Decompensated Heart Failure
Conditions
Keywords
Early Mobilization, Cardiac Rehabilitation, Virtual reality, Exercise Tolerance, Patient experience
Brief summary
This randomized clinical trial aims to evaluate patients with decompensated heart failure undergoing an early mobilization protocol with the use of immersive virtual reality glasses compared with patients undergoing the same protocol but without immersive virtual reality. The primary outcome will be the sensation of difficulty breathing, and the secondary outcome will be whether this technology provided a positive experience for patients in the intervention group that was superior to that of patients in the control group.
Detailed description
This randomized clinical trial aims to assess the sensation of dyspnea in patients undergoing an early mobilization protocol with immersive virtual reality and their experience using this technology. The study population consists of patients with acute decompensated heart failure in an intensive care unit at a teaching hospital. The 3-day protocol will include active exercises with an in-bed cycle ergometer, orthostasis, and ambulation. The intervention group will perform all exercises using virtual reality glasses. The variables will be collected before and after each intervention.
Interventions
DEVICEImmersive Virtual Reality glasses
The immersive virtual reality glasses support a smartphone device, allowing videos to be used with 360º rotation and earpods headphones with bluetooth for sound. Video options will be offered to participants according to the exercise performed, ie: a cycling video for activities with a cycle ergometer; video with people walking for ambulation; and videos of the patient's choice, such as forest, beach or city scenarios, for other moments.
Three days of an early mobilization protocol. The exercises will be progressed every day, starting in the first day with active movements of lower and upper limbs with cycle ergometer; in the second day repeat the first day exercise and do orthostasis training; and in the last day training ambulation.
Sponsors
Federal University of Rio Grande do Sul
Hospital de Clinicas de Porto Alegre
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Intervention model description
Single-center randomized parallel controlled trial
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
- Patients with 18 years or older * Being hospitalized for 24 hours or more * Diagnosis of acute heart failure decompensated * Being lucid and colaborative
Exclusion criteria
* Mechanical ventilation or circulatory support * Neurodegenerative diseases * Pregnant patients * Hemodynamic instability at baseline * Score on the Borg Rating of Perceived Exertion Scale Borg ≥ 4 at rest * High risk of falls * Difficulty communicating * Not adapt with the immersive virtual reality glasses
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline sensation of dyspnea on the Borg Rating Of Perceived Exertion Scale at immediately post-intervention | Up to 3 minutes before and up to 3 minutes after the early mobilization protocol with and without immersive virtual reality | The evaluation of dyspnea sensation using the Borg Rating Of Perceived Exertion Scale. This scale has a score ranging from zero to 10, and the higher the score the patient reports, the greater the sensation of dyspnea |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient experience with and without immersive virtual reality during mobilization | Within 48 hours after the end of the early mobilization protocol with and without immersive virtual reality | Assessment of patient experience using the Net Promoter Score, Likert and Analogical Scale |
Countries
Brazil
Contacts
Primary ContactEneida R Rabelo Silva, RN, MSc,ScD
Outcome results
None listed