Washington DC USA Roswell Pk Comprehens Canc Ctr Buffalo NY USA Address correspondence Hunter Groninger MD USA

BackgroundHospitalized patients with cancer often experience acute and/or chronic pain. Although virtual reality (VR) has been extensively studied across a wide range of clinical settings, no studies have yet evaluated potential impact on pain management in this patient *** randomized controlled trial at an urban academic hospital comparing VR against an active control to mitigate moderate-severe cancer disease and treatment-related *** total of 128 adult hospitalized patients with cancer (any tumor type) were randomized to 10 minutes of immersive VR distraction therapy or 10 minutes of two-dimensional guided imagery distraction therapy delivered by handheld tablet. Participants in the two arms were similar in age, sex, race, presence of metastatic disease, concurrent pain specialist consultation, and baseline opioid use. Although both groups experienced improved self-reported pain scores (primary outcome), those randomized to VR experienced significantly greater reduction in pain immediately after intervention compared with active control (p = .03). This difference was sustained for 24 hours as well (p = .004). Within-group analysis showed significant improvement in VR arm of pain bothersomeness (p = .05) and general distress (p = .03) as *** hospitalized adult patients with moderate-severe pain related to cancer and cancer therapies, VR provided more nonpharmacologic pain relief than active control and this benefit sustained long after conclusion of the *** Language Summary virtual reality (VR), a developing technology that immerses the user in new environments, has been shown to improve pain in different patient populations. To test the role of VR in improving pain in hospitalized patients with cancer who report moderate-severe pain, we compared the impact of a 10-minute immersive VR intervention to that of a 10-minute two-dimensional guided imagery experience to improve self-reported pain scores

关键词： cancer distraction therapy mind body pain virtual reality

来源：评论

学校读者我要写书评

暂无评论

virtual reality to aid in competency-based online nurse practitioner curriculum (VR-NP)

引用

JOURNAL OF PROFESSIONAL NURSING 2024年 55卷 125-132页

作者： Casler, Kelly Gawlik, Kate Sustersic Messinger, Jeffrey Ohio State Univ Coll Nursing 1585 Neil Ave Columbus OH 43210 USA 270C Heminger Hall 1577 Neil Ave Columbus OH 43210 USA

virtual reality (VR) simulation use in graduate nursing education is a growing innovative trend that can help with competency-based education. The virtual reality Simulation to aid in competency-based online nurse practitioner curriculum (VR-NP) pilot innovation and quality improvement project sought to deliver VR simulation as an educational strategy in an online graduate nursing program advanced health assessment course that enrolled sixty-six students. Twenty-nine of the students were provided loaner VR equipment to complete simulated advanced health assessments from their home while the remainder of students completed the same simulations using screen-based technology. For all students, weekly simulations were paired with follow-up debriefing led by faculty using synchronous web conferencing. Students using VR completed a midimplementation and post-implementation survey, consisting of the System Usability Scale (SUS), Simulation Effectiveness Tool-Modified (SET-M), and open ended questions. Students using screen-based technology, completed similar surveys with only the SET-M and open-ended questions. Necessary adjustments were made to the implementation process based on data received mid-implementation. Overall students were satisfied with the use of VR simulation from a distance and minimal implementation challenges were encountered. Recommendations for integration of VR into other graduate nursing programs are shared.

关键词： virtual reality Nurse practitioner Competency-based education Advanced health assessment

来源：评论

学校读者我要写书评

暂无评论

virtual reality after stroke: Identifying important characteristics when designing experiences to improve engagement in upper limb rehabilitation

引用

DIGITAL HEALTH 2024年 10卷

作者： Isbel, Stephen Holloway, Helen Greber, Craig Nguyen, Kelly Frost, Jane Pearce, Claire D'Cunha, Nathan M. Univ Canberra Fac Hlth Sch Exercise & Rehabil Sci Canberra ACT Australia Univ Canberra Fac Hlth Ctr Ageing Res & Translat Bruce ACT Australia Western Sydney Univ Sch Nursing & Midwifery Penrith NSW Australia Univ Canberra Fac Hlth Canberra ACT 2617 Australia

