目的:探讨出院前虚拟现实视频心理干预对面部深度烧伤患者出院后情绪的影响。方法:2017年10月—2019年9月，吉林大学第一医院收治的84例面部深度烧伤患者符合入选标准，纳入本前瞻性随机对照研究。按随机数字表法将患者分为2组，随访脱落后，虚拟现实视频组纳入40例（男21例、女19例）、普通视频组纳入41例（男22例、女19例），年龄分别为18~53、19~55岁。选择7例于2014年1月—2016年12月经吉林大学第一医院治愈且回归正常工作生活的面部深度烧伤后康复患者，将每例患者受伤前后与治疗各阶段照片及相应解说、出院后面临的问题及解决方法、生活状态影像等编辑录制成视频。从出院前7 d开始，虚拟现实视频组患者通过虚拟现实眼镜观看视频，普通视频组患者通过平板电脑观看视频。出院前7 d（观看视频前）及出院后1个月，采用焦虑自评量表、抑郁自评量表、社交回避与苦恼量表评估2组患者焦虑、抑郁、社交回避与苦恼情绪。对数据行t检验、Xn 2检验或Fisher确切概率法检验。n 结果:出院前7 d，普通视频组患者焦虑、抑郁、社交回避与苦恼评分分别为（34±7）、（34±6）、（11.5±3.9）分，与虚拟现实视频组的（35±7）、（35±5）、（10.5±3.9）分相近，均高于国内常模。出院后1个月，虚拟现实视频组患者焦虑、抑郁、社交回避与苦恼评分分别为（31±5）、（31±5）、（7.2±2.5）分，明显低于出院前7 d（t= 6.609、7.492、7.622，P<0.01）；普通视频组患者焦虑、抑郁和社交回避与苦恼评分分别为（37±7）、（38±8）、（13.9±7.4）分，明显高于出院前7 d（t=2.802、3.599 、2.739，P<0.01）。出院后1个月，虚拟现实视频组患者焦虑、抑郁和社交回避与苦恼评分明显低于普通视频组（t=4.722、5.043、5.490，P<0.01）。结论:应用虚拟现实视频对面部深度烧伤患者进行出院前心理干预可减轻患者出院后焦虑、抑郁及社交回避与苦恼等不良情绪。“,”Objective:To investigate the effect of virtual reality (VR) video-based pre-discharge psychological intervention on the post-discharge emotions of patients with deep facial burn.Methods:Enrolled in the prospective randomized controlled study were 84 patients with deep facial burn that were hospitalized from October 2017 to September 2019 in the First Hospital of Jilin University and met the inclusion criteria. According to the random number table, the patients were divided into two groups, with some losing touch in follow-up, there were 40 cases (21 males and 19 females) left in VR video group, aged 18~53 years, while there were 41 cases (22 males and 19 females) left in general video group, aged 19~55 years. Seven patients who had been treated in the First Hospital of Jilin University from January 2014 to December 2016 and returned to work and life after recovering from the deep facial burn were selected, and then a video was made for each of them based on the pictures taken before and after they got burned and at each stage of treatment with the relevant oral explanations, the problems they faced after discharge and the solutions adopted for those problems, and the image data about their living conditions. Seven days before discharge, the patients in VR video group began to watch videos by wearing VR glasses, while the patients in general video group began to watch videos on a tablet computer. On the 7th day before discharge (before watching the videos) and 1 month after discharge, the Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS) and Social Avoidance and Distress (SAD) Scale were used to evaluate the level of anxiety, depression, social avoidance and distress of patients in both groups. Data were statistically analyzed with t test, chi-square test, or Fisher's exact probability test.Results:On the 7th day before discharge, the scores of anxiety, depression, and social avoidance and distress of patients in general video group were (34±7), (34±6), and (11.5±3.9) points, respectively, close to (35±7), (35±5), and (10.5±3.9) points in VR video group, and the scores of both groups were higher than the national norms. One month after discharge, the scores of anxiety, depression, and social avoidance and distress of patients in VR video group were (31±5), (31±5), and (7.2±2.5) points, respectively, significantly lower than the scores on the 7th day before discharge (t=6.609, 7.492, 7.622, P<0.01); the scores of anxiety, depression, social avoidance and distress of patients in general video group were (37±7), (38±8), and (13.9±7.4) points, respectively, significantly higher than the scores on the 7th day before discharge (t=2.802, 3.599, 2.739, P<0.01). One month after discharge, the scores of anxiety, depression, and social avoidance and distress of patients in VR video group were significantly lower than those in general video group (t=4.722, 5.043, 5.490, P<0.01).Conclusions:The unhealthy emotions of patients with deep facial burn, such as anxiety, depression, and social avoidance and distress, can be alleviated after discharge if they undergo psychological intervention by watching VR videos before discharge.