Patients at high risk of preterm birth are hospitalized with an high stress for their child's future. In order to better prepare the patient to a possible preterm delivery we use to propose her a visit of the neonatology unit. However, as a result of their obstetrical condition and of the pediatric staff disponibility, this visit is not always possible. Virtual Reality (VR) is well known to provide an immersive experience while staying in a unique place. Our project is to propose a virtual visit of the delivery room, neonatology unit and intensive care unit to all hospitalized patients at risk of preterm delivery in order to prepare and decompress them.
Most of the future parents are unprepared to outcomes of their premature child and the neonatology unit visit has a demonstrated anxiolytic effect on them (decrease of 6.7 points on the State Trait Anxiety Inventory-form Y scale (STAI-Y1)) unfortunately, as a result of their obstetrical condition and of the pediatric staff disponibility, the visit of the neonatology unit is not always possible in time. Furthermore VR is known to be an immersive experience wich had already proved its comforting interest during delivery or to prepare patient to a planned caesarean. In this study we propose to all hospitalized and high risk of delivery early patients a virtual visit of the neonatology unit from their sit in the calm space of their room. If the patient doesn't tolerate or has some VR contraindication : a virtual visit is possible on digital tablet. The visit is presented after the foetal lung maturation by 48h of Betamethasone. Patients complete a STAI-Y-A survey before and after the experience and a Simulator Sickness Questionnaire (SSQ) questionary to evaluate their tolerance. All medical informations can be found in the medical record.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
OTHER
Masking
NONE
Enrollment
85
Virtual reality visit of the birth room, cesarean and pediatric hospitalization department: neonatology and neonatal intensive care
Limoges Univesity Hospital
Limoges, France
Impact of a virtual reality
evaluation of the impact of a virtual reality visit on the anxiety of hospitalized patients with a risk of preterm delivery with the STAI-YA questionary
Time frame: Day 1
Number of deliveries
Number of deliveries in the 12 following hours VR.
Time frame: Hours 12
Number of patients experiencing an increase in uterine contractions
Number of patients experiencing an increase in uterine contractions in the 12 following hours VR.
Time frame: Hours 12
Number of patients with rupture of membranes
Number of patients with rupture of membranes obstetrical complications in the 12 following hours VR.
Time frame: Hours 12
Evolution of Heart rate kinetics
evolution of heart rate kinetics during VR in beats per minute within 48 hours
Time frame: Day 2
% of patients with Arterial hypotension
Proportion in % of patients with arterial hypotension within 2 hours after VR in mmHg
Time frame: Day 2
% of patients with difficulty falling asleep
Proportion in % of patients with difficulty falling asleep the night after the visit, self-reported at the next day's medical visit.
Time frame: Day 2
Consumption of anxiolytics and analgesics
Variation in the use of anxiolytics and analgesics
Time frame: Day 2
% of patients wtihCybercinetosis
Individual mean score and number and proportion of patients with an SSQ score \> 38/48
Time frame: Hours 2
% of patients wtih Visit interruption
proportion in % of patients who interrupted the visit
Time frame: Hours 2
% of patients wtih Visit on tablet
Proportion in % of patients who completed the visit on a tablet
Time frame: Hours 2
Average length of visit in VR
Average length of visit for each patient
Time frame: through study completion, a maximum of 18 weeks
% of patients wtih Renewal of the visit in VR
Proportion in % of patients wishing to repeat the visit
Time frame: through study completion, a maximum of 18 weeks
overall satisfaction
Description of the patient's overall satisfaction of this study with Lickert's scale (Score between 0 unnecessary and 10 very useful)
Time frame: through study completion, a maximum 18 weeks
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