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- Title
State-of-the-Art Review on Immersive Virtual Reality Interventions for Colonoscopy-Induced Anxiety and Pain.
- Authors
Găină, Marcel-Alexandru; Szalontay, Andreea Silvana; Ștefănescu, Gabriela; Bălan, Gheorghe Gh; Ghiciuc, Cristina Mihaela; Boloș, Alexandra; Găină, Alexandra-Maria; Ștefănescu, Cristinel
- Abstract
Background: Colonoscopy related fear impairs the current gold standard screening of colorectal cancer. Compared to other minimally invasive procedures for cancer screening, colonoscopy-induced anxiety exceeds the procedure through bowel preparation. Immersive virtual reality's (iVR) role in alleviating the complex stress–pain relationship encountered during medical procedures is directly proportional to the rising affordability of state-of-the-art Head-Mounted-Displays (HMDs). Objective: to assess the effect of iVR on patients' colonoscopy-induced anxiety and pain. Materials and methods: A systematic search was conducted in PubMed, Cochrane Central Register of Controlled Trials, Web of Science, Embase and Scopus databases up to January 2022. Clinical trials evaluating anxiety as an outcome were included without language restriction. Results: Four clinical trials were included: three on the patients' intraprocedural anxiety and one on patient education. Intraprocedural iVR interventions for colonoscopy-induced anxiety and pain revealed a similar effect as conventional sedation, while a statistically significant reduction was reported for non-sedated patients. iVR patient education improved the quality of bowel preparation and reduced patient anxiety before colonoscopy. Conclusions: The current research highlights the need to use high-end HMDs and appropriate interactive iVR software content for colonoscopy-induced anxiety. Methodological frameworks regarding the eligibility of participants, double-blinding and randomization of iVR studies can facilitate the development of iVR implementation for anxiety and pain management.
- Subjects
VIRTUAL reality; BOWEL preparation (Procedure); MINIMALLY invasive procedures; ANXIETY; PAIN; PATIENT education
- Publication
Journal of Clinical Medicine, 2022, Vol 11, Issue 6, p1670
- ISSN
2077-0383
- Publication type
Article
- DOI
10.3390/jcm11061670