Orthopedic
Conditions
Keywords
Surgery, Virtual Reality, Patient satisfaction, Ambulatory
Brief summary
Few studies were interested in the patient satisfaction after ambulatory surgery. Most of them showed negative results due to psychological factors. The intervention including surgery and hospitalization is still perceived as painful memory for most of patients. Several improving axes have been explored to change global patient experience. One new idea could be to offer a virtual reality experience during the surgery or local regional anesthesia. Some studies showed that immersive experience can reduce the anxiety, the pain, improve the patient comfort and recovery after surgery. The virtual reality is commonly used but it has to be evaluated in terms of efficiency with a prospective study and objective outcomes to go further in the improvement of the experience and the care offer to patients.
Detailed description
The study is to compare the patient satisfaction between patients with virtual reality experience and patients without VR experience during the ambulatory orthopedic surgery under local regional anesthesia.
Interventions
DEVICEVirtual reality
The VR used during the ambulatory orthopedic surgery allows immersive experience in HD-2D virtual environment. Patient can choose among movies, cartoons, entertainments offered for visualization during the surgery
Sponsors
GCS Ramsay Santé pour l'Enseignement et la Recherche
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Masking description
Assessor of the main outcome will be not aware of arm attribution
Intervention model description
Use of VR or not during the ambulatory orthopedic surgery will be attributed to patient randomly.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Participant who has an ambulatory orthopedic surgery under local regional anesthesia, planned or performed in emergency * Participant who has been given appropriate information about the study objectives and who has given his/her express written and informed consent prior to conduct any study-related procedures.
Exclusion criteria
* Participant with visual deficiency or deaf * Participant who can bear virtual reality * Participant whose physical and / or psychological health is severely impaired, which according to the investigator may affect the participant's compliance with the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient satisfaction of operating room management by Net Promoter Score | One Day after surgery | Net Promoter Score (scale from 0 to 10 with 3 groups: promoters for 9-10, passive for 7-8 and detractor for below 6) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient satisfaction of ambulatory hospitalization by e-SATIS questionnaire | One Day after surgery | e-SATIS questionnaire : measure of hospitalization experience and patient satisfaction (the best scoring is 100 , excellent satisfaction) |
Other
| Measure | Time frame | Description |
|---|---|---|
| Anesthesia experience by EVAN-LR questionnaire | One Day after surgery | EVAN-LR (Evaluation du Vécu de l'ANesthésie - Local Regionale) questionnaire: five-point Likert scale, defined from 1 to 5 as much less than expected, less than expected, as expected, more than expected, and much more than expected. All dimension scores are linearly transformed to a 0-100 scale, with 100 indicating the best possible level of satisfaction and 0 the worst. |
| Functional outcomes by measurement of symptoms as well as the ability to perform certain activities. (QUICKDASH questionnaire) | One month after surgery | Quick DASH( Disabilities of the Arm, Shoulder and Hand) questionnaire : 11 items with 5 response options. Scale scores are calculated ranging from 0 (no disability) to 100 (more severe disability) |
Countries
France
Contacts
Primary ContactJean-Claude PAUCHARD, MD
Outcome results
None listed