Adenoidectomy, Tonsillectomy
Conditions
Keywords
Virtual Reality, Cartoon, Pain Level, Anxiety Level
Brief summary
The aim of this study is to determine the effect of watching a cartoon with a virtual reality headset before surgery on the pain and anxiety levels of children aged 7-12 years.
Detailed description
The aim of this study is to determine the effect of watching a cartoon with a virtual reality headset before surgery on the pain and anxiety levels of children aged 7-12 years. In line with this aim, children aged 7-12 who were scheduled for tonsillectomy and adenoidectomy at the Ear, Nose, and Throat Department of Uşak University Education and Research Hospital were shown a cartoon with a virtual reality headset before surgery, and their pain and anxiety levels were examined. The study was conducted as a randomized controlled experimental study at the Ear, Nose, and Throat Unit of Uşak University Education and Research Hospital. The population of the study consisted of children aged 7-12 who applied for tonsillectomy and adenoidectomy surgery at the Ear, Nose, and Throat Unit of Uşak University Education and Research Hospital. The sample of the study included a total of 102 children, with 51 in the experimental group and 51 in the control group, who met the research criteria and volunteered to participate in the study between November 10, 2023, and June 1, 2024. Data collection tools included the informed consent form, sociodemographic questionnaire, vital signs assessment form, Visual Analog Scale, and the Perioperative Multidimensional Anxiety Scale for children.
Interventions
OTHERVirtual Reality Group
In the study, a 400-gram virtual reality (VR) headset with an anti-reflective lens system was used, compatible with all earphones with screens ranging from 4.5 to 7.0 inches. The virtual reality (VR) headset, which was lightweight enough for children to wear, was supported on three sides to fit securely on the children's heads and was disinfected after each use. For the experimental group, the compartment at the front of the virtual reality (VR) headset was removed. The earphone was placed into the removed compartment, which was then reinserted. Subsequently, the YouTube virtual reality (VR) feature was activated on the phone, making it ready for viewing.
Sponsors
Izmir Tinaztepe University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
7 Years to 12 Years
Healthy volunteers
Yes
Inclusion criteria
Child's criteria: * Children aged between 7 and 12 years * Ability to understand pain and anxiety scales * Possession of communication skills * Absence of mental issues * Absence of physical illnesses * Absence of chronic illnesses * Willingness of the child and family to participate in the study * No visual, hearing, or speech problems
Exclusion criteria
* Children younger than 7 years or older than 12 years * Presence of any chronic illness that could affect pain and anxiety levels * Presence of psychosocial issues * Children or parents who meet the inclusion criteria but do not wish to wear the virtual reality headset (VRH) glasses * Children who need to wear glasses other than the virtual reality headset (VRH) * Children with hearing problems * Children who do not wish to watch the shrek cartoon
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Glucose (mg/dL) | Preoperative and 24 hours postoperative | Glucose levels will be measured preoperatively and within 24 hours postoperatively to assess perioperative glucose regulation |
| Hemoglobin (g/dL) | Preoperative and 24 hours postoperative | Hemoglobin levels will be measured preoperatively and within 24 hours postoperatively to evaluate changes in blood parameters during the perioperative period. |
| Creatinine (mg/dL) | Preoperative and 24 hours postoperative | Creatinine levels will be measured preoperatively and within 24 hours postoperatively to monitor renal function during the perioperative period. |
| Vital signs | Preoperative, immediately postoperative, and 8 hours postoperative. | Systolic Blood Pressure (mmHg) Description: Systolic blood pressure levels measured during the perioperative period. |
| Diastolic Blood Pressure (mmHg) | Preoperative, immediately postoperative, and 8 hours postoperative | Diastolic blood pressure levels will be measured to assess changes in blood pressure during the perioperative period. |
| Heart Rate (bpm) | Preoperative, immediately postoperative, and 8 hours postoperative | Heart rate will be measured to monitor cardiac activity during the perioperative period. |
| Body Temperature (°C) | Preoperative, immediately postoperative, and 8 hours postoperative | Body temperature will be measured to observe temperature changes during the perioperative period. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Secondary Outcome Measure | Preoperative, immediately postoperative, 8 hours postoperative | Pain Score: The Visual Analog Scale (VAS) was used to measure pain intensity in children during the postoperative period following tonsillectomy and adenoidectomy. The children were assessed using the Visual Analog Scale (VAS) before surgery, immediately after returning to the ward post-surgery, and 8 hours after surgery.The Visual Analog Scale (VAS) ranges from 0 to 10, with 0 indicating no pain and 10 representing the worst possible pain. Higher scores indicate greater pain intensity. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Tertiary Outcome Measure | Preoperative, immediately postoperative, 8 hours postoperative | Anxiety Score: The Perioperative Multidimensional Anxiety Scale for Children is a visual analog scale consisting of 5 items, each scored between 0 and 100. The scale was used to measure anxiety levels in children during the perioperative period. |
Countries
Turkey (Türkiye)
Outcome results
None listed