Lumbar Disc Herniation Surgery
Conditions
Brief summary
This randomised controlled trial evaluated whether a nurse-facilitated virtual reality (VR) tour of the operating room reduces preoperative anxiety in adults awaiting lumbar disc herniation surgery.
Detailed description
Preoperative anxiety is common among surgical patients and, when unaddressed, may be associated with greater anaesthetic requirements, more postoperative pain, and slower recovery. Standard preoperative information alone is often insufficient to relieve it, and evidence for a structured VR operating room tour in adult spinal surgery is limited. Fifty-eight adults scheduled for elective lumbar disc herniation surgery at a university training and research hospital were randomly assigned in equal numbers to an intervention group or a control group. The night before surgery, the intervention group viewed an approximately five-minute VR video, facilitated by the nurse-researcher, showing preoperative preparation, transfer to and entry into the operating theatre, the waiting area, the operating room, and the postoperative care area; the video contained no images of surgical procedures. The control group received standard preoperative care. Surgical anxiety was measured before and after the intervention using the Surgical Anxiety Scale for Adult Patients. The study aimed to determine whether a brief, low-cost, nurse-delivered VR operating room tour is an effective and feasible way to lower preoperative anxiety and could be incorporated into routine perioperative nursing care.
Interventions
BEHAVIORALVirtual Reality Operating Room Tour
Virtual Realiaty Tour praperd for patients with VR glasses in 5 minutes
Sponsors
Zonguldak Bulent Ecevit University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
Randomized Clinical Trial, intervention group and control group
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
Scheduled for lumbar disc herniation surgery * Aged over 18 and under 65 years * Agreed to participate in the study * Able to understand and communicate in Turkish * Cooperative * No hearing or perception impairment
Exclusion criteria
* Under 18 or over 65 years of age * Declined to participate * Unable to understand or communicate in Turkish * Did not complete the study forms * In the postoperative period * Undergoing emergency surgery * Hearing or perception impairment * Diagnosis other than lumbar disc herniation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Surgical anxiety | 12 hours before enrolment and, 5 minutes enrollment The Surgical Anxiety Scale for Adult Patients (SAS-A) was used to assess Surgical anxiety. The scale comprises 17 items Total scores range from 0 to 68, with no established cut-off, and higher scores. | Change in surgical anxiety, measured by the Surgical Anxiety Scale for Adult Patients. Time Frame: before the intervention (night before surgery) and after the intervention. |
Countries
Turkey (Türkiye)
Outcome results
None listed