The effect of ınformation about the operating room environment with virtual reality glasses on the anxiety level and vital findings of the patients: a randomized controlled study protocol

Authors

  • Serpil Cagliyan Payas Department of Nursing, Institute of Health Sciences, Marmara University, İstanbul, Turkey
  • Nuray Sahin Orak Department of Nursing, Faculty of Health, Sciences, Nisantasi University, İstanbul, Turkey

DOI:

https://doi.org/10.18203/2349-3259.ijct20233173

Keywords:

Preoperative anxiety, VR, Abdominal surgery, İnformation about the operating room environment

Abstract

Background: This article summarizes the study protocol currently used to evaluate the effect of informing about the operating room environment with virtual reality (VR) glasses on patients' anxiety level and vital signs.

Methods: This study was designed as a non-drug clinical, randomized controlled trial. Eligible patients will be randomly assigned to one of two groups. The population of the study will consist of 80 patients who will undergo planned abdominal surgery in the operating room unit of a state hospital affiliated to the TRNC ministry of health. Before surgery, the first group (n=40) will be informed through VR glasses, while the second group (n=40) will receive standard care.

Conclusions: The outcome is anxiety level before surgery and the state of vital signs during surgery.

Trial registration: International standard randomized controlled trial number NCT05899790.

References

Cimilli C. Cerrahide anksiyete. Klinik Psikiyatri. 2001;4(3):182-6.

Kırtıl İ, Kanan N. Abdominal Cerrahi Girişim Sonrası Erken Mobilizasyonun Gastrointestinal İşlevlere Etkisi: Sistematik Derleme. Arşiv Kaynak Tarama Dergisi. 2021;30(3):166-76.

İzveren AÖ, Dal Ü. Abdominal cerrahi girişim uygulanan hastalarda görülen erken dönem sorunları ve bu sorunlara yönelik hemşirelik uygulamaları. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi. 2011;18(2):36-46.

Karayağız F, Altuntaş M, Güçlü YA, Yılmazer TT, Öngel K. Cerrahi servisinde yatan hastalarda görülen anksiyete dağılımı Anxiety distrubution observed at surgery patients. Smyrna Tıp Dergisi. 2011;22-25.

Malley A, Kenner C, Kim T, Blakeney B. The role of the nurse and the preoperative assessment in patient transitions. AORN J. 2015;102(2):181.e1-9.

Usichenko TI, Hua K, Cummings M, Nowak A, Hahnenkamp K, Brinkhaus B et al. Auricular stimulation for preoperative anxiety-A systematic review and meta-analysis of randomized controlled clinical trials. J Clin Anesthesia. 2022;76:110581.

Walker EM, Bell M, Cook TM, Grocott MP, Moonesinghe SR. Patient reported outcome of adult perioperative anaesthesia in the United Kingdom: a cross-sectional observational study. Br J Anaesth. 2016;117(6):758-66.

Özyürek H, Göktaş S. Acil ve elektif cerrahide hastaların anksiyete düzeylerinin ve hemşirelik bakım memnuniyetlerinin değerlendirilmesi. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi, 2021;3(2):83-92.

Esteghamat SS, Moghaddami S, Esteghamat SS, Kazemi H, Kolivand PH, Gorji A. The course of anxiety and depression in surgical and nonsurgical patients. Int J Psychiatry Clin Pract. 2014;18(1):16-20.

Arlı ŞK. Ameliyat öncesi anksiyetenin APAIS ve STAI-I ölçekleri ile değerlendirilmesi. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi. 2017;4(3):38-47.

Robertson A, Khan R, Fick D, Robertson WB, Gunaratne DR, Yapa S et al. The effect of Virtual Reality in reducing preoperative anxiety in patients prior to arthroscopic knee surgery: A randomised controlled trial. In 2017 IEEE 5th international Conference on Serious Games and Applications for Health (SeGAH). 2017;1-7 IEEE.

Chan JJI, Yeam CT, Kee HM, Tan CW, Sultana R, Sia ATH et al. The use of pre-operative virtual reality to reduce anxiety in women undergoing gynecological surgeries: a prospective cohort study. BMC Anesthesiol. 2020;20(1):1-8.

Yeşilyaprak T, Özşaker E. Hastaların ameliyathane ortamına ilişkin görüşlerinin incelenmesi. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 2018;11(4):315-21.

