Virtual reality for pain management in advanced heart failure: A randomized controlled study.
Palliative
distraction therapy
heart failure
pain
virtual reality
Journal
Palliative medicine
ISSN: 1477-030X
Titre abrégé: Palliat Med
Pays: England
ID NLM: 8704926
Informations de publication
Date de publication:
Dec 2021
Dec 2021
Historique:
pubmed:
26
8
2021
medline:
15
1
2022
entrez:
25
8
2021
Statut:
ppublish
Résumé
Hospitalized patients with advanced heart failure often experience acute and/or chronic pain. While virtual reality has been extensively studied across a wide range of clinical settings, no studies have yet evaluated potential impact on pain management on this patient population. To investigate the impact of a virtual reality experience on self-reported pain, quality-of-life, general distress, and satisfaction compared to a two-dimensional guided imagery active control. Single-center prospective randomized controlled study. The primary outcome was the difference in pre- versus post-intervention self-reported pain scores on a numerical rating scale from 0 to 10. Secondary outcomes included changes in quality-of-life scores, general distress, and satisfaction with the intervention. Between October 2018 and March 2020, 88 participants hospitalized with advanced heart failure were recruited from an urban tertiary academic medical center. Participants experienced significant improvement in pain score after either 10 minutes of virtual reality (change from pre- to post -2.9 ± 2.6, Virtual reality may be an effective nonpharmacologic adjuvant pain management intervention in hospitalized patients with heart failure. ClinicalTrials.gov database (NCT04572425).
Sections du résumé
BACKGROUND
BACKGROUND
Hospitalized patients with advanced heart failure often experience acute and/or chronic pain. While virtual reality has been extensively studied across a wide range of clinical settings, no studies have yet evaluated potential impact on pain management on this patient population.
AIM
OBJECTIVE
To investigate the impact of a virtual reality experience on self-reported pain, quality-of-life, general distress, and satisfaction compared to a two-dimensional guided imagery active control.
DESIGN
METHODS
Single-center prospective randomized controlled study. The primary outcome was the difference in pre- versus post-intervention self-reported pain scores on a numerical rating scale from 0 to 10. Secondary outcomes included changes in quality-of-life scores, general distress, and satisfaction with the intervention.
SETTING/PARTICIPANTS
METHODS
Between October 2018 and March 2020, 88 participants hospitalized with advanced heart failure were recruited from an urban tertiary academic medical center.
RESULTS
RESULTS
Participants experienced significant improvement in pain score after either 10 minutes of virtual reality (change from pre- to post -2.9 ± 2.6,
CONCLUSION
CONCLUSIONS
Virtual reality may be an effective nonpharmacologic adjuvant pain management intervention in hospitalized patients with heart failure.
TRIAL REGISTRATION
BACKGROUND
ClinicalTrials.gov database (NCT04572425).
Identifiants
pubmed: 34431398
doi: 10.1177/02692163211041273
doi:
Banques de données
ClinicalTrials.gov
['NCT04572425']
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM