Feasibility of a virtual reality intervention in the intensive care unit

Jawed, Yameena; Golovyan, Dmitriy; López, David; Khan, Sikandar; Wang, Sophia; Freund, Chauncey; Imran, Sundus; Hameed, Usman; Smith, J. Philip; Kok, Linda; Khan, Babar

doi:10.1016/j.hrtlng.2021.05.007

Cited by 18 publications

(16 citation statements)

References 29 publications

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“…The overall acceptability of the VR interventions is consistent with previous studies [ 5 , 42 ]. However, the use of VR in a palliative care population requires extra care due to the presentation of the patients, many of whom are often older or frail.…”

Section: Discussionsupporting

confidence: 89%

Virtual Reality in Palliative Care: A Systematic Review

et al. 2022

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Background: Virtual reality (VR) using head-mounted displays (HMDs) has demonstrated to be an effective tool for treating various somatic and psychological symptoms. Technological advances and increased affordability of VR technology provide an interesting option for delivering psychological interventions to patients in palliative care. The primary aim of this systematic review was to synthesise the available research on the use of VR for enhancing psychological and somatic outcomes for palliative care patients. Secondary aims included assessing general satisfaction and overall usability. Method: A pre-registered systematic literature search was conducted according to PRISMA guidelines using OVID Emcare, Cochrane Library, Embase, Medline, PsycINFO, and PubMed Care Search: Palliative Care Knowledge Network. Peer-reviewed experimental, quasi-experimental, observational, case, and feasibility studies consisting of single or multiple VR sessions using HMDs that reported psychological and/or somatic outcomes were included. Results: Eight studies published between 2019 and 2021 were included, representing 138 patients. While the reported quantitative psychological and somatic outcomes were ambiguous, the qualitative outcomes were largely positive. Participants were generally satisfied with VR, and most studies reported the VR interventions as usable, feasible, and acceptable. Conclusions: VR shows promise in palliative care and generally addresses a range of symptoms with few adverse effects. Future research should consist of adequately powered RCTs evaluating dosage and focusing on providing meaningful activities to enhance outcomes further.

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Section: Discussionsupporting

confidence: 89%

Virtual Reality in Palliative Care: A Systematic Review

et al. 2022

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“…They found a mild reduction in respiratory rate, and patients described the VR experience as highly usable, immersive, and satisfying. Similarly, Jawed et al (2021) exposed 15 ICU patients to a VR beach setting with audio for 15 twice a day to study its feasibility and effects on agitation, anxiety, and confusion. They found that the VR sessions were tolerated in 80% of patients with 71% reporting improvements in anxiety levels, 60% requesting further such sessions.…”

Section: Resultsmentioning

confidence: 99%

“…They found that the VR sessions were tolerated in 80% of patients with 71% reporting improvements in anxiety levels, 60% requesting further such sessions. Jawed et al (2021) found that the majority of ICU patients studied stated that they felt they were "more on the beach than in the ICU," attesting to VR's ability to provide a positive escape from the hospital environment. Jawed et al (2021) found that the majority of ICU patients studied stated that they felt they were "more on the beach than in the ICU," attesting to VR's ability to provide a positive escape from the hospital environment.…”

Section: Influence Of Exposure To Nature Through Virtual Reality (Vr)mentioning

confidence: 95%

The Influence of Exposure to Nature on Inpatient Hospital Stays: A Scoping Review

Guidolin,

Jung,

Hunter

et al. 2024

HERD

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Aim: To summarize the existing literature surrounding the influence of natural elements on course in hospital and to introduce clinicians to the concept of biophilic design and the potential for incorporation of nature into the hospital environment as a component of a therapeutic hospitalization. Background: For decades, architects and designers have espoused the benefits of incorporating natural elements into the healthcare environment for therapeutic purposes. The benefits of this “biophilic” design philosophy has been investigated predominantly in long-term care or rehabilitation settings; however, some of the most appealing opportunities lie in the acute care setting. Methods: This scoping review surveyed the literature surrounding the influence of exposure to nature on course in acute hospitalizations. After screening 12,979 citations, 41 articles were included. Exposures were divided into seven categories, the most common of which were the presence of a window/natural light, a natural scene through a window, and nature soundscapes. These articles were reviewed in a narrative fashion and thematic analysis was conducted. Results: Studies were extremely heterogeneous in their design, research questions, and reported outcomes. Types of exposure to nature studied were exposure to a real natural scene through a window, presence of a window/nature light, nature in the healthcare environment, art depicting nature, direct contact with nature, nature soundscapes, and nature experienced through virtual reality (VR). Conclusions: Exposure to nature during an acute hospital admission appears to have a real but small therapeutic effect, predominantly on psychological metrics like anxiety/depression, pain, and patient satisfaction. Greater beneficial effects are seen with greater durations of exposure to nature and greater degrees of immersion into nature (e.g., creating multisensory experiences using emerging technology like VR).

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“…The results of this study indicated that both VR and acupressure interventions could effectively reduce pain. Regarding VR interventions in the literature, Jawed et al (2021) used such an intervention to reduce the pain of intensive care patients and reported its effectiveness. Various other studies have also concluded that VR interventions can effectively reduce pain in patients undergoing medical procedures and reported that VR interventions are increasingly being used as a non‐pharmacological method (Addab et al, 2022; Vega et al, 2022; Wang et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

Effects of virtual reality and acupressure interventions on pain, anxiety, vital signs and comfort in catheter extraction processes for patients undergoing coronary angiography: A randomized controlled trial

Gökçe

Arslan

2023

Int J of Nursing Practice

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BackgroundPain and anxiety management in patients undergoing medical and surgical procedures is an important competence area for nurses.AimThis study aimed to determine and compare the effects of virtual reality and acupressure interventions on pain, anxiety, vital signs and comfort levels in the process of femoral catheter extraction for patients undergoing coronary angiography.MethodsThe study was a single‐blind, three‐group, randomized controlled trial conducted in the cardiology clinics of a university hospital in 2021. A total of 153 patients (51 virtual reality, 51 acupressure, 51 control) participated in the study. Data were collected using a Visual Analogue Scale, the State–Trait Anxiety Inventory, a vital signs follow‐up form and the Perianesthesia Comfort Scale.ResultsBoth intervention groups had significantly lower pain and anxiety scores, as well as higher comfort scores, compared to the control group (p < 0.001). The virtual reality group had lower systolic blood pressure, respiratory rate and pulse rate than the control group (p < 0.05). The acupressure group had lower systolic and diastolic blood pressure and respiratory rate than the control group (p < 0.05).ConclusionsWhile neither intervention group was found to be superior to the other, both interventions improved vital signs and comfort levels by reducing pain and anxiety.

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Feasibility of a virtual reality intervention in the intensive care unit

Cited by 18 publications

References 29 publications

Virtual Reality in Palliative Care: A Systematic Review

Virtual Reality in Palliative Care: A Systematic Review

The Influence of Exposure to Nature on Inpatient Hospital Stays: A Scoping Review

Effects of virtual reality and acupressure interventions on pain, anxiety, vital signs and comfort in catheter extraction processes for patients undergoing coronary angiography: A randomized controlled trial

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