Agitation, Anxiety, Intensive Care, Pain, Physiological Parameters
Conditions
Keywords
Intensive Care Unit, Family Video, Family Support, Virtual Reality, Nature Video, Anxiety, Agitation, Pain, Vital Signs, Nonpharmacological Intervention
Brief summary
This randomized controlled trial was conducted to evaluate the effects of family videos and virtual reality-based nature videos on anxiety, agitation, pain, and vital signs in adult intensive care unit patients. A total of 72 participants were randomly assigned to three parallel groups: a family video group (n=24), a family video plus virtual reality-based nature video group (n=24), and a standard care control group (n=24). Anxiety, agitation, pain, and vital signs were assessed before and after the interventions during the second and third days of intensive care.
Detailed description
Intensive care unit patients may experience psychological and physiological problems such as anxiety, agitation, and pain because of the stressful and isolating nature of the intensive care environment. This randomized controlled trial evaluated family-based visual support and virtual reality-based nature videos as non-pharmacological supportive interventions in adult intensive care unit patients. Participants were randomly assigned to one of three parallel groups. In the first intervention group, participants watched five-minute family videos twice daily. In the second intervention group, participants watched five-minute family videos twice daily and additionally viewed nature-themed videos using a virtual reality headset once daily for approximately 15-20 minutes. Participants in the control group received standard treatment and nursing care without a study-specific video or virtual reality intervention. The interventions and assessments were performed on the second and third days of intensive care after the patients' clinical condition had been evaluated and approved by a physician. Anxiety, agitation, and pain were assessed immediately before and after the interventions. Vital signs were obtained from routine clinical monitoring records. During virtual reality sessions, the researcher remained with the participant and monitored for possible adverse effects such as dizziness
Interventions
BEHAVIORALFamily Video.Participants watched a five-minute video prepared by their family members twice daily on the second and third days of intensive care.
Participants viewed nature-themed video content using a virtual reality headset for approximately 15-20 minutes once daily on the second and third days of intensive care. The researcher remained with participants during the session and monitored for possible adverse effects.
Sponsors
Sennur Kula Şahin
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Masking description
Participants were randomly assigned to one of three parallel groups: a family video group, a family video plus virtual reality-based nature video group, or a standard care control group.
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
Aged 18-80 years * Hospitalized in an intensive care unit * Conscious and able to communicate * Willing to participate in the study * At least literate * Able to speak Turkish * No diagnosed psychiatric disorder * Hospitalized in the intensive care unit for at least two days
Exclusion criteria
Visual or hearing impairment * Being intubated * Cognitive, sensory, or verbal impairment preventing communication * Use of sedative, anxiolytic, or similar medications
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| State Anxiety Level | Immediately before and after the intervention sessions on intensive care unit days 2 and 3. | State anxiety was assessed using the State-Trait Anxiety Inventory-State (STAI-I). The scale consists of 20 items, with total scores ranging from 20 to 80. Higher scores indicate higher levels of state anxiety. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Agitation-Sedation Level | Immediately before and after the intervention sessions on intensive care unit days 2 and 3. | Agitation and sedation were assessed using the Richmond Agitation-Sedation Scale (RASS), which ranges from -5 to +4. Positive scores indicate increasing levels of agitation, 0 indicates an alert and calm state, and negative scores indicate increasing levels of sedation. |
Countries
Turkey (Türkiye)
Outcome results
None listed