Objective virtual reality (VR) has been used to improve upper limb function after stroke but there is little to guide product developers in building experiences that engage users in the sustained, repetitive training required. This research sought to understand the characteristics of VR scenarios best suited to engaging someone with a stroke during recovery to achieve therapeutic *** Five creative immersive VR scenarios were designed by an experienced VR content creator containing unique combinations of VR characteristics. The usefulness of the scenarios was reviewed by expert clinicians experienced in stroke rehabilitation. Following this review, seven stroke survivors participated in each experience and reported on their engagement and motivation. Outcome measures were the User Satisfaction Evaluation Questionnaire and the modified Intrinsic Motivation Inventory. Semi-structured interviews were conducted with five participants following their immersive VR experience and analysed *** Expert clinicians reported potential therapeutic value in the immersive VR scenarios by providing opportunities for repeated and graded practice of upper limb movements. Stroke survivors reported varied levels of enjoyment and engagement for each scenario. They recommended changes to the experiences, primarily relating to the tailoring of the scenarios to match varied upper limb *** This study highlights the characteristics of immersive VR scenarios that are important in sustaining motivation and providing high-repetition task-specific movement experiences. Differences in the experience and preferences of stroke participants regarding the characteristics of immersive VR experiences indicate that a variety of experiences are necessary to engage and sustain participation in an immersive VR-related therapy programme.

关键词： virtual reality stroke rehabilitation upper limb reach grasp

来源：评论

学校读者我要写书评

暂无评论

virtual reality Action Observation and Motor Imagery to Enhance Neuroplastic Capacity in the Human Motor Cortex: A Pilot Double-blind, Randomized Cross-over Trial

引用

NEUROSCIENCE 2024年 549卷 92-100页

作者： Connelly, Niamh Welsby, Ellana Lange, Belinda Hordacre, Brenton Univ South Australia Innovat Implementat & Clin Translat IIMPACT Hlth Allied Hlth & Human Performance Adelaide SA Australia Flinders Univ S Australia Caring Futures Inst Coll Nursing & Hlth Sci Adelaide SA Australia

Neuroplasticity is important for learning, development and recovery from injury. Therapies that can upregulate neuroplasticity are therefore of interest across a range of fields. We developed a novel virtual reality action observation and motor imagery (VR-AOMI) intervention and evaluated whether it could enhance the efficacy of mechanisms of neuroplasticity in the human motor cortex of healthy adults. A secondary question was to explore predictors of the change in neuroplasticity following VR-AOMI. A pre-registered, pilot randomized controlled cross-over trial was performed. Twenty right-handed adults (13 females;mean age: 23.0 +/- 4.53 years) completed two experimental conditions in separate sessions;VR-AOMI and control. We used intermittent theta burst stimulation (iTBS) to induce long term potentiation-like plasticity in the motor cortex and recorded motor evoked potentials at multiple timepoints as a measure of corticospinal excitability. The VR-AOMI task did not significantly increase the change in MEP amplitude following iTBS when compared to the control task (Group x Timepoint interaction p = 0.17). However, regression analysis identified the change in iTBS response following VR-AOMI was significantly predicted by the baseline iTBS response in the control task. Specifically, participants that did not exhibit the expected increase in MEP amplitude following iTBS in the control condition appear to have greater excitability following iTBS in the VR-AOMI condition (r = -0.72, p < 0.001). Engaging in VR-AOMI might enhance capacity for neuroplasticity in some people who typically do not respond to iTBS. VR-AOMI may prime the brain for enhanced neuroplasticity in this sub-group.

