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首页> 外文期刊>JMIR Medical Informatics >Virtual Reality as an Adjunct Home Therapy in Chronic Pain Management: An Exploratory Study
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Virtual Reality as an Adjunct Home Therapy in Chronic Pain Management: An Exploratory Study

机译：虚拟现实作为慢性疼痛管理的辅助家庭疗法：一项探索性研究

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Background Virtual reality (VR) therapy has been successfully used as an adjunct therapy for the management of acute pain in adults and children, and evidence of potential efficacy in other health applications is growing. However, minimal research exists on the value of VR as an intervention for chronic pain. Objective This case series examined the value of VR to be used as an adjunctive therapy for chronic pain patients in their own homes. Methods An exploratory approach using a case series and personal interviews was used. Ten chronic pain patients received VR therapy for 30 min on alternate days for 1 month. Pre- and postexposure (immediately afterwards, 3 h, and at 24 h) pain assessment was recorded using the Numerical Rating Scale (NRS), and weekly using the Brief Pain Inventory (BPI) and Self-completed Leeds Assessment of Neuropathic Symptoms and Signs pain scale (S-LANSS). Terminal semistructured personal interviews with the patients were also undertaken. Results Of the 8 patients who completed the study, 5 of them reported that pain was reduced during the VR experience but no overall treatment difference in pain scores postexposure was observed. VR was not associated with any serious adverse events, although 60% of patients reported some cybersickness during some of the experiences. Conclusions Of note is that the majority of these study participants reported a reduction in pain while using the VR but with highly individualized responses. One patient also reported some short-term improved mobility following VR use. Some evidence was found for the short-term efficacy of VR in chronic pain but no evidence for persistent benefits.
机译：背景技术虚拟现实（VR）治疗已成功地用作辅助治疗成人和儿童的急性疼痛，并且在其他健康应用中潜在疗效的证据也在不断增长。但是，关于VR作为慢性疼痛干预手段的价值的研究很少。目的本病例系列研究了VR在作为在家中慢性疼痛患者的辅助治疗中的价值。方法采用探索性方法，采用案例系列和个人访谈。 10名慢性疼痛患者在隔1天的隔日接受VR治疗30分钟。使用数字评分量表（NRS）记录暴露前和暴露后（立即，3小时和24小时后）的疼痛评估，每周使用简要疼痛清单（BPI）和自完成利兹神经病症状和体征评估记录疼痛评估。疼痛量表（S-LANSS）。还对患者进行了终端半结构化个人访谈。结果在完成研究的8位患者中，有5位报告说在VR体验中疼痛减轻了，但未发现暴露后疼痛评分的总体治疗差异。尽管有60％的患者在某些经历中报告了某些疾病，但VR并没有导致任何严重的不良事件。结论值得注意的是，这些研究参与者中的大多数报告说使用VR时疼痛减轻，但反应高度个性化。一名患者还报告说，使用VR后短期内活动性有所改善。已发现VR在慢性疼痛中具有短期疗效的证据，但尚无持久益处的证据。

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