CN113116349A - VR-based patient preoperative psychological construction system and method - Google Patents
VR-based patient preoperative psychological construction system and method Download PDFInfo
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Abstract
The invention discloses a patient preoperative psychological construction system and method based on VR, wherein the system comprises a main control system, a VR device, a somatosensory device, a monitoring device and an evaluation device, wherein the VR device, the somatosensory device, the monitoring device and the evaluation device are in communication connection with the main control system; the VR device is used for providing a virtual image simulating a real scene for a patient, and the virtual image comprises a disease-related information image and an operation-related information image; the body sensing device is used for applying touch feeling to the patient caused by the simulated operation process to the corresponding part of the body of the patient in cooperation with the virtual image output by the VR device; the monitoring device is used for monitoring vital sign parameters of a patient; the evaluation device is used for evaluating the current psychological state of the patient according to the feedback of the monitoring device; through above-mentioned system, can effectively improve patient's bad mental state before the art to reduce mental construction's human cost and time cost, simultaneously, still can solve present psychological mediation in-process and can't let the patient experience the problem of the concrete process of operation in advance, in addition, still effectively realized the homogenization of mental construction process and effect.
Description
Technical Field
The invention relates to the technical field of intelligent psychological construction in medical treatment, in particular to a patient preoperative psychological construction system and method based on VR.
Background
In the course of treating diseases, especially in western medicine, the focus of infection is often directly affected by means of operation, so as to achieve the purpose of eliminating pain. However, it is a strong psychological stimulus for most patients, regardless of the size or complexity of the surgery. Psychological studies indicate that when a patient is exposed to surgery, anxiety, worry and even fear are often caused, and the psychological changes can cause the secretion of adrenaline and noradrenaline to increase through the action of a sympathetic nervous system, so that adverse physiological changes such as blood pressure rise, heart rate acceleration and the like are caused. Meanwhile, a large number of clinical observations and researches prove that the negative psychological state can cause negative effects before, during and after the operation: for example, the limbs are cool, trembling and narrow in consciousness before operation, are sensitive to the environment and instruments and even have pathological psychological activities; the blood pressure fluctuation and the blood loss are large during the operation, and the operation effect is influenced; the wound healing after the operation is slow, the infection rate after the operation is high, the physical function recovery is slow, and the complications are easy to cause. Therefore, the psychological construction before the operation has extremely important significance.
At present, the psychological guidance is mainly performed on patients in a preoperative conversation and psychological counseling mode clinically. The preoperative conversation is generally carried out by a doctor in charge, the patient and family members are subjected to detailed intercourse, the importance and the necessity of the operation are clarified, the method and the possible concurrent occurrence of the operation are introduced, the opinions and the requirements of the patient are heard, and the problems brought forward by the patient, particularly the problems related to the operation safety, are solved. On the basis of the conventional preoperative conversation, special medical staff are arranged to carry out psychological dispersion, and the medical staff generally have considerable psychological knowledge or have psychological consultation and professional qualifications or belong to special psychological support departments for patients.
However, effective preoperative conversation and psychological counseling, labor and time costs are enormous. Secondly, the effects of conversation and psychological diversion before operation are highly dependent on the professional level, experience and communication art of medical care personnel, and are difficult to be homogenized. In addition, preoperative conversation and psychological counseling cannot maximally solve anxiety and fear of patients to the operation. The fear of the patient to the operation, to a great extent stem from the fear unknown to the operation environment, operation process, because the aseptic management requirement of operating room and the ethical requirement, the patient can't visit the operating room in advance or the operation process solves the fear that the unknown caused.
Disclosure of Invention
The invention aims to provide a system and a method for psychological construction before operation of a patient to solve the technical problems, so as to effectively improve the bad psychological state of the patient before operation, reduce the labor cost and the time cost of the psychological construction before operation, and realize the homogenization of the psychological construction process and effect.
In order to achieve the aim, the invention discloses a patient preoperative psychological construction system based on VR, which comprises a main control system, a VR device, a somatosensory device, a monitoring device and an evaluation device, wherein the VR device, the somatosensory device, the monitoring device and the evaluation device are in communication connection with the main control system;
the VR device is used for providing a virtual image simulating a real scene for a patient, and the virtual image comprises a disease-related information image and an operation-related information image;
the body feeling device is used for applying the touch feeling of the patient caused by the simulated operation process to the corresponding part of the body of the patient in cooperation with the virtual image output by the VR device;
the monitoring device is used for monitoring vital sign parameters of a patient;
and the evaluation device is used for evaluating the current psychological state of the patient according to the feedback of the monitoring device.
Preferably, the body sensing device comprises a body sensing garment wearable on the body surface of the patient, and the body sensing garment can apply heat sensation and/or pain sensation to the body surface of the patient.
