Virtual Reality Glasses and Stress Ball Applications in Dressing Change

NCT ID: NCT06476314

Last Updated: 2024-06-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-07-31

Study Completion Date

2025-01-31

Brief Summary

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According to the statistical data of the Ministry of Health for the year 2021 in Türkiye, approximately 4.7 million surgical interventions are performed annually. According to the 2017 data from the National Health Service-Associated Infections Surveillance Network, the Surgical Site Infection (SSI) rate in our country is 0.72%, and it is stated that it can be prevented by approximately 60%. Dressing application holds an important place in surgical wound management, wound healing, and preventing complications. Patients may experience pain, anxiety, and fear due to unknown factors and previous experiences during the dressing change which holds an important place in wound care management. The aim is to minimize patients\' negative emotions/situations during dressing changes by diverting their attention elsewhere using virtual reality (VR) glasses and stress balls. Upon reviewing the literature, no study was found that examines the effect of applying VR glasses and stress balls during abdominal surgery dressing changes on pain, vital signs, anxiety, fear, comfort, and satisfaction levels in adults. In this regard, the aim of the research is; to examine the effects of VR glasses and stress ball application on pain, vital signs, anxiety, fear, comfort, and satisfaction levels during dressing changes in patients undergoing abdominal surgery. The study was designed as a pre-test post-test control group randomized experimental model. The sample of the study consists of adult patients who underwent abdominal surgery in Isparta City Hospital General Surgery Service-1. In the study sample, 120 individuals were included in total 40 with VR glasses, 40 individuals using stress balls, and 40 in the control group. Patient Information Form, Visual Analog Scale, and State-Trait Anxiety Scale will be used in data collection. Data from the study will be analyzed with number, percent, average, x-square, variance, and t-test in a computer environment. In consideration of the data, it is believed that important findings will be obtained in increasing satisfaction and comfort by eliminating pain, anxiety, and fear during dressing changes in patients.

Detailed Description

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Conditions

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Surgical Wound Abdominal Surgery

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Parallel assignment experimental model using randomized pretest and posttest with control group
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Virtual Reality Glasses Group

Apart from the routine clinic procedure, VR video scenes (contain nature views) will be watched for 5-10 minutes during the procedure.

Group Type EXPERIMENTAL

Virtual Reality Glasses Group

Intervention Type DEVICE

Apart from the routine clinic procedure, VR video scenes (contain nature views) will be watched for 5-10 minutes during the procedure.

Stress Ball Group

Apart from the routine clinic procedure, it will be asked squeezing the stress ball for about 5-10 minutes (squeezing it once every time he counts to five)during the procedure.

Group Type EXPERIMENTAL

Stress Ball Group

Intervention Type DEVICE

Apart from the routine clinic procedure, it will be asked squeezing the stress ball for about 5-10 minutes (squeezing it once every time he counts to five)during the procedure.

Control Group

Only dressing will be changed just as routine clinic procedure without any intervention

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Virtual Reality Glasses Group

Apart from the routine clinic procedure, VR video scenes (contain nature views) will be watched for 5-10 minutes during the procedure.

Intervention Type DEVICE

Stress Ball Group

Apart from the routine clinic procedure, it will be asked squeezing the stress ball for about 5-10 minutes (squeezing it once every time he counts to five)during the procedure.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Acceptance to participate in the study both in writing and verbally.
* Being over 18,
* Having undergone abdominal surgery,
* Being on the 1st day after surgery,
* Being subjected to first dressing after surgery,
* Staying in the one-person room or being the only patient in the room,
* Being conscious (person, place and time orientation),
* Patients who have no vision, hearing or communication problems will be included in the study.

Exclusion Criteria

* Patients using analgesic, anxiolytic, and sedative medications before, during, and immediately after dressing changes.
* Having chronic pain disorder
* Having a disease that may affect primarily vital signs (such as Hypertension, COPD),
* Not having any psychiatric and cognitive/mental disease (dementia, etc.),
* Having chronic diseases like epilepsy, vertigo,
* Being diagnosed with vision, hearing(auditory) and/or balance disorder
* Having an addiction or abusing alcohol or drugs.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Suleyman Demirel University

OTHER

Sponsor Role lead

Responsible Party

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Altun Baksi

Assoc. Prof.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Altun Baksi, PhD

Role: PRINCIPAL_INVESTIGATOR

Suleyman Demirel University

Central Contacts

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Altun Baksi, PhD

Role: CONTACT

+90 505 397 32 46

References

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Birnie KA, Kulandaivelu Y, Jibb L, Hroch P, Positano K, Robertson S, Campbell F, Abla O, Stinson J. Usability Testing of an Interactive Virtual Reality Distraction Intervention to Reduce Procedural Pain in Children and Adolescents With Cancer [Formula: see text]. J Pediatr Oncol Nurs. 2018 Nov/Dec;35(6):406-416. doi: 10.1177/1043454218782138. Epub 2018 Jun 27.

