Breast Cancer, Anxiety, Depression
Conditions
Keywords
Augmented Reality, Breast Cancer Surgery, Perioperative Health Education, Nursing Education, Postoperative Anxiety, Postoperative Depression
Brief summary
Breast cancer surgery patients may experience anxiety and depression before and after surgery. Health education can help patients understand the surgical process and postoperative care, but traditional education may not always be easy to understand. This study evaluates whether augmented reality (AR) health education videos can help reduce anxiety and depression in postoperative breast cancer patients. Participants are randomly assigned to one of two groups. One group receives routine health education plus AR health education videos, and the other group receives routine health education only. The study compares changes in anxiety, depression, and selected physiological indicators between the two groups before and after surgery.
Detailed description
This is a randomized controlled study. Eligible breast cancer surgery patients are randomly assigned to an AR health education group or a routine health education group. Participants in the AR health education group receive routine perioperative health education plus AR health education videos. Participants in the routine health education group receive routine perioperative health education only. An outcome assessor who is blinded to group allocation collects questionnaire data before surgery, on postoperative day 1, and on postoperative day 2. Anxiety is measured using the State-Trait Anxiety Inventory-State Anxiety Scale (STAI-S), and depression is measured using the Beck Depression Inventory-II (BDI-II). Physiological indicators, including heart rate, respiratory rate, blood pressure, and oxygen saturation, are also collected.
Interventions
BEHAVIORALAugmented Reality Health Education Video
An augmented reality (AR)-based health education video designed to provide perioperative education, postoperative recovery guidance, daily activity adjustment, and self-care information for breast cancer surgery patients.
BEHAVIORALRoutine Health Education
Routine perioperative health education provided according to standard clinical nursing care procedures.
Sponsors
Tungs' Taichung Metroharbour Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Masking description
The outcome assessor responsible for collecting the preoperative and postoperative questionnaires is blinded to group allocation.
Intervention model description
Participants are randomly assigned to either an intervention group receiving routine health education plus augmented reality (AR) health education videos or a control group receiving routine health education alone.
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Female patients aged 18 years or older with breast cancer. * Breast cancer confirmed by pathological examination. * Conscious and able to communicate in Mandarin or Taiwanese. * No visual or hearing impairment. * Willing to participate in this study and provide informed consent.
Exclusion criteria
* Patients with brain metastasis, dementia, or cognitive impairment. * Patients currently taking antidepressants, anxiolytics, or other psychiatric medications. * Patients diagnosed with psychiatric disorders. * Patients with a history of hypertension.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| State Anxiety | Baseline, postoperative day 1, and postoperative day 2 | State anxiety is measured using the Chinese version of the State-Trait Anxiety Inventory-State Anxiety Scale (STAI-S). The STAI-S includes 20 items rated on a 4-point Likert scale, with total scores ranging from 20 to 80. Higher scores indicate higher levels of state anxiety. Scores of 20 to 39 indicate mild anxiety, 40 to 59 indicate moderate anxiety, and 60 to 80 indicate severe anxiety. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Depression | Baseline, postoperative day 1, and postoperative day 2 | Depression is measured using the Chinese version of the Beck Depression Inventory-II (BDI-II). The BDI-II includes 21 items rated from 0 to 3, with total scores ranging from 0 to 63. Higher scores indicate more severe depressive symptoms. Scores of 0 to 16 indicate normal range, 17 to 22 indicate mild depression, 23 to 30 indicate moderate depression, and 31 to 63 indicate severe depression. |
| Physiological Indicators | Baseline, postoperative day 1, and postoperative day 2 | Physiological indicators include heart rate, respiratory rate, systolic blood pressure, diastolic blood pressure, and peripheral oxygen saturation. These indicators are collected to assess physiological responses related to anxiety during the perioperative period. |
Countries
Taiwan
Outcome results
None listed