The Usefulness of Virtual Reality in Symptom Management during Chemotherapy in Lung Cancer Patients: A Quasi-Experimental Study

Author:

Mitello Lucia1,Marti Flavio12ORCID,Mauro Lucia1,Siano Ludovica3,Pucci Antonello1,Tarantino Concetta1,Rocco Gennaro45ORCID,Stievano Alessandro6,Iacorossi Laura7,Anastasi Giuliano8,Ferrara Rosaria9ORCID,Marucci Anna Rita1,Varrassi Giustino10ORCID,Giannarelli Diana11,Latina Roberto12ORCID

Affiliation:

1. Department of Health Professions, San Camillo-Forlanini Hospital, 00152 Rome, Italy

2. School of Nursing and Midwifery, Faculty of Medicine and Psychology, Sapienza University of Rome, 00152 Rome, Italy

3. Emergency Department, Fatebenefratelli Hospital, 00189 Rome, Italy

4. Center of Excellence for Nursing Scholarship, OPI of Rome, 00136 Rome, Italy

5. Faculty of Medicine, Catholic University Our Lady of Good Counsel, 1005 Tirana, Albania

6. Department of Clinical and Experimental Medicine, University of Messina, 98122 Messina, Italy

7. Department of Life, Health and Health Professions Sciences Link Campus University, 00165 Rome, Italy

8. Department of Trauma, AOU G. Martino University Hospital, 98124 Messina, Italy

9. Department of Anatomy Histology, Legal Medicine and Orthopaedics, Sapienza University of Rome, 00161 Rome, Italy

10. Research Department, Paolo Procacci Foundation, 00193 Rome, Italy

11. Facility of Epidemiology and Biostatistics, IRCCS Policlinico Gemelli, 00168 Rome, Italy

12. Department of Health Promotion Science, Maternal and Infant Care, Internal Medicine and Medical Specialties, University of Palermo, 90127 Palermo, Italy

Abstract

Background: Virtual reality (VR) emerges as a promising non-pharmacological intervention for managing symptoms and providing distraction during chemotherapy. This study aims to assess VR’s effectiveness on cancer-related symptoms, vital signs, and the patients’ perception of chemotherapy in lung cancer patients. Methods: A quasi-experimental study was conducted on 100 patients. Participants were allocated into an intervention group (n = 55), which experienced immersive VR, and a comparison group (n = 45), which received usual care. Data were collected through questionnaires and checklists, including feedback on the VR experience, pain, vital signs, and common cancer symptoms, assessed through the Edmonton Symptom Assessment Scale. Results: VR had a significant impact on reducing the perception of chemotherapy length. Patients reported high levels of satisfaction and tolerability. No adverse events were observed. VR did not have significant influence on pain intensity or vital signs. The only exceptions were oxygen saturation, where a significant difference (p = 0.02) was reported, and the perception of chemotherapy duration. Conclusions: As a non-pharmacological intervention, VR proves to be beneficial in minimizing the perceived length of chemotherapy sessions for lung cancer patients, enhancing their overall treatment experience. The intervention was found to be a safe, feasible, and well-accepted distraction technique. Future research should explore VR’s potential effects on a wider range of symptoms and evaluate its impact on long-term outcomes.

Funder

Italian Center of Excellence for Nursing Scholarship (CECRI), Rome, Italy

Publisher

MDPI AG

Reference87 articles.

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