129878 20241125101134.0 doi 10.3390/healthcare11192697 sideral 136196 ART-2023-136196 eng Flores, Araceli Using immersive virtual reality distraction to reduce fear and anxiety before surgery 2023 Access copy available to the general public Unrestricted Presurgical 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. info:eu-repo/grantAgreement/ES/DGA/S31-23R info:eu-repo/semantics/openAccess by http://creativecommons.org/licenses/by/3.0/es/ 2.4 2023 HEALTH POLICY & SERVICES 49 / 118 = 0.415 2023 Q2 T2 HEALTH CARE SCIENCES & SERVICES 73 / 174 = 0.42 2023 Q2 T2 0.606 2023 Health Policy 2023 Q2 Leadership and Management 2023 Q2 Health Informatics 2023 Q3 Health Information Management 2023 Q3 3.5 2023 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Hoffman, Hunter G. Navarro-Haro, Maria Vicenta Universidad de Zaragoza (orcid)0000-0001-9726-3250 Garcia-Palacios, Azucena Atzori, Barbara Le May, Sylvie Alhalabi, Wadee Sampaio, Mariana Fontenot, Miles R. Mason, Keira P. 4009 680 Universidad de Zaragoza Dpto. Psicología y Sociología Área Person.Eval.Trat.Psicoló. 11, 19 (2023), 2697 [9 pp.] Healthcare (Basel) Healthcare (Switzerland) 2227-9032 488709 http://zaguan.unizar.es/record/129878/files/texto_completo.pdf Versión publicada 2809508 http://zaguan.unizar.es/record/129878/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:129878 articulos driver 2024-11-22-12:00:01 ARTICLE