Preferably, the monitoring device comprises one or more of a heart rate monitor, a blood pressure monitor, and an eye tracking sensor disposed on the VR device.
Preferably, the device further comprises a smell releasing device, and the smell releasing device is used for cooperating with the virtual image to release the smell corresponding to the operation site for the patient.
Preferably, the operation-related information image includes one or more of an operation condition introduction image, a simulated real operating room image, a simulated observation room image after the operation, and an operation practice process image.
Preferably, the virtual image output by the VR device can interact with the patient in a preset manner and content.
The invention also discloses a VR-based preoperative psychological construction method for patients, which comprises the following steps:
playing a virtual image simulating a real scene for a patient through a VR device, wherein the virtual image comprises a disease-related information image and an operation-related information image;
in the process of playing the virtual image, applying the touch feeling of the patient caused by the simulated operation process to the corresponding part of the body of the patient by matching with the content of the current virtual image; and the number of the first and second electrodes,
monitoring vital sign parameters of a patient in real time;
and after the virtual image is played, the current psychological state of the patient is comprehensively evaluated by combining the monitored vital sign parameters.
Preferably, the vital sign parameters include one or more of pupil size, heart rate, blood pressure; and if the current vital sign parameters of the patient are monitored to be abnormal, suspending the work of the VR device and prompting the patient whether to continue.
Preferably, for each scene, the VR device may output a plurality of virtual images with different arrangement schemes corresponding to the scene, and evaluate each of the virtual images to obtain an optimal virtual image.
Preferably, the body-worn garment is provided to the patient, said body-worn garment imparting a sensation of heat and/or pain to the body surface of the patient.
Compared with the prior art, the VR-based preoperative psychological construction system and method for the patient, provided by the invention, can play the virtual image which is related to the disease and needs to be operated and has the personally on the scene for the patient through the VR device, can introduce the characteristics of the disease to the patient in detail through the disease-related information image, and enables the patient to feel to talk with the introducer in a face-to-face manner in the basic introduction process, so that the reality is strong; through the matching of the operation related information image and the body sensing device, the patient can feel the whole operation process (including preoperative, intraoperative and postoperative) personally, and the psychological change condition of the patient on the current operation feeling is comprehensively analyzed through monitoring the vital sign parameters of the patient, so that the targeted psychological persuasion and psychological strengthening of the patient are facilitated; therefore, through the system and the method, firstly, the preoperative psychological construction can be comprehensively carried out on the patient through a highly virtual and realistic intelligent means system, the bad psychological state of the patient is effectively improved, the labor cost and the time cost of the psychological construction are reduced, meanwhile, the problem that the patient cannot feel the specific process of the operation in advance in the current psychological persuasion process can be solved, and in addition, the homogenization of the psychological construction process and the effect is effectively realized.
Drawings
Fig. 1 is a schematic flow chart of a preoperative psychological building method for a patient in an embodiment of the invention.
Fig. 2 is a schematic structural diagram of a system for implementing a preoperative mental construction method for a patient according to an embodiment of the present invention.
Detailed Description
In order to explain technical contents, structural features, and objects and effects of the present invention in detail, the following detailed description is given with reference to the accompanying drawings in conjunction with the embodiments.
The embodiment discloses a patient preoperative mental construction method based on VR to replace manual work to carry out automatic preoperative mental construction on a patient, as shown in fig. 1 and 2, the method comprises the following steps:
s1: playing a virtual image simulating a real scene for the patient through a VR device 11 (such as VR glasses), wherein the virtual image comprises a disease-related information image and an operation-related information image;
s2: in the process of playing the virtual image, applying the touch feeling of the patient caused by the simulation operation process to the corresponding part of the body of the patient by matching with the content of the current virtual image;
s3: monitoring vital sign parameters of a patient in real time;
s4: and after the virtual image is played, the current psychological state of the patient is comprehensively evaluated by combining the monitored vital sign parameters.
According to the evaluated psychological state, links which have large influence on the current psychological fluctuation of the patient can be purposefully dredged and strengthened. Preferably, the operation-related information image includes one or more of an operation condition introduction image, a simulated real operating room image, a simulated observation room image after the operation, and an operation practice process image.
The specific operation flow of the preoperative psychological construction method is as follows:
firstly, a simulated operating room for implementing the preoperative mental construction method is provided, a main control system 10, a VR device 11, a body sensing device 12, a monitoring device 13 and an evaluation device 14 which are in communication connection with the main control system 10 are arranged in the operating room, and in addition, an operating bed with an adjustable lying posture can be arranged in the simulated operating room for a patient to use. The body sensing device 12 is used for applying a sense of touch to the patient in cooperation with the virtual image output by the VR device 11, the monitoring device 13 is used for monitoring vital sign parameters of the patient, and the evaluation device 14 is used for evaluating the current psychological state of the patient according to the feedback of the monitoring device 13. The main control system 10 is pre-stored with a plurality of disease-related information images for introducing a plurality of diseases and a plurality of operation-related information images for a plurality of operations.
