Hemodialysis, Pain Management, Virtual Reality
Conditions
Brief summary
The cannulation of arteriovenous fistula is a painful procedure in hemodialysis patients. Previous studies have shown the effectiveness of virtual reality in reducing pain during needle-related procedures
Detailed description
Patients undergoing hemodialysis experience anxiety and pain related to the insertion of hemodialysis needles, estimated 320 times in total per year. The pain experienced is mostly caused by needle insertion into a fistula. Pain control is one of the main nursing tasks. Pain relief leads to the acceptance of the procedure and ultimately enhances the patients' quality of life. The use of virtual reality to reduce pain and anxiety during the arteriovenous fistula cannulation procedure is based on the concept that the perception of pain can be controlled because an individual is able to process only a limited amount of information at once. As such, the use of virtual reality during painful procedures may serve as a distraction.
Interventions
PROCEDUREvirtual reality distraction
study group patients will view VR scene for 6 minutes before puncture .It involves a soothing nature experience and calming background music. Patients in intervention group will not able to see the puncture procedure due to the VR glasses.
Sponsors
Mansoura University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* patients who are under- going conventional hemodialysis three times a week * hemodialysis period of one month or more * having a healthy AVF access with good function * welling to participate in study
Exclusion criteria
* patients who have psychiatric diseases * panic disorder, anxiety disorder * dysfunctional fistula * vertigo, issues with sight, hearing, or perception * or use painkillers within three hours before hemodialysis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| change in patients pain scores | will be measured at baseline and immediately after intervention (after 6 minutes of VR distraction) | visual analogue scale which consists of a vertical line 100 mm long, one end of the line reads No pain and at the other is Unbearable pain |
| change in patients anxiety scores | will be measured at baseline and immediately after intervention (after 6 minutes of VR distraction) | STAI includes two subscales with 20 items each that assess state and trait anxiety .The State Anxiety Scale requires individuals to describe their feelings at a specific moment under specific circumstances, while the Trait Anxiety Scale requires them to describe the way they feel in general. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| change in patients respiratory rate | will be measured at baseline and immediately after intervention (after 6 minutes of VR distraction) | checklist will be used to assess respiratory rate after puncture |
| change in patients systolic blood pressure | will be measured at baseline and immediately after intervention (after 6 minutes of VR distraction) | checklist will be used to assess systolic blood pressure after puncture |
| change in patients satisfaction score | will be measured at baseline and immediately after intervention (after 6 minutes of VR distraction) | . The patients will be asked to rate procedure satisfaction placing a mark on a 100-mm vertical visual analogue scale |
| change in patients Oxygen saturation (SpO2) | will be measured at baseline and immediately after intervention (after 6 minutes of VR distraction) | checklist will be used to assess Oxygen saturation after puncture |
| change in patients diastolic blood pressure | will be measured at baseline and immediately after intervention (after 6 minutes of VR distraction) | checklist will be used to assess diastolic blood pressure after puncture |
| change in patients heart rate | will be measured at baseline and immediately after intervention (after 6 minutes of VR distraction) | checklist will be used to assess heart rate after puncture |
Countries
Egypt
Outcome results
None listed