Pre-and postoperative anxiety and stress in adult patients undergoing elective cardiac surgery Surgery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Adults undergoing first-time elective cardiac surgery (coronary artery bypass surgery and aortic/mitral valve surgeries) 2. Age more than 18 years 3. Give informed consent for their participation to this study 4. Urgent inpatients who are well enough to read and understand the study and patient information leaflet
Exclusion criteria
Exclusion criteria: 1. Psychiatric antecedents, claustrophobia or acrophobia, diagnosis or self-reported anxiety disorder, hearing or visual impairment, Infectious cases (example: conjunctivitis), redo surgery, critical preoperative state, impaired cognitive function, current diagnosis of epilepsy, dementia, or other neurologic disease, receipt of anxiolytic drugs or sedatives within the preceding 24 hours, or injury to the face, or non-infectious, infectious skin conditions that would prevent comfortable use of the VR hardware. 2. Patients who are having complex cardiac surgeries. 3. Patients who are admitted for an emergency cardiac surgery. 4. Patients who do not want to listen to music on their bedside Bluetooth enabled headphones. 5. Patients who do not want to wear VR headsets.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Patients’ anxiety and stress levels measured using STAI before and after each session on pre- and post-surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Cortisol swabs before & after each session on pre- and post-surgery 2. Physiological parameters pre- and post-surgery in each session: 2.1. Heart rate measured using Holter monitor which is standard in all cardiac wards at the NHS hospital 2.2. Blood pressure measured using Holter monitor which is standard in all cardiac wards at the NHS hospital 2.3. Respiratory rate measured using direct observation by the researcher | — |
Countries
England, United Kingdom