Gürsoy A, Candaş B, Güner Ş, Yılmaz S. Preoperative stress: An operating room nurse intervention assessment. J Peri Anesthesia Nursing. 2016;31(6):495-503.

Eyi S, Kanan N, Akyolcu N, Akın ML, Acaroğlu R. Ameliyat sırasında uygulanan hemşirelik bakımının hastalar tarafından değerlendirilmesi. TAF Prevent Med Bull. 2016;15(2):159-170.

Bölükbaş N, Birlikbaş S. ERAS rehberleri cerrahi sonrası hızlandırılmış iyileşme protokolleri. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi. 2019;2(3):194-205.

Rosiek A, Kornatowski T, Rosiek-Kryszewska A, Leksowski Ł, Leksowski K. Evaluation of stress intensity and anxiety level in preoperative period of cardiac patients. BioMed Res Int. 2016.

Sidar A, Dedeli Ö, İşkesen Aİ. Açık Kalp Cerrahisi Öncesi ve Sonrası hastaların Anksiyete ve Ağrı Distresi: Ağrı Düzeyi İle ilişkisinin İncelenmesi. Yoğun Bakım Dergisi. 2013;4:1-8.

Yeo JK, Cho DY, Oh MM, Park SS, Park MG. Listening to music during cystoscopy decreases anxiety, pain, and dissatisfaction in patients: A pilot randomized controlled trial. J Endourol. 2013;27(4):459-62.

Stewart M, Cox-Davenport RA. Comparative analysis of registered nurses' and nursing students' attitudes and use of nonpharmacologic methods of pain management. Pain Management Nursing. 2015;16(4):499-502.

Elmali H, Akpinar RB. The effect of watching funny and unfunny videos on post-surgical pain levels. Complementary Therapies Clin Pract. 2017;26:36-41.

Genç H, Saritas S. The effects of watching comedy videos on anxiety and vital signs in surgical oncology patients. Explore. 2020;16(6):401-6.

Genç H. Transrektal prostat biyopsisi işlemi sırasında sanal gerçeklik gözlüğü ve stres topu uygulanmasının ağrı ve yaşam bulgularına etkisi. İnönü Üni. Sağlık Bilimleri Enstitüsü, Hemşirelik Anabilim Dalı, Cerrahi Hemşireliği, Doktora Tezi, Malatya. 2021

Vogt L, Klasen M, Rossaint R, Goeretz U, Ebus P, Sopka S. Virtual Reality Tour to Reduce Perioperative Anxiety in an Operating Setting Before Anesthesia: Randomized Clinical Trial. J Med Internet Res. 2021;23(9):e28018.

Fazlollahpour-Rokni F, Shorofi SA, Mousavinasab N, Ghafari R, Esmaeili R. The effect of inhalation aromatherapy with rose essential oil on the anxiety of patients undergoing coronary artery bypass graft surgery. Complementary Therapies Clin Pract. 2019;34:201-7.

Turrado V, Guzmán Y, Jiménez-Lillo, J, Villegas E, de Lacy FB, Blanch J et al. Exposure to virtual reality as a tool to reduce peri-operative anxiety in patients undergoing colorectal cancer surgery: a single-center prospective randomized clinical trial. Surgical Endoscopy. 2021;1-6.

Burton D, King A, Bartley J, Petrie KJ, Broadbent E. The Surgical Anxiety Questionnaire (SAQ): development and validation. Psychol Health. 2018;34(2):129-46.

Göl G. Cerrahi Anksiyete Ölçeği Türkçe Geçerlilik Ve Güvenilirliği Ordu Üniversitesi, Sağlık Bilimleri Enstitüsü, Hemşirelik Anabilim Dalı. Yükseklisans Tezi, Ordu. 2021.

Maples-Keller JL, Bunnell BE, Kim SJ, Rothbaum BO. The use of virtual reality technology in the treatment of anxiety and other psychiatric disorders. Harvard Rev Psychiatr. 2017;25(3);103.

Yang JH, Ryu JJ, Nam E, Lee HS, Lee JK. Effects of preoperative virtual reality magnetic resonance imaging on preoperative anxiety in patients undergoing arthroscopic knee surgery: a randomized controlled study. Arthroscopy J Arthroscopic Related Surg. 2019;35(8):2394-9.

