Abstract
Approximately 42 Americans die every day as a result of prescription opioids. Although controlled, opioids remain one of the primary pain management strategies after surgery. This research focused on comparing the efficacy of Virtual Reality (VR) and video interventions against standard care in mitigating preoperative anxiety and postoperative pain among 12 older adults (mean age = 61.5 ± 9.4 years, 8F, 4M) undergoing Total Knee Arthroplasty. On analyzing the survey response, both VR and video groups reported a reduction in pain and anxiety compared to no change among the control group. Further, both VR and video groups showed a significant increase (p-value = 0.01) in time-domain metrics of Heart Rate Variability (HRV), suggesting a decrease in anxiety. However, only the VR group showed a significant reduction (p-value < 0.01) in the frequency-domain metric of HRV and electrodermal activity, reflecting an increased parasympathetic activity. No significant differences were observed in postoperative opioid requirement.
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Acknowledgments
The authors thank Maher Ghalayini, Haleh Barmaki, Courtney Linder, Josh Biro and PRISMA Health staff at the Department of Orthopedic Surgery. The authors acknowledge the grant from South Carolina Research Authority #2012746 and PRISMA Health grants #2012600 and #2012672.
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Prabhu, V.G., Stanley, L., Morgan, R., Shirley, B. (2022). Comparing the Efficacy of a Video and Virtual Reality Intervention to Mitigate Surgical Pain and Anxiety. In: Ahram, T., Taiar, R. (eds) Human Interaction, Emerging Technologies and Future Systems V. IHIET 2021. Lecture Notes in Networks and Systems, vol 319. Springer, Cham. https://doi.org/10.1007/978-3-030-85540-6_133
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