Cryotherapy, Nursing Caries, Pain Management, Percutaneous Coronary Intervention, Virtual Reality
Conditions
Keywords
Percutaneous Coronary Intervention, Virtual Reality, Pain Management, Nursing, Ice Application
Brief summary
It is to examine the effect of virtual reality and ice application on the pain level due to femoral sheath extraction.
Detailed description
After obtaining the necessary permissions for the research, the patients who were followed up in the hemodialysis unit of X,Y, Z Hospitals were randomly divided into three groups (virtual reality glasses application, ice application and control group). Randomization: Since the number of male and female patients was wanted to be kept equal, simple randomization would not be possible, so the stratified randomization method was used. Patients were assigned to groups in equal numbers according to their femoral sheath sizes. In our clinic, size 6 and 7 femoral sheaths are applied to male patients, and number 6 femoral sheaths are applied to female patients. Male patients were assigned to equal groups according to femoral sheath size 6 and 7. Since PCI is not performed in our clinic on weekends except for emergencies, data were collected during working hours during a five-day weekday period. The pain level of the patients was evaluated using a numerical rating scale; * before the femoral sheath extraction (PAS1), * during the femoral sheathing (SDQ2), * immediately after the femoral sheathing (SDQ3), * 30 minutes after the femoral sheathing (SDQ4) and * 1 hour after the femoral sheathing (SDQ4). SDÖ5) was evaluated and recorded.
Interventions
OTHERVirtual Reality Glasses
Preparation Stage of Virtual Glasses: A 20-minute video consisting of nature scenes shot with a 360-degree camera was selected by the researchers from YouTube. Permission was obtained from the person who created the video. For the selection of music, both the music that is good for diseases were examined in the literature and an expert opinion was taken from a faculty member (Phd, assistant professor) working at the Faculty of Music and Fine Arts of a university. The music used in the video was created with works selected from the Hüseyni maqam.
Features of the ice and ice bag used for patients in ice application; Ice cubes with dimensions of 9.5 x 26 x 3.5 cm were used. The ice bag is made of cotton and polyester coated fabric and is easily bendable. In this way, the ice bag was ensured to fit properly to the patient's femoral region. It is reusable and heat insulated. The procedure was carried out by following the cold application step protocol created by the researchers using the literature.
OTHERControl Group
They continued to receive their routine treatment and care. No changes were made in their routine treatment and care.
Sponsors
Amasya University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Outcomes Assessor)
Masking description
It is a randomized controlled, single-blind, experimental study.
Intervention model description
It is a randomized controlled, single-blind, experimental study. Participants were assigned to three groups: intervention (virtual reality group and ice group) and control group.
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
* Intervention in the femoral region, * Femoral sheath size is 6-7 fr, * Presence of only one sheath in the femoral region, * No analgesics were administered before femoral sheath removal, * Absence of serious bleeding and major hematoma in the femoral region, * Being over 18 years of age, * No communication problems, * Having a place and time orientation, * No dizziness, * Not having any psychiatric disease, * No visual, auditory or mental problems, * No previously identified cold allergy, * Being willing and willing to participate in the study,
Exclusion criteria
* Serious bleeding and major hematoma development in the femoral region, * Not applying intracoronary stent or coronary angioplasty after coronary angiography, * Vital signs are abnormal enough to prevent intervention, * Having visual, auditory and mental disabilities, * Having a communication problem, * Not being willing and able to participate in the study, * It is defined as wanting to withdraw from the study at any stage of the study or being excluded from the study by the researcher.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain Scores: Numerical rating scale | through study completion, an average of 1 year. | The Numeric Rating Scale is a pain screening tool, commonly used to assess pain severity at that moment in time using a min:0-max:10 scale, with zero meaning no pain and 10 meaning the worst pain imaginable (10). This scale is a valid and reliable scale developed to determine the pain level of patients. The numerical rating scale simplifies the description of the pain level by the patient and makes it easier for the monitoring nurse to record the patient's pain rating. That the pain increases as the score increases, and then the patient verbally tells the numerical value of the pain intensity he/she feels. Pain score was measured before femoral sheath removal (time 1), and, during femoral sheath removal (2nd time),and, immediately after femoral sheath removal (3rd time), and 30 minutes after femoral sheath removal (4th time), and1 hour after femoral sheath removal (5th time). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Physiological parameter | through study completion, an average of 1 year. | Vital parameters (Pulse rate measured in minutes) of the patients were evaluated Pulse rate was measured before femoral sheath removal (time 1) Pulse rate was measured during femoral sheath removal (2nd time) Pulse rate was measured immediately after femoral sheath removal (3rd time) Pulse rate was measured 30 minutes after femoral sheath removal (4th time) Pulse rate was measured 1 hour after femoral sheath removal (5th time |
Other
| Measure | Time frame | Description |
|---|---|---|
| Questionnaire | through study completion, an average of 1 year. | The patients' opinions regarding the application of ice and virtual reality glasses were evaluated. |
Countries
Turkey (Türkiye)
Outcome results
None listed