Al-Nerabieah Z, Alhalabi MN, Owayda A, Alsabek L, Bshara N, Kouchaji C. Effectiveness of using virtual reality eyeglasses in the waiting room on preoperative anxiety: A Randomized Controlled Trial. Perioperative Care Operating Room Management. 2020;21:100129.

Erkilic E, Kesimci E, Soykut C, Doger C, Gumus T, Kanbak O. Factors associated with preoperative anxiety levels of Turkish surgical patients: From a single center in Ankara. Patient Prefer Adherence. 2017;11:291-6.

Sahin G, Basak T. The Effects of Intraoperative Progressive Muscle Relaxation and Virtual Reality Application on Anxiety, Vital Signs, and Satisfaction: A Randomized Controlled Trial. J Peri Anesthesia Nursing. 2020;35(3):269-76.

Kasper S. An orally administered lavandula oil preparation (Silexan) for anxiety disorder and related conditions: an evidence based review. Int J Psychiatry Clin Pract. 2013;17(1):15-22.

Hendricks TM, Gutierrez CN, Stulak JM, Dearani JA, Miller JD. The Use of Virtual Reality to Reduce Preoperative Anxiety in First-Time Sternotomy Patients: A Randomized Controlled Pilot Trial. In Mayo Clinic Proceedings. Elsevier. 2020; 95(6):1148-57.

Cho MY, Min ES, Hur MH, Le, MS. Effects of aromatherapy on the anxiety, vital signs, and sleep quality of percutaneous coronary intervention patients in intensive care units. Evidence-Based Complementary Alternative Med. 2013;1-6.

Hoffman HG, Chambers GT, Meyer WJ, Arceneaux LL, Russell WJ, Seibel EJ et al. Virtual reality as an adjunctive non-pharmacologic analgesic for acute burn pain during medical procedures. Ann Behav Med. 2011;41(2):183-91.

Guo C, Deng H, Yang J. Effect of virtual reality distraction on pain among patients with hand injury undergoing dressing change. J Clin Nurs. 2015;24(1-2):115-20.

Scates D, Dickinson J, Sullivan K, Cline H. Virtual reality for cancer patients: a design thinking approach for a sensory experience to reduce stress and pain. Radford University, Department of Design, Thesis. 2018.

Pouryousef F, Navidian A, Rafizadeh Ghahdarijani O, Yaghoubinia F. Comparing the Effect of Virtual Reality and Rhythmic Breathing on the Anxiety of the Patients Undergoing Coronary Angiography. Horizon Med Sci. 2020;27(1): 2-17.

Taylor JS, Chandler JM, Menendez M, Diyaolu M, Austin JR, Gibson ML, Chao SD. Small surgeries, big smiles: using virtual reality to reduce the need for sedation or general anesthesia during minor surgical procedures. Pediatr Surg Int. 2021;37(10):1437-45.

Ganry L, Hersant B, Sidahmed-Mezi M, Dhonneur G, Meningaud JP. Using virtual reality to control preoperative anxiety in ambulatory surgery patients: A pilot study in maxillofacial and plastic surgery. J Stomatol Oral Maxillofacial Surg. 2018;119(4):257-61.

Ryu JH, Park SJ, Park JW, Kim JW, Yoo HJ, Kim TW, Han SH. Randomized clinical trial of immersive virtual reality tour of the operating theatre in children before anaesthesia. J Brit Surg. 2017;104(12):1628-33.

Park JW, Nahm FS, Kim JH, Jeon YT, Ryu JH, Han SH. The effect of mirroring display of virtual reality tour of the operating theatre on preoperative anxiety: A randomized controlled trial. J Biomed Heal Informatics. 2019;23(6):2655-60.

Koo CH, Park JW, Ryu JH, Han SH. The effect of virtual reality on preoperative anxiety: A meta-analysis of randomized controlled trials. Journal of clinical medicine. 2020; 9(10):3151.

Gold JI, Annick ET, Lane AS, Ho K, Marty RT, Espinoza JC. “Doc McStuffins: Doctor for a Day” Virtual Reality (DocVR) for Pediatric Preoperative Anxiety and Satisfaction: Pediatric Medical Technology Feasibility Study. J Med Internet Res. 2021;23(4):e25504.

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Published

2023-10-23