Condition 1: Pain. Condition 2: Anxiety. Condition 3: Changes in vital signs. Condition 4: Vital signs: heart rate. Condition 5: Vital signs: Heart rate. Condition 6: Vital signs: Breathing rate. Pain, not elsewhere classified Anxiety disorder due to known physiological condition Encounter for examination of blood pressure Tachycardia, unspecified Bradycardia, unspecified Abnormalities of breathing
Conditions
Interventions
Intervention 1: Intervention group (A): virtual reality (VR) technology only, this group received virtual reality technology using Samsung gear VR The patient is placed in the prone position and the v
Sponsors
University of Baghdad/College of Nursing
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Inclusion criteria
Inclusion criteria: Adult patient with undergoing bone marrow aspiration and biopsy local anesthetic, having no experience of bone marrow aspiration and biopsy Full consciousness No hearing and vision impairments based on the patient’s report.
Exclusion criteria
Exclusion criteria: The patient’s withdrawal at any stage of the study Not using a VR headset during bone marrow aspiration and biopsy Developing clinical instability during the procedure (such as loss of conscious- ness, cardiac and respiratory disorders, nausea, oculomotor issues).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Anxiety. Timepoint: Five minutes before bone marrow aspiration - immediately after bone marrow aspiration. Method of measurement: stat-trait anxiety scale (STAS).;Changes in vital signs. Timepoint: Five minutes before bone marrow aspiration - during bone marrow aspiration - 5 minutes after bone marrow aspiration. Method of measurement: Portable monitor device. | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain. Timepoint: Immediately after bone marrow aspiration and biopsy. Method of measurement: Visual analog scale (VAS) The VAS is a reliable, valid, responsive, and frequently used pain outcome measure. It consists of a bidirectional 10 cm straight line with two labels, that is, “no pain” and “worst possible pain”, located at either end of the line. Patients are instructed to draw a vertical mark on the line indicating their pain level The reliability data are VAS, (0.97). whereas (0) means no pain, the closer you are to number (10) means sever pain.;Anxiety. Timepoint: Immediately after bone marrow aspiration and biopsy. Method of measurement: Stat-trait anxiety scale (STAS) The 20-item SAI and the 20-item Trait Anxiety Inventory are independent of each other. In SAI, each item is scored in four-point Likert-type responses as follows: none: 1, a little: 2, a lot: 3, and completely: 4. In the Trait Anxiety Inventory, each item is scored in four-point Likert-type responses: rarely: 1, sometimes: 2, most of the time: 3, and almost always: 4. Higher scores indicate a higher level of anxiety, whereas low scores indicate that the anxiety level is low. In this study, Cronbach’s alpha value of the state anxiety inventory was found to be 0.937.;Vital signs (HR, BP, RR and SPo2) during procedure. Timepoint: Immediately after bone marrow aspiration and biopsy. Method of measurement: Portable monitor device: Vital signs are measured during and immediate after bone marrow aspiration and biopsy ( Patient's device manufacturer: Comen Magic Country: India Model: C86 Serial Number Kf200723063f). | — |
Countries
Iraq
Contacts
Public ContactAlaa Jawad Kadhim
University of Baghdad/college of Nursing
Outcome results
None listed