Nurse's Role, Patient Relations, Nurse, Supportive Care
Conditions
Keywords
Endoscopy, virtual reality, pain, anxiety, vital signs
Brief summary
In this study, the effect of virtual reality application used during upper gastrointestinal endoscopy on pain, anxiety and vital signs will be investigated. The research will be conducted as a mixed methods research including quantitative and qualitative methods. The exploratory sequence mixed design model, one of the mixed method designs, will be used in the research.
Detailed description
Objective: In this study, the effect of virtual reality application used during upper gastrointestinal endoscopy on pain, anxiety and vital signs will be investigated. The research will be conducted as a mixed methods research including quantitative and qualitative methods. The exploratory sequence mixed design model, one of the mixed method designs, will be used in the research. The research was carried out in the endoscopy unit of a university hospital in Van between November 2022 and March 2023. This research, in which an exploratory sequential mixed design was used, consists of two stages. In the research, the quantitative phase, in which a pretest-posttest design, randomized controlled, experimental method was used, was completed with 75 patients, and the qualitative phase, in which the phenomenological/phenomenological design was used, was completed with 19 patients. Patient introduction form, state anxiety scale, pain visual comparison scale, patient follow-up form and semi-structured interview form were used to collect data. IBM SPSS V23 program (quantitative) and inductive qualitative content analysis (qualitative) were used to analyze the data.
Interventions
OTHERExperimental group
In recent years, virtual reality has been widely used as a distraction practice in clinical medical care to relieve pain. Virtual reality is a method of viewing computer images to isolate the individual from real life for a while. Virtual reality glasses, consisting of a head-mounted display and glasses connected to a mobile phone, is a computer technology that creates a 3D environment. The virtual reality application, which was originally designed for entertainment purposes, started to be used in the medical field to reduce pain during invasive procedures in parallel with the developments in computer technologies. It is preferred in clinical practice as an easily accessible, non-invasive and inexpensive method.
Sponsors
Ataturk University
İBRAHİM NAS
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
The Effect of Virtual Reality Application Used During Endoscopy on Pain, Anxiety and Vital Signs: A Mixed Methods Study
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Criteria: Inclusion criteria: Inclusion criteria for the quantitative study; * 18 years and older, * who can read and write Turkish, * without mental problems, * Having no vision, hearing or perception problems, * Diagnostic endoscopy was performed, * No sedation before and during the procedure * who volunteered to participate in the study, * Those who have not taken analgesics in the last 8 hours Qualitative research inclusion criteria; * in the experimental group, * who volunteered to participate in the research
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Post-endoscopy anxiety state | Anxiety state reported within the first 10 minutes after the endoscopy procedure | The statements in the state anxiety scale were answered as not at all, a little, a lot and totally according to the feelings of the person. A total score of 20-80 is obtained from the scale. A low score indicates a low level of anxiety, and a high one indicates a high level of anxiety. The score obtained from the scale, on the other hand, indicates mild anxiety between 20-39, moderate anxiety between 40-59 and severe anxiety between 60-80. |
| Respiration rate after endoscopy procedure | Respiratory rate/minute reported in the first 5 minutes after the endoscopy procedure | 12 to 20 breaths per minute is normal. |
| Blood pressure after the endoscopy procedure | within first 5 minutes after the endoscopy procedure | 90/60 mm Hg to 120/80 mm/Hg is normal. |
| Heart rate after the endoscopy procedure | Heart rate per minute reported in the first 5 minutes after the endoscopy procedure | 60 to 100 beats per minute is normal. |
| Post-endoscopy pain | Pain severity reported in the first 5 minutes after the endoscopy procedure | Pain severity assessment with Visual Assessment Scale (VAS) Score: 0-10; 0- No Pain, 10- Worst Pain |
| Anxiety state before endoscopy | Anxiety state reported within the first 10 minutes before the endoscopy procedure | The statements in the state anxiety scale were answered as not at all, a little, a lot and totally according to the feelings of the person. A total score of 20-80 is obtained from the scale. A low score indicates a low level of anxiety, and a high one indicates a high level of anxiety. The score obtained from the scale, on the other hand, indicates mild anxiety between 20-39, moderate anxiety between 40-59 and severe anxiety between 60-80. |
| Pain intensity before endoscopy | Pain intensity reported within the first 5 minutes prior to the endoscopy procedure | Pain severity assessment with Visual Assessment Scale (VAS) Score: 0-10; 0- No Pain, 10- Worst Pain |
| Heart rate before the endoscopy procedure | Just before the endoscopy procedure | 60 to 100 beats per minute is normal. |
| Blood pressure before the endoscopy procedure | Just before the endoscopy procedure | 90/60 mm Hg to 120/80 mm/Hg is normal. |
| Respiration rate before the endoscopy procedure | Just before the endoscopy procedure | 12 to 20 breaths per minute is normal. |
| Body temperature before the endoscopy procedure | Just before the endoscopy procedure | Normal Body temperature; 36 to 37-5 degrees is normal. |
| Oxygen saturation (SpO2) before the endoscopy procedure | Just before the endoscopy procedure | Normal oxygen saturation usually ranges from 95% to 100%. |
| Oxygen saturation (SpO2) after endoscopy procedure | within first 5 minutes after endoscopy procedure | Normal oxygen saturation usually ranges from 95% to 100%. |
| Body temperature after endoscopy procedure | within first 5 minutes after endoscopy procedure | Normal Body temperature; 36 to 37-5 degrees is normal. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient opinions on virtual reality glasses and its application | Two hours after endoscopy | General thoughts of the patient about the use of virtual reality glasses during endoscopy |
| Patient opinions on the effect of virtual reality application on pain | Two hours after endoscopy | Patient opinions on the effect of virtual reality application on pain |
| Patient opinions on the effect of virtual reality application on anxiety | Two hours after endoscopy | Patient opinions on the effect of virtual reality application on anxiety |
| Patient opinions on endoscopy | Two hours after endoscopy | General thoughts of the patient about endoscopy |
Countries
Turkey (Türkiye)
Outcome results
None listed