Feasibility of a virtual reality intervention in the intensive care unit

Copyright © 2021 Elsevier Inc. All rights reserved..

BACKGROUND: Delirium prevention requires optimal management of pain and anxiety. Given the limitations of current pharmacologic interventions, evaluation of novel non-pharmacological interventions is required. Virtual reality (VR) stimulation may be a promising intervention because of its capability to reduce psychophysiological stress, pain, and anxiety and to restore cognitive and attentional capacities.

OBJECTIVE: To ascertain patients' and providers' perceptions of acceptability and safety of VR intervention in the intensive care unit (ICU).

METHODS: We enrolled a cohort of 15 ICU patients and 21 health care providers to administer a 15-minute session showing a relaxing beach scene with VR headsets and nature sound effects. Participants were then asked to rate their experiences on a Likert scale survey.

RESULTS: The majority of patients (86%, 12 of 14) rated the headsets as moderately to very comfortable. All had moderate or greater sense of presence in the virtual environment, and 79% (11 of 14) rated their overall experience at 3 or greater (5 indicating that they enjoyed it very much). Seventy-one percent (10 of 14) of the patients felt that their anxiety was better with VR, and 57% (8 of 14) did not notice a change in their pain or discomfort. All health care providers found the headset to be at least moderately comfortable and felt a moderate or greater sense of presence. All providers concluded that VR therapy should be available for their patients. Both groups experienced minimal side effects.

CONCLUSION: In this prospective study of perceptions of VR therapy for ICU patients and health care providers, there was a high level of acceptance, with minimal side effects, for both groups despite their low levels of prior experience with virtual reality and video gaming.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:50

Enthalten in:

Heart & lung : the journal of critical care - 50(2021), 6 vom: 27. Nov., Seite 748-753

Sprache:

Englisch

Beteiligte Personen:

Jawed, Yameena T [VerfasserIn]
Golovyan, Dmitriy [VerfasserIn]
Lopez, David [VerfasserIn]
Khan, Sikandar H [VerfasserIn]
Wang, Sophia [VerfasserIn]
Freund, Chauncey [VerfasserIn]
Imran, Sundus [VerfasserIn]
Hameed, Usman Bin [VerfasserIn]
Smith, Joseph P [VerfasserIn]
Kok, Lotte [VerfasserIn]
Khan, Babar A [VerfasserIn]

Links:

Volltext

Themen:

Critical illness
Delirium
Feasibility
Intensive care unit
Journal Article
Virtual reality

Anmerkungen:

Date Completed 03.12.2021

Date Revised 15.06.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.hrtlng.2021.05.007

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM327646527