Exercises for Early Mobilization of Patients Undergoing Open Heart Surgery With Virtual Reality Application

NCT ID: NCT06918600

Last Updated: 2025-04-09

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 150 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-12-01
• Study Completion Date: 2026-06-30

Brief Summary

This study aims to evaluate the effectiveness of virtual reality (VR) applications in promoting early mobilization exercises for patients undergoing open-heart surgery. Virtual reality is a non-invasive, easily accessible, and innovative method increasingly used in healthcare settings, including rehabilitation and exercise interventions. Evidence from the literature highlights VR's potential to reduce anxiety, and improve recovery in various patient groups. Despite its extensive applications, there is limited research on the impact of VR in the early postoperative care of cardiac surgery patients. This study addresses this gap by investigating the role of VR-based exercises in improving physical activity and rehabilitation outcomes during the critical early recovery period after surgery. Participants will engage in a VR-supported rehabilitation program during their hospital stay. The study will assess the effects of VR exercises on early mobilization, and overall recovery. The results aim to contribute to the growing field of digital health and provide evidence for integrating VR into postoperative care to enhance the quality of nursing care and patient outcomes.

Detailed Description

This study investigates the effectiveness of virtual reality (VR) applications in supporting early mobilization exercises for patients undergoing open-heart surgery. The intervention leverages VR technology as a non-invasive, accessible, and engaging tool to enhance recovery outcomes in the critical early postoperative period. While VR has been widely used in rehabilitation for various patient populations, its application in cardiac surgery for early mobilization remains limited and underexplored. Using a randomized controlled trial design, this research evaluates the impact of VR-based exercises compared to standard care on patients' physical activity, motivation, and recovery. The intervention focuses on promoting physical mobility through interactive VR modules designed to facilitate rehabilitation exercises in a hospital setting. Additionally, the study examines the psychological and social benefits of VR, including its potential to reduce anxiety and improve emotional well-being during the recovery process. This research aims to address a gap in the literature by focusing on the early postoperative phase, where effective mobilization is critical to preventing complications and promoting faster recovery. The study is aligned with the Republic of Turkey's 12th Development Plan, emphasizing the integration of digital health technologies into routine healthcare services to improve patient outcomes and quality of care. The findings from this study are expected to provide valuable evidence supporting the adoption of VR in postoperative care for open-heart surgery patients. By demonstrating its effectiveness as a cost-efficient and scalable intervention, this research seeks to contribute to the development of innovative and patient-centered approaches in nursing care and digital health practices.

Conditions

Early Mobilization, Open-heart Surgery, Virtual Reality

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: SUPPORTIVE_CARE
• Blinding Strategy: SINGLE

Study Groups

Intervention Group: Virtual Reality-Supported Early Mobilization Exercises

Participants in this group will use a virtual reality (VR) application designed to support early mobilization after open-heart surgery. The VR application includes guided breathing exercises, lower limb movements, and structured mobilization strategies. These sessions will be conducted using a VR headset, with supervision from a healthcare professional to ensure safety and correct execution.

Group Type: EXPERIMENTAL

Virtual Reality-Supported Early Mobilization Program

Intervention Type: OTHER

The intervention involves the use of a virtual reality (VR)-supported mobilization program specifically designed for patients recovering from open-heart surgery. Participants wear a VR headset that delivers guided sessions comprising:

Breathing Exercises: Deep breathing and coughing techniques to support respiratory function and prevent complications.

Lower Limb Exercises: Interactive movements aimed at improving circulation and preventing venous stasis.

Mobilization Strategies: Gradual and guided steps to assist patients in transitioning from bed to ambulation, tailored to their recovery stage.

This intervention is unique because it integrates an immersive and engaging digital environment to promote physical activity, reduce anxiety, and enhance motivation during the critical early postoperative phase. Unlike standard rehabilitation practices, the VR program provides real-time feedback and visual cues to ensure correct execution of movements.

Control Group: Standard Postoperative Care and Mobilization

Participants in this group will receive standard postoperative care, including mobilization practices routinely implemented in the clinical setting. This involves assisted physical activity, such as walking and light exercises, guided by the clinical team. No VR intervention will be applied to this group.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Virtual Reality-Supported Early Mobilization Program

The intervention involves the use of a virtual reality (VR)-supported mobilization program specifically designed for patients recovering from open-heart surgery. Participants wear a VR headset that delivers guided sessions comprising:

Breathing Exercises: Deep breathing and coughing techniques to support respiratory function and prevent complications.

Lower Limb Exercises: Interactive movements aimed at improving circulation and preventing venous stasis.

Mobilization Strategies: Gradual and guided steps to assist patients in transitioning from bed to ambulation, tailored to their recovery stage.

This intervention is unique because it integrates an immersive and engaging digital environment to promote physical activity, reduce anxiety, and enhance motivation during the critical early postoperative phase. Unlike standard rehabilitation practices, the VR program provides real-time feedback and visual cues to ensure correct execution of movements.

Intervention Type: OTHER

Other Intervention Names

VR Early Mobilization Program; Virtual Rehabilitation Exercises

Eligibility Criteria

Inclusion Criteria

• Those who voluntarily agreed to participate in the study and written consent was obtained,
• 18 years and over,
• Literate,
• Understand and speak Turkish language,
• No sensory problem (auditory, visual)
• Person, place and time oriented,
• No cognitive problems in expressing themselves,
• Does not have any physical limitation (disability),
• Patients undergoing planned open heart surgery for the first time

Exclusion Criteria

• Patients with neurological problems (stroke, etc.),
• Patients who develop complications related to surgery in the clinic (delirium, arterial fibrillation, sternal angulation, etc.),
• History of cerebrovascular events,
• Patients with a Glasgow scale <15,
• Patients with complaints of vertigo, dizziness, etc.
• Patients with impaired hemodynamics when wearing glasses
• Deterioration of the general condition of the patient
• Patient abandonment of the study
• Death of the patient
• Patients who develop nausea and vomiting while wearing virtual reality glasses

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Istanbul University

OTHER

Sponsor Role: lead

Responsible Party

Yakup Akyüz

research assistant

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

yakup akyüz, research assistant

Role: PRINCIPAL_INVESTIGATOR

istanbul university faculty of nursing department of surgical diseases nursing

Locations

Istanbul University

Istanbul, Türkiye, Turkey (Türkiye)

Countries

Turkey (Türkiye)

Central Contacts

yakup akyüz akyüz, research assistant

Role: CONTACT

yakup.akyuz@istanbul.edu.tr

+905453355654 ext. +905453355654

aylin durmaz edeer edeer durmaz edeer, associate professor doctor

Role: CONTACT

aylin.durmaz@deu.edu.tr

+90 505 747 59 90 ext. +90 505 747 59

References

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Reference Type: BACKGROUND

PMID: 39563940 (View on PubMed)

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Reference Type: BACKGROUND

PMID: 37879802 (View on PubMed)

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Reference Type: BACKGROUND

PMID: 37906193 (View on PubMed)

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Reference Type: BACKGROUND

PMID: 34783683 (View on PubMed)

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Reference Type: BACKGROUND

PMID: 32711132 (View on PubMed)

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Reference Type: BACKGROUND

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Other Identifiers

İstanbulU/2025/1

Identifier Type: -

Identifier Source: org_study_id