虚拟现实技术对胃镜检查患者心理状态的影响*

Effects of VR technology intervention on psychological state of patients undergoing gastroscopy*

摘要:

?探讨虚拟现实（VR）技术对胃镜检查患者心理状态的影响。方法 选取首次接受胃镜检查的患者共60例，随机分为观察组和对照组，每组各30例。对照组患者按胃镜检查常规要求完成胃镜检查，观察组患者在常规要求基础上增加VR技术进行分散注意力干预，分别在胃镜检查前后对两组患者采用症状自评量表（SCL-90）进行评价，比较两组患者在胃镜检查前后的心理状态差异。结果 两组患者胃镜检查前各心理因子得分比较，差异无统计学意义；两组患者胃镜检查后躯体化、焦虑及恐怖因子得分均高于胃镜检查前（P <0.05），胃镜检查后观察组躯体化、焦虑及恐惧因子总分均明显低于对照组，两组比较差异均有统计学意义（P <0.05），而在人际关系敏感、强迫、抑郁、敌对、偏执和精神病性等因子得分上，两组比较差异均无统计学意义（均P >0.05）。结论 VR技术干预有利于缓解患者胃镜检查中的躯体化、焦虑及恐怖等不良心理反应，提高胃镜检查质量。

Abstract:

To investigate the effect of VR technology on psychological state of patients undergoing gastroscopy. Methods 60 patients first underwent gastroscopy were randomly divided into observation group (n = 30) and control group (n = 30). The control group was given routine gastroscopy, the observation group was given VR technology intervention on the basis of routine requirements. SCL-90 psychological evaluation of the two groups were used to carry on the questionnaire survey before and after gastroscopy, psychological state of patients between the two groups was compared. Results Before intervention, there was no statistical significance of the score of SCL-90 between the two groups (P > 0.05). The average scores of somatization, anxiety and terror after gastroscopy were higher than before gastroscopy in the two groups (P < 0.05). After gastroscopy, the average scores of somatization, anxiety and terror of observation group were higher than that in the control group (P < 0.05), while the average scores of interpersonal relationship, obsessive symptom, depression, hostile, crankiness and mental illness showed no statistical significance between the two groups (P > 0.05). Conclusion VR technology intervention can relieve the somatization, anxiety and terror of patients and improve the quality of gastroscopy.