虚拟现实技术干预对高压氧治疗职业性噪声聋患者治疗前心理应激的影响

摘要/Abstract

摘要： 目的观察虚拟现实技术（VR）干预对改善高压氧治疗（HBO）治疗职业性噪声聋（ONID）患者治疗前心理应激的效果。方法选取2021年2月—2024年2月淄博市职业病防治院收治的ONID患者96例为研究对象,依照入院顺序编号,根据单双号分为对照组（单号）与试验组（双号）,每组48例,分别实施常规护理干预与应用VR技术的护理干预。观察并比较两组抑郁自评量表（SDS）、焦虑自评量表（SAS）和一般自我效能感量表（GSES）评分,治疗依从性,在不同频率（500~4000 Hz）纯音测听检测下的听阈水平的差异。结果干预后,两组GSES评分均升高,SDS、SAS评分均降低,但试验组上述指标变化幅度均大于对照组,差异具有统计学意义（P<0.05）。试验组治疗依从性高于对照组,差异具有统计学意义（P<0.05）;试验组不同频率下的听阈水平均低于对照组,差异具有统计学意义（P<0.05）。结论将VR技术应用于ONID患者HBO当中,可有效缓解患者治疗前心理应激,增强其自我效能感,对提高患者HBO接受意愿有着正向影响,并促进其听力的改善,极具应用价值。

关键词: 职业性噪声聋, 虚拟现实技术, 心理应激

Abstract: Objective To observe the effect of virtual reality (VR) intervention on HBO treatment of occupational noise deafness (ONID) patients with pre-treatment psychological stress. Methods 96 cases of ONID patients admitted to our hospital from February 2021 to February 2024 were selected and divided into control group (single number) and experimental group (even number) with 80 cases each according to the admission sequence number. Routine nursing intervention and nursing intervention using VR technology were respectively implemented. The scores of self-rating Depression Scale (SDS), self-rating Anxiety Scale (SAS) and General Self-efficacy Scale (GSES), treatment compliance, and hearing threshold levels of the two groups were observed under pure tone audiometry at different frequencies (500-4000 Hz). Results After intervention, the GSES scores of the control group were increased but far less than that of the experimental group, and the SDS and SAS scores were decreased, but not significantly (P<0.05). Compared with the experimental group, the treatment compliance in the control group was significantly worse (P<0.05). The hearing threshold levels of experimental groups were lower than those of control group at different frequencies after intervention (P<0.05). Conclusion The application of VR technology in the HBO treatment of ONID patients can significantly relieve the psychological stress before treatment, enhance the self-efficacy of patients, have a positive impact on improving the willingness of patients to accept HBO treatment, and promote the improvement of their hearing function, which is of great application and promotion value.

Key words: occupational noise deafness, virtual reality technology, psychological stress

中图分类号:

李洪美. 虚拟现实技术干预对高压氧治疗职业性噪声聋患者治疗前心理应激的影响[J]. 中华养生保健, 2024, 42(24): 123-126.

LI Hong-mei. Effect of virtual reality technology intervention on pre-treatment psychological stress in patients with occupational noise deafness treated by hyperbaric oxygen[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(24): 123-126.

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