After the patient enters the simulated operating room, the VR device 11 is taken on, and the master control system 10 has input a virtual image corresponding to the patient's condition and operation into the VR device 11. In order to avoid errors, before the virtual image is played, the VR device 11 may also confirm the patient information, for example, after the VR device 11 is turned on, the individual information such as the name, sex, age, and hospital number of the patient is broadcasted first, then the patient is waited for confirmation, after the patient confirmation, the VR device 11 starts to introduce the disease first, that is, to broadcast the disease-related information image corresponding to the disease suffered by the patient, because the patient wears the VR device 11, the patient may have a sense of face-to-face communication with the introducer during the playing of the virtual image, and the live feeling is stronger. And after the introduction of the disease related information image is finished, playing the operation related information image.
The playing process of the operation related information image is as follows:
the first stage introduces the image for the surgical situation, in which the principles and procedures of the surgery to be performed by the patient are introduced in a 3D animation.
The second stage is an image for introducing the postoperative condition, and in the stage, the postoperative condition, the notice and the like are introduced in a real person face-to-face explanation mode.
The third stage is to simulate real operating room images, in which the same operating environment as the operating room to be operated is presented to the patient, and the patient can also adjust the viewing angle by rotating the head through the VR device 11.
The fourth stage is an image of the operation practical operation process, in the stage, the operation process is simulated in a 3D animation mode, in addition, the simulation of the operation process of the whole process is carried out on the local anesthesia operation, and the simulation is only carried out to the anesthesia stage on the whole anesthesia operation; in order to increase the real experience of the patient, at this stage, the motion sensing device 12 acts synchronously in cooperation with the simulated operation process, for example, when the operation process of the simulated liver tumor ablation operation in the local anesthesia state is performed, the motion sensing device 12 locally generates micro-heat in the right upper abdominal region of the patient to simulate the feeling of the patient in the operation; for the MAMMETONG operation of benign tumor of mammary gland, weak pain stimulation can be generated to an operation area, and mild pain after local anesthesia in the operation can be simulated; for the labor pain experience of non-pregnant women, paroxysmal pain stimulation is generated on the lower abdomen and pelvic cavity area, and the maximum intensity is 7 grades. Preferably, the motion sensing device 12 in this embodiment is a motion sensing suit, and a sense of heat and/or pain can be applied to the body surface of the patient by the motion sensing suit.
Furthermore, a smell releasing device 15 can be arranged in the operation simulation room, the smell releasing device 15 is used for matching with the virtual image to release the smell corresponding to the operation site for the patient, for example, when the simulated patient enters the operation room, the alcohol smell is synchronously released; the iodophor smell is synchronously released when the skin disinfection is simulated; the scorching smell is synchronously released when the electric coagulation is carried out by simulating the local anesthesia operation. In addition, a plurality of sound boxes can be arranged in the operation simulation room to simulate the equipment sound in the operation process.
The fifth stage is to simulate the image of the observation room after operation, in which the image can highly restore the observation room and the details after operation, and the image can be matched with the real environment of the hospital to simulate the observed environment of the patient after the operation is clear.
In the playing process of the virtual image, especially the operation related information image, the monitoring device 13 collects the vital sign parameters of the patient in real time, and the vital sign parameters in this embodiment include one or more of pupil size, heart rate, and blood pressure. Correspondingly, a heart rate monitor and a blood pressure monitor are preset in the simulated operating room, and an eye movement tracking sensor is arranged on the VR device 11. When the vital sign parameters acquired show that the patient is currently too nervous and frightened, the work of the VR device 11 can be suspended, and the patient is prompted whether to continue or not to prevent accidents.
After the virtual image is played, the evaluation device 14 forms an evaluation report by reading the feedback data of the monitoring device 13 to evaluate whether the current psychological state of the patient is suitable for the operation, and if not, performs psychological dispersion and reinforcement training on the scene with large psychological fluctuation of the patient, and performs the execution of the psychological construction method again.
Further, the virtual image output by the VR device 11 may interact with the patient in a preset manner and content, so as to improve the participation and real experience of the patient. Specifically, the virtual image played by the VR device 11 is preset with questions and corresponding answers that may be proposed by the patient, and the VR device 11 may read the voice of the patient through an audio decoder and match the corresponding questions and answers by capturing keywords in the voice; in addition, the virtual image can also directly give the questions which may be proposed by the patient to be selected by the patient, and corresponding answers are output according to the selection of the patient.
