psychischische ervaring /onduidelijkheid na IC opname PTSD Virtual Reality
Conditions
Interventions
Therapy with VR is based on exposure-based therapy (VR-EBT or VRET: virtual
reality exposure therapy). VRET effectively circumvents the natural tendency to
avoid traumatic memories by directly deliv
if this is not possible then the therapy operates exclusively
within the unseen world of the patient*s imagination. VRET is extensively used
in the psychology for treatment.
Sponsors
Sint Franciscus Gasthuis
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: 1. Healthy volunteers - 18-75 years - no previous history of ICU admission - no previous VR experience - no pregnant woman will be included - no history of mental illness - signed informed consent;2. Survivors of sepsis staying at the ICU Patients with prolonged mechanical ventilation (>24 hours) and understanding of the Dutch language are eligible for study participation if they are fulfilling the following criteria: - Sepsis or septic shock according to the recent guidelines - Patients between 18-75 years of age. - Patients must be awake during VR-application - Maximal Glasgow coma score. - No clinical suspicion for an untreatable delirium. Delirium is defined as a positive CAM-ICU >1, or if a screening tool is not used, pragmatically defined as 1) new administration of haloperidol >1mg/day or other antipsychotic drug; or 2) delirium reported by a physician or ICU nurse in the patient record, as confirmed by a designated research nurse on site. - Signed informed consent;3. Survivors of sepsis admitted to the hospital ward after ICU discharge Patients with prolonged mechanical ventilation (>24 hours) and understanding of the Dutch language are eligible for study participation if they are fulfilling the following criteria: - Sepsis or septic shock according to the recent guidelines - Patients between 18-75 years of age. - Patients must be awake during VR-application - Maximal Glasgow coma score. - No clinical suspicion for an untreatable delirium. Delirium is defined as a positive CAM-ICU >1, or if a screening tool is not used, pragmatically defined as 1) new administration of haloperidol >1mg/day or other antipsychotic drug; or 2) delirium reported by a physician or ICU nurse in the patient record, as confirmed by a designated research nurse on site. - Signed informed consent
Exclusion criteria
Exclusion criteria: 1. Healthy volunteers - Volunteers with established schizophrenia. - Volunteers known with epilepsy;2. Survivors of sepsis staying at the ICU / 3. Survivors of sepsis admitted to the hospital ward after ICU discharge The key exclusion criterion was cognitive impairment, as determined by the Telephone Interview of Cognitive Status (score
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate the feasibility and clinical relevance of Virtual Reality Exposure Therapy among survivors of sepsis | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. To determine if adaptation (pre-exposure) is accompanied with a reduction of cybersickness during the VR-ICU application Treatment related information for healthy volunteers and patients - Age - Sex - BMI - Race - Heart rate - Saturation - Respiratory rate Treatment related information only in patients. - Biochemical data - Source of infection, No. (%) (Community acquired vs nosocomial) - Recent surgical history, No. (%) - Sputum cultures - Blood cultures - Wound cultures - ICU stay (days) - Hospital stay (days) - APACHE II / APACHE IV / SOFA score. - Days of mechanical ventilation (endotracheal vs tracheotomy) - Noninvasive ventilation - Renal replacement therapy - Use of vasopressors - Use of (analgo)-sedatives (remifentanil/ propofol etc) - Use of analgetics (morfine / paracetamol / sufentanyl / fentanyl) - Scoring of delirium - Use of Haldol - RASS score - VAS score - CAM ICU score - TICS score | — |
Countries
Netherlands
Outcome results
None listed