关键词： motor imagery virtual reality non-invasive brain stimulation transcranial magnetic stimulation motor cortex neuroplasticity

来源：评论

学校读者我要写书评

暂无评论

virtual reality roleplays for patients with depression: A user experience evaluation

引用

INTERNET INTERVENTIONS-THE APPLICATION OF INFORMATION TECHNOLOGY IN MENTAL AND BEHAVIOURAL HEALTH 2024年 35卷 100713页

作者： Holsteg, Steffen Askeridis, Johanna M. Krajewski, Jarek Mildner, Philip Freitag, Sebastian Mueller, Tobias Schnieder, Sebastian Gieselmann, Annika Karger, Andre Heinrich Heine Univ Dusseldorf Univ Hosp Dusseldorf Clin Inst Psychosomat Med & Psychotherapy Med Fac Moorenstr 5 D-40225 Dusseldorf Germany Inst Expt Psychophysiol GmbH Gustav Poensgen Str 29 D-40215 Dusseldorf Germany Nuromedia GmbH Schaafenstr 25 D-50676 Cologne Germany Heinrich Heine Univ Dusseldorf Dept Clin Psychol Univ Str 1 D-40225 Dusseldorf Germany Heinrich Heine Univ Dusseldorf Univ Hosp Dusseldorf Clin Inst Psychosomat Med & Psychotherapy Med Fac Moorenstr 5 D-40225 Dusseldorf Germany

Background: virtual reality (VR) has been used successfully and effectively in psychotherapy for a variety of disorders. In the field of depression, there are only a few VR interventions and approaches. Although simple social interactions have been successfully modeled in VR for several mental disorders, there has been no transfer to the field of depression therapy. VR may be employed for psychodynamic psychotherapy to work on interpersonal conflict patterns. In this study, we developed and evaluated a VR intervention for the simulation of roleplay situations in the context of supportive-expressive therapy. Methods: We conducted a clinical user experience (UX) study at a psychotherapeutic clinic in Dusseldorf, Germany. Eight inpatients with depression and four therapists were included. Semi-structured interviews and qualitative content analysis were used to identify UX issues of the developed VR intervention. Usability questionnaires and technical usage data were also considered. The VR intervention consisted of two therapistcontrolled roleplay scenarios designed to support work on the core conflictual relationship theme by allowing patients to interact in typical problematic social situations. Recorded VR roleplays allow for therapeutic debriefing with a change of perspective. Therapists were given the option of using the roleplay in multiple sessions. Results: All therapists conducted one session per patient with the VR intervention. From the patient interviews, 26 UX issues were extracted, of which one technical malfunction and two unclarities in the interaction with the VR agent were rated as major problems. From the therapist interviews, 14 UX issues were extracted, of which five were rated as major problems related to the interface in the dialog control or the complex system setup. Conclusion: The main problem was designing a dialog structure that allows both complex conversational flows and a clear control interface. In principle, VR roleplays could be integr

关键词： virtual reality Depression Psychodynamic psychotherapy User experience Roleplay Interpersonal conflict

来源：评论

学校读者我要写书评

暂无评论

virtual reality Therapy for the Management of Chronic Spinal Pain: Systematic Review and Meta-Analysis

引用

JMIR SERIOUS GAMES 2024年第1期12卷 e50089页

作者： Zhang, Tongtong Li, Xin Zhou, Xuan Zhan, Lixia Wu, Fan Huang, Zefan Sun, Yuxun Feng, Yufei Du, Qing Shanghai Jiao Tong Univ Dept Rehabil Med Xinhua Hosp Sch Med Shanghai Peoples R China Shanghai Univ Sport Sch Exercise & Hlth Shanghai Peoples R China Second Peoples Hosp Beihai Beihai Peoples R China Shanghai Univ Med & Hlth Sci Coll Rehabil Sci Shanghai Peoples R China Shanghai Univ Med & Hlth Sci Chongming Hosp Shanghai Peoples R China Shanghai Jiao Tong Univ Xinhua Hosp Dept Rehabil Sch Med 1665 Kongjiang Rd Shanghai 200092 Peoples R China