Further, in order to facilitate the evaluation of the most suitable mental construction scheme for the patient, for each scene, the VR device 11 may output a plurality of virtual images with different arrangement schemes corresponding to the scene, and perform the evaluation for each virtual image to obtain an optimal virtual image. For example, for operating room and observation room scenes, a plurality of scenes with different wall colors, different light configurations and different space sizes are prestored. By evaluating the influence of different scenes on the psychological state of the patient, the scene most suitable for the operation of the patient can be found out, thereby being beneficial to improving the relevant scene of the real operation.
Furthermore, in order to facilitate the medical staff to comprehensively control the progress of the whole mental construction method, a first monitoring display screen and a second monitoring display screen which are in communication connection with the master control system 10 can be arranged; the first monitoring display screen is used for displaying a virtual image output by the VR device 11; the second monitoring display screen is used for displaying the vital sign parameters of the current patient. Medical personnel accessible first monitoring display screen real time monitoring patient is the virtual image that sees at present, through the current health reaction of second monitoring display screen real time monitoring patient.
The above disclosure is only for the purpose of illustrating the preferred embodiments of the present invention and is not to be construed as limiting the scope of the present invention, therefore, the present invention is not limited by the appended claims.
Claims (10)
1. A patient preoperative psychological construction system based on VR is characterized by comprising a main control system, a VR device, a somatosensory device, a monitoring device and an evaluation device, wherein the VR device, the somatosensory device, the monitoring device and the evaluation device are in communication connection with the main control system;
the VR device is used for providing a virtual image simulating a real scene for a patient, and the virtual image comprises a disease-related information image and an operation-related information image;
the body feeling device is used for applying the touch feeling of the patient caused by the simulated operation process to the corresponding part of the body of the patient in cooperation with the virtual image output by the VR device;
the monitoring device is used for monitoring vital sign parameters of a patient;
and the evaluation device is used for evaluating the current psychological state of the patient according to the feedback of the monitoring device.
2. The VR-based patient pre-operative mental construction system of claim 1, wherein the somatosensory device includes a somatosensory garment wearable on a patient's body surface, the somatosensory garment to impart a sensation of heat and/or pain to the patient's body surface.
3. The VR-based patient pre-operative mental building system of claim 1, wherein the monitoring device includes one or more of a heart rate monitor, a blood pressure monitor, and an eye tracking sensor disposed on the VR device.
4. The VR-based patient pre-operative mental construction system of claim 1, further comprising a scent release device configured to release a scent corresponding to a surgical site for a patient in cooperation with the virtual image.
5. The VR-based patient pre-operative mental construction system of claim 1, wherein the operation-related information images include one or more of an operation condition introduction image, a post-operation condition introduction image, a simulated real operating room image, a simulated post-operation observation room image, and an operation practice process image.
6. The VR-based patient pre-operative mental construction system of claim 1, wherein the virtual image output by the VR device is further interactive with a patient in a pre-set manner and content.
7. A VR-based preoperative mental construction method for a patient is characterized by comprising the following steps:
playing a virtual image simulating a real scene for a patient through a VR device, wherein the virtual image comprises a disease-related information image and an operation-related information image;
in the process of playing the virtual image, applying the touch feeling of the patient caused by the simulated operation process to the corresponding part of the body of the patient by matching with the content of the current virtual image; and the number of the first and second electrodes,
monitoring vital sign parameters of a patient in real time;
and after the virtual image is played, the current psychological state of the patient is comprehensively evaluated by combining the monitored vital sign parameters.
8. The VR-based patient pre-operative mental construction method of claim 7, wherein the vital sign parameters include one or more of pupil size, heart rate, blood pressure; and if the current vital sign parameters of the patient are monitored to be abnormal, suspending the work of the VR device and prompting the patient whether to continue.
9. The VR-based patient pre-operative mental construction method of claim 7, wherein for each scene, the VR device outputs a plurality of virtual images with different arrangement schemes corresponding to the scene, and evaluates each of the virtual images to obtain an optimal virtual image.
10. The VR-based patient pre-operative mental construction method of claim 7, wherein the patient is provided with an all-in-one body suit that imparts heat and/or pain to a body surface of the patient.
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| CN113436496A (en) * | 2021-08-04 | 2021-09-24 | 西南医科大学附属医院 | VR (virtual reality) system for preoperative simulation of ophthalmic surgery |
| CN114159671A (en) * | 2021-12-14 | 2022-03-11 | 湘潭大学 | University student mental health training system and method based on VR panoramic video |
| CN115068261A (en) * | 2022-06-15 | 2022-09-20 | 中国人民解放军陆军军医大学第一附属医院 | Operation experience bed and use method thereof |
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