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Effect of VR Glasses and Stress Ball on Anxiety in Coronary Angiography Patients

The Effect of Virtual Reality Glasses and Stress Ball on Anxiety, Pain, and Satisfaction in Patients Undergoing Coronary Angiography: A Randomized Controlled Study

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07087990
Enrollment
105
Registered
2025-07-28
Start date
2025-03-01
Completion date
2025-05-01
Last updated
2025-07-30

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Anxiety, Coronary Angiography (CAG), Pain

Keywords

Coronary Angiography, Virtual Reality, Stress Balls, Anxiety, pain, Satisfaction Levels

Brief summary

This randomized controlled trial aimed to evaluate the effects of virtual reality (VR) glasses and the use of a stress ball on anxiety, pain, and satisfaction levels in patients undergoing coronary angiography. Participants were randomly assigned to three groups: one group received both VR and stress ball interventions during the procedure, while the control group received standard care. Anxiety, pain, and satisfaction levels were assessed and compared across the three groups at the conclusion of the procedure. The study seeks to contribute to evidence on non-pharmacological methods to improve patient comfort during invasive cardiac procedures.

Detailed description

This randomized controlled trial aimed to evaluate the effects of virtual reality (VR) glasses and the use of a stress ball on anxiety, pain, and satisfaction levels in patients undergoing coronary angiography. Participants were randomly assigned to three groups: one group received both VR and stress ball interventions during the procedure, while the control group received standard care. Anxiety, pain, and satisfaction levels were assessed and compared across the three groups at the conclusion of the procedure. The study seeks to contribute to evidence on non-pharmacological methods to improve patient comfort during invasive cardiac procedures.

Interventions

DEVICEVirtual Reality Glasses

articipants in the VR group used virtual reality glasses during coronary angiography to reduce anxiety and pain and improve satisfaction.

OTHERStress Ball

articipants in the stress ball group used a stress ball during coronary angiography to evaluate its effects on anxiety, pain, and satisfaction.

Sponsors

Istanbul Sabahattin Zaim University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE

Intervention model description

randomize kontrollü

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* Voluntary participation in the study * Age 18 years or older * Undergoing coronary angiography for the first time * Cognitive ability to answer the questions * No diagnosis of anxiety disorder and no use of medication for anxiety / no psychiatric diagnosis * No physical disability preventing the use of the stress ball * No problems with vision, hearing, or understanding

Exclusion criteria

* None

Design outcomes

Primary

MeasureTime frameDescription
Change in State Anxiety Inventory (SAI) ScoresBefore and immediately after coronary angiography procedurethe study will measure changes in situational anxiety levels of patients undergoing coronary angiography, using the State Anxiety Inventory (SAI) before and after the procedure with virtual reality glasses and stress balls. The SAI consists of 20 items rated on a 4-point Likert scale, with total scores ranging from 20 to 80; higher scores indicate higher anxiety.

Secondary

MeasureTime frameDescription
Change in Anxiety Visual Analogue Scale (VAS) ScoresBefore and immediately after coronary angiography procedurePatients' anxiety levels will be assessed before and after coronary angiography using a 10 cm Visual Analogue Scale (VAS), where 0 indicates no anxiety and 10 indicates extreme anxiety.
Change in Pain Visual Analogue Scale (VAS) ScoresBefore and immediately after coronary angiography procedurePatients' pain levels will be evaluated before and after coronary angiography using a 10 cm Visual Analogue Scale (VAS), where 0 means no pain and 10 indicates worst possible pain.

Other

MeasureTime frameDescription
Satisfaction with Virtual Reality Glasses ApplicationImmediately after virtual reality glasses interventionPatient satisfaction will be assessed using a 4-item custom form developed specifically for this study. The first item uses a 0 to 10 Visual Analogue Scale (VAS), where 0 indicates not satisfied at all and 10 indicates extremely satisfied. The remaining items assess patient preferences and recommendations using multiple-choice questions (yes/no/undecided). Higher VAS scores reflect greater satisfaction.
Satisfaction with Stress Ball ApplicationImmediately after stress ball interventionPatient satisfaction will be evaluated using a 4-item form developed for this study. The first item uses a 0 to 10 Visual Analogue Scale (VAS), where 0 indicates no satisfaction and 10 indicates the highest satisfaction. The remaining three items gather feedback through multiple-choice responses. Higher VAS scores indicate greater satisfaction.

Countries

Turkey (Türkiye)

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026