Background: The effectiveness of virtual reality (VR) therapy in adults with chronic spinal pain (CSP) is unclear. Objective: This study was conducted to compare the effectiveness of VR therapy and other therapies in adults with CSP, especially patients with inflammation-related pain. Methods: PubMed, Web of Science, Cochrane Library, Embase, and CINAHL databases were searched up to November 11, 2023. Randomized controlled trials (RCTs) comparing adults with CSP receiving VR therapy with those receiving other therapies were included. The trial registration platform as well as the reference lists of included studies and previous systematic reviews and meta-analyses were manually searched. Two independent reviewers performed study selection, data extraction, risk-of-bias assessment, and evaluation of the quality of the evidence. The weighted mean difference (WMD) was used as the effect size used to synthesize the outcome measure. Results: In total, 16 RCTs involving 800 participants were included in this meta-analysis. The pooled data from 15 (94%) RCTs including 776 (97%) participants showed that VR therapy was superior in improving pain intensity (WMD=-1.63, 95% CI -2.11 to -1.16, P<.001, I-2=90%) and reducing inflammatory markers, including C-reactive protein (WMD=-0.89, 95% CI -1.07 to -0.70, P<.001, I-2=0%), tumor necrosis factor-alpha (WMD=-6.60, 95% CI -8.56 to -4.64, P<.001, I-2=98%), and interleukin-6 (WMD=-2.76, 95% CI -2.98 to -2.53, P<.001, I-2=0%). However, no significant differences were found in terms of the spinal range of motion (ROM), disability level, or fear of movement. In addition, 10 (63%) of the included RCTs had a high risk of bias. Conclusions: VR therapy may be an effective and safe intervention for reducing symptoms in patients with CSP, as it is shown to exert significant analgesic effects and beneficial improvements in inflammatory factor levels. However, this approach may not have significant effects on the spinal ROM, disability level,

关键词： virtual reality chronic spinal pain inflammation-related pain systematic review meta-analysis

来源：评论

学校读者我要写书评

暂无评论

virtual reality perimetry and home perimetry

引用

OPHTHALMOLOGIE 2024年第7期121卷 586-591页

作者： Haner, Nathanael Urs Chen, Hsin-Yang Lincke, Joel-Benjamin Shang, Xiao Zinkernagel, Martin Sebastian Unterlauft, Jan Darius Univ Augenklin Bern Inselspital Freiburgstr CH-3010 Bern Switzerland

In this article virtual reality (VR)-based procedures for home perimetry (HP) are described and an overview is given of which procedures can already be used today.

关键词： virtual reality Home perimetry Telemedizin Perimetrie Glaukom

来源：评论

学校读者我要写书评

暂无评论

virtual reality improves sleep quality and associated symptoms in patients with chronic insomnia

引用

SLEEP MEDICINE 2024年 122卷 230-236页

作者： Wan, Yahui Gao, Haijing Zhou, Kaili Zhang, Xuan Xue, Rong Zhang, Nan Tianjin Med Univ Gen Hosp Airport Site Dept Neurol Tianjin 300308 Peoples R China Hebei North Univ Affiliated Hosp 1 Dept Neurol Zhangjiakou 075000 Hebei Peoples R China Tianjin Med Univ Gen Hosp Dept Neurol Tianjin 300052 Peoples R China Tianjin Med Univ Gen Hosp Tianjin Neurol Inst Tianjin 300052 Peoples R China