Reference Type BACKGROUND
PMID: 29950139 (View on PubMed)

Addab S, Hamdy R, Thorstad K, Le May S, Tsimicalis A. Use of virtual reality in managing paediatric procedural pain and anxiety: An integrative literature review. J Clin Nurs. 2022 Nov;31(21-22):3032-3059. doi: 10.1111/jocn.16217. Epub 2022 Jan 23.

Reference Type BACKGROUND
PMID: 35068011 (View on PubMed)

Ding J, He Y, Chen L, Zhu B, Cai Q, Chen K, Liu G. Virtual reality distraction decreases pain during daily dressing changes following haemorrhoid surgery. J Int Med Res. 2019 Sep;47(9):4380-4388. doi: 10.1177/0300060519857862. Epub 2019 Jul 25.

Reference Type BACKGROUND
PMID: 31342823 (View on PubMed)

Dings SJM, van Stralen KJ, Struben VMD, Noordzij MA. Pain and anxiety during vasectomies while distracting patients with video glasses or virtual reality glasses. BJU Int. 2021 Nov;128(5):561-567. doi: 10.1111/bju.15332. Epub 2021 Jan 27.

Reference Type BACKGROUND
PMID: 33387391 (View on PubMed)

Freitas DMO, Spadoni VS. Is virtual reality useful for pain management in patients who undergo medical procedures? Einstein (Sao Paulo). 2019 May 20;17(2):eMD4837. doi: 10.31744/einstein_journal/2019MD4837.

Reference Type BACKGROUND
PMID: 31116237 (View on PubMed)

Furness PJ, Phelan I, Babiker NT, Fehily O, Lindley SA, Thompson AR. Reducing Pain During Wound Dressings in Burn Care Using Virtual Reality: A Study of Perceived Impact and Usability With Patients and Nurses. J Burn Care Res. 2019 Oct 16;40(6):878-885. doi: 10.1093/jbcr/irz106.

Reference Type BACKGROUND
PMID: 31190052 (View on PubMed)

Gardner SE, Bae J, Ahmed BH, Abbott LI, Wolf JS, Hein M, Carter C, Hillis SL, Tandy LM, Rakel BA. A clinical tool to predict severe pain during wound dressing changes. Pain. 2022 Sep 1;163(9):1716-1727. doi: 10.1097/j.pain.0000000000002553. Epub 2021 Dec 15.

Reference Type BACKGROUND
PMID: 35984382 (View on PubMed)

Guo C, Deng H, Yang J. Effect of virtual reality distraction on pain among patients with hand injury undergoing dressing change. J Clin Nurs. 2015 Jan;24(1-2):115-20. doi: 10.1111/jocn.12626. Epub 2014 Jun 4.

Reference Type BACKGROUND
PMID: 24899241 (View on PubMed)

Hudson BF, Ogden J, Whiteley MS. Randomized controlled trial to compare the effect of simple distraction interventions on pain and anxiety experienced during conscious surgery. Eur J Pain. 2015 Nov;19(10):1447-55. doi: 10.1002/ejp.675. Epub 2015 Jan 30.

Reference Type BACKGROUND
PMID: 25641687 (View on PubMed)

Kim JY, Kim NK, Lee YJ. A descriptive study of Korean nurses' perception of pain and skin tearing at dressing change. Int Wound J. 2016 Mar;13 Suppl 1(Suppl 1):47-51. doi: 10.1111/iwj.12539.

Reference Type BACKGROUND
PMID: 26847938 (View on PubMed)

Ricardo JW, Lipner SR. Utilizing a Sleep Mask to Reduce Patient Anxiety During Nail Surgery. Cutis. 2021 Jul;108(1):36. doi: 10.12788/cutis.0285.

Reference Type BACKGROUND
PMID: 34397356 (View on PubMed)

Other Identifiers

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22/326

Identifier Type: -

Identifier Source: org_study_id

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