000129878 001__ 129878
000129878 005__ 20240731103327.0
000129878 0247_ $$2doi$$a10.3390/healthcare11192697
000129878 0248_ $$2sideral$$a136196
000129878 037__ $$aART-2023-136196
000129878 041__ $$aeng
000129878 100__ $$aFlores, Araceli
000129878 245__ $$aUsing immersive virtual reality distraction to reduce fear and anxiety before surgery
000129878 260__ $$c2023
000129878 5060_ $$aAccess copy available to the general public$$fUnrestricted
000129878 5203_ $$aPresurgical anxiety is very common and is often treated with sedatives. Minimizing or avoiding sedation reduces the risk of sedation-related adverse events. Reducing sedation can increase early cognitive recovery and reduce time to discharge after surgery. The current case study is the first to explore the use of interactive eye-tracked VR as a nonpharmacologic anxiolytic customized for physically immobilized presurgery patients. Method: A 44-year-old female patient presenting for gallbladder surgery participated. Using a within-subject repeated measures design (treatment order randomized), the participant received no VR during one portion of her preoperative wait and interactive eye-tracked virtual reality during an equivalent portion of time in the presurgery room. After each condition (no VR vs. VR), the participant provided subjective 0–10 ratings and state–trait short form Y anxiety measures of the amount of anxiety and fear she experienced during that condition. Results: As predicted, compared to treatment as usual (no VR), the patient reported having 67% lower presurgical anxiety during VR. She also experienced “strong fear” (8 out of 10) during no VR vs. “no fear” (0 out of 10) during VR. She reported a strong sense of presence during VR and zero nausea. She liked VR, she had fun during VR, and she recommended VR to future patients during pre-op. Interactive VR distraction with eye tracking was an effective nonpharmacologic technique for reducing anticipatory fear and anxiety prior to surgery. The results add to existing evidence that supports the use of VR in perioperative settings. VR technology has recently become affordable and more user friendly, increasing the potential for widespread dissemination into medical practice. Although case studies are scientifically inconclusive by nature, they help identify new directions for future larger, carefully controlled studies. VR sedation is a promising non-drug fear and anxiety management technique meriting further investigation.
000129878 536__ $$9info:eu-repo/grantAgreement/ES/DGA/S31-23R
000129878 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000129878 590__ $$a2.4$$b2023
000129878 592__ $$a0.606$$b2023
000129878 591__ $$aHEALTH POLICY & SERVICES$$b49 / 118 = 0.415$$c2023$$dQ2$$eT2
000129878 593__ $$aHealth Policy$$c2023$$dQ2
000129878 591__ $$aHEALTH CARE SCIENCES & SERVICES$$b73 / 174 = 0.42$$c2023$$dQ2$$eT2
000129878 593__ $$aLeadership and Management$$c2023$$dQ2
000129878 593__ $$aHealth Informatics$$c2023$$dQ3
000129878 593__ $$aHealth Information Management$$c2023$$dQ3
000129878 594__ $$a3.5$$b2023
000129878 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000129878 700__ $$aHoffman, Hunter G.
000129878 700__ $$0(orcid)0000-0001-9726-3250$$aNavarro-Haro, Maria Vicenta$$uUniversidad de Zaragoza
000129878 700__ $$aGarcia-Palacios, Azucena
000129878 700__ $$aAtzori, Barbara
000129878 700__ $$aLe May, Sylvie
000129878 700__ $$aAlhalabi, Wadee
000129878 700__ $$aSampaio, Mariana
000129878 700__ $$aFontenot, Miles R.
000129878 700__ $$aMason, Keira P.
000129878 7102_ $$14009$$2680$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Person.Eval.Trat.Psicoló.
000129878 773__ $$g11, 19 (2023), 2697 [9 pp.]$$pHealthcare (Basel)$$tHealthcare (Switzerland)$$x2227-9032
000129878 8564_ $$s488709$$uhttps://zaguan.unizar.es/record/129878/files/texto_completo.pdf$$yVersión publicada
000129878 8564_ $$s2809508$$uhttps://zaguan.unizar.es/record/129878/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000129878 909CO $$ooai:zaguan.unizar.es:129878$$particulos$$pdriver
000129878 951__ $$a2024-07-31-09:45:15
000129878 980__ $$aARTICLE