Purpose: The present study aimed to explore the effectiveness of virtual reality (VR) therapy on sleep quality and associated symptoms, such as depression and anxiety, cognitive decline and autonomic nervous dysfunction, in chronic insomnia patients. Methods: Sixty-three chronic insomnia patients were randomly divided into VR group (n = 32) and control group (n = 20) based on a standard drug therapy. Patients were instructed to use VR at home once a day at evening for 6-week treatment. All participants received evaluations of subjective sleep quality measured with the Pittsburgh Sleep Quality Index (PSQI), the Insomnia Severity Index (ISI), and the Epworth Sleepiness Scale (ESS), depression and anxiety symptoms measured with the Hamilton Depression Scale (HAMD) and Hamilton Anxiety Scale (HAMA), cognitive function, and objective sleep structure and autonomic nerve function examination measured with the sleep respiration monitoring device at baseline and after 6-week treatment. The main objective of this study was sleep quality assessment as the primary outcome. Results: After 6-week treatment, the decreases in PSQI score (-5.60 f 2.37 vs -4.10 f 1.80, P = 0.020) and ISI score (-8.81 f 4.52 vs -6.35 f 2.89, P = 0.038) of the VR group were significantly greater compared with the control group. The VR group showed more reduction in HAMD score (-9.96 f 4.41 vs -7.50 f 2.89, P = 0.035) and HAMA score (-8.96 f 3.80 vs -6.80 f 3.22, P = 0.046), and more increase in processing speed (0.54 f 0.60 vs 0.00 f 0.79, P = 0.011) than the control group. Moreover, the low-frequency coupling (-10.00 f 17.40 vs. 8.25 f 20.03, P = 0.001) was lowered and the high-frequency coupling (9.99 f 17.40 vs. -8.24 f 20.03, P = 0.001) was elevated in the VR group relative to the control group. Conclusion: Our findings offered preliminary evidence that VR therapy enhanced sleep quality and also lessened depressive and anxious symptoms, and improved cognitive and autonomic functioning in patients w

关键词： Chronic insomnia virtual reality Depression Anxiety Cognitive function Autonomic nervous function

来源：评论

学校读者我要写书评

暂无评论

virtual reality as an engaging and enjoyable method for delivering emergency clinical simulation training: a prospective, interventional study of medical undergraduates

引用

BMC MEDICINE 2024年第1期22卷 1-8页

作者： Walls, Risheka Nageswaran, Priyanka Cowell, Adrian Sehgal, Tunav White, Thomas McVeigh, James Staykov, Stefan Basett, Paul Mitelpunkt, Daniel Sam, Amir H. Imperial Coll Sch Med St Dunstans RdCharing Cross Campus London W6 8RP England Imperial Coll Fac Med Digital Educ Off Exhibit Rd London SW7 2BX England Imperial Coll Digital Media Lab Exhibition Rd London SW7 2BX England Stats Consultancy Amersham England

Background It is a requirement that medical students are educated in emergencies and feel well prepared for practice as a doctor, yet national surveys show that many students feel underprepared. virtual reality (VR), combined with 360-degree filming, provides an immersive, realistic, and interactive simulation experience. Unlike conventional in-person simulation, it is scalable with reduced workforce demands. We sought to compare students' engagement and enjoyment of VR simulation to desktop computer-based simulation. Methods We conducted a prospective, interventional, evaluation study. The study was carried out on final year medical students undertaking their Pre-Foundation Assistantship (n=116) at Imperial College School of Medicine (ICSM) in London. We compared objective engagement, subjective engagement, and subjective enjoyment of VR simulation to desktop computer-based simulation using cardiac arrest and life-threatening asthma scenarios. Engagement was measured objectively using students' physiological parameters, including heart rate and eye tracking, and facilitator observations using the validated 'Behavioural Engagement Related to Instruction' (BERI) protocol. Students' subjective engagement and enjoyment levels were measured using a post-session survey. Results Students' maximum heart rates were significantly higher during VR simulation with a mean difference of 4.2 beats per minute (3.2 to 5.2, p<0.001), and eye tracking showed they spent a significantly greater mean percentage of time of 6.4% (5.1 to 7.7, p<0.001) focusing on the scenarios in VR compared to standard desktop. Qualitative data showed students enjoyed and felt engaged with the sessions, which provided a safe space for learning. Conclusions Our study shows that students found VR simulations enjoyable and were more engaged compared to standard desktop simulation. This suggests that 360-degree VR simulation experiences provide students with immersive, realistic training, which is scalable, g

关键词： virtual reality Simulation Innovation Medical emergencies

来源：评论

学校读者我要写书评

暂无评论

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

请选择保存的检索档案：

请选择收藏分类：

通借通还

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：