Effectiveness of Virtual Reality in Reducing Pain and Stress During Office Hysteroscopy: A Randomized Controlled Trial
Por:
Tarriel, JE, Capó, JP, González, MS, Queiruga, MB, Gatius, JR, Gomis-Pastor, M, Marre, D, Olivé, EL
Publicada:
1 ene 2025
Resumen:
Introduction: Office hysteroscopy (OH) offers a "see and treat" strategy, enabling most gynecological conditions to be addressed outside the operating room without anesthesia. Despite its convenience, the associated pain and stress remain significant barriers to its widespread success among women. Both pharmacological and non-pharmacological interventions have been explored to mitigate these challenges, albeit with mixed outcomes. Methods: This study aimed to evaluate the effectiveness of virtual reality (VR) in reducing pain and stress associated with OH using objective measurements. Results: Our findings indicate that VR significantly reduced pain during OH compared to the control group (-1.08, 95%CI; -1.93-0.23, on the Visual Analogue Scale (VAS), p = 0.013) and 10 min post-procedure (-1.24, 95%CI; -1.99-0.48, p = 0.001), without significant effects on stress-related variables. Stratified analyses further revealed that the efficacy of VR in pain reduction is influenced by individual patient characteristics, with greater effectiveness observed in women with lower baseline stress, premenopausal status and a history of childbirth, regardless of vaginal delivery. Conclusions: VR represents a promising strategy for managing OH-associated pain, with its effectiveness largely depending on patient-specific variables.
Filiaciones:
Tarriel, JE:
Hosp Universitari Santa Creu & St Pau, Obstet & Gynecol Dept, Barcelona 08025, Spain
Univ Autonoma Barcelona, Pediat Obstet & Gynecol & Prevent Med & Publ Hlth, Barcelona 08193, Spain
Capó, JP:
Hosp Universitari Santa Creu & St Pau, Obstet & Gynecol Dept, Barcelona 08025, Spain
Univ Autonoma Barcelona, Pediat Obstet & Gynecol & Prevent Med & Publ Hlth, Barcelona 08193, Spain
González, MS:
Hosp Arnau Vilanova, Obstet & Gynecol Dept, Lleida 25198, Spain
Queiruga, MB:
Hosp Univ Josep Trueta, Obstet & Gynecol Dept, Girona 17007, Spain
Gatius, JR:
Hosp Santa Creu & Sant Pau, Digital Hlth Validat Ctr, St Pau Campus Salut Barcelona, Barcelona 08041, Spain
Inst Recerca St Pau IR ST PAU, St Quinti 77 79, Barcelona 08041, Spain
Gomis-Pastor, M:
Hosp Santa Creu & Sant Pau, Digital Hlth Validat Ctr, St Pau Campus Salut Barcelona, Barcelona 08041, Spain
Inst Recerca St Pau IR ST PAU, St Quinti 77 79, Barcelona 08041, Spain
Marre, D:
Univ Autonoma Barcelona, Dept Social & Cultural Anthropol, Barcelona 08193, Spain
Olivé, EL:
Hosp Universitari Santa Creu & St Pau, Obstet & Gynecol Dept, Barcelona 08025, Spain
Univ Autonoma Barcelona, Pediat Obstet & Gynecol & Prevent Med & Publ Hlth, Barcelona 08193, Spain
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