Effect of Virtual Reality Application on Pain, Anxiety and Comfort During Chest Tube Removal Procedure

Göğüs Tüpü Çıkarma İşlemi Sırasında Sanal Gerçeklik Uygulamasının Ağrı, Anksiyete ve Konfora Etkisi

Chest tubes are used to eliminate possible acute or chronic problems that may occur after trauma or surgical interventions to the chest area. This process, which aims to drain the fluid, blood or air accumulated in the pleural area, works with the support of closed underwater drainage systems. The chest tubes, which remain in place for a long time, fuse with the endothelium lying in the chest cavity. For this reason, the adhesions formed with the fusion cause very severe acute pain in the patient with the pulling force applied during removal.The high level of pain of the person will cause an increase in the level of anxiety and a decrease in the level of comfort. The anxiety experienced by the patients will also reduce the tolerance to pain.It has been observed that the use of virtual reality in the field of health significantly reduces the level of pain and anxiety during medical procedures, shortens wound healing and hospital stay, and increases compliance with treatment.In the literature, no studies were found in which the effects of virtual reality application on pain, anxiety and comfort were evaluated in patients whose chest tube was removed.Thereforee, this study was conducted to evaluate the effect of virtual reality application against all these negative situations.

Study Overview

• Status: Enrolling by invitation
• Conditions: Chest Tube Removal
• Intervention / Treatment: Device: Group using virtual reality glasses

• Study Type: Interventional
• Enrollment (Estimated): 82
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Erzurum, Turkey
    • Ataturk University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

• Study Inclusion Criteria:

  • Must be between the ages of 18-65,
  • Must have undergone coronary artery bypass graft surgery and have a chest tube,
  • Must participate in the study voluntarily,
  • Must not have vision or hearing problems,
  • Must not have disorientation in place and time,
  • Must not have any psychiatric disorders,

• Study Exclusion Criteria:

  • Those with chronic pain and routinely using painkillers,
  • Those using painkillers before the procedure,
  • Those with problems such as migraine, vertigo, dizziness,
  • Patients using prescription glasses and those having vision problems without glasses were not included in the study.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Group using virtual reality glasses; Virtual reality application will be applied to this group and virtual reality glasses will be put on 5 minutes before the procedure and the video will be started to be watched during the process.	Device: Group using virtual reality glasses; Group using virtual reality glasses: During the procedure, individuals will wear glasses.
No Intervention: Group not using virtual reality glasses; Standard protocols will be applied to this group and no action will be taken.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
visual analog scale	To evaluate pain severity, pain results are evaluated by scoring between 0-10. While 0 indicates "No pain", 10 indicates "Unbearable pain". The minimum value is 0 and the maximum value is 10. 0 represents a good result and 10 represents a bad result	5 month
State-Trait Anxiety Inventory Scale	It is a 4-point Likert-type scale with 40 items and is scored as "never": 1, "a little": 2, "a lot": 3, "completely": 4, according to the degree of severity of the feelings, thoughts or behaviors expressed by the items. anxiety level will be determined.	5 month
comfort scale	It is a scale ranging from 0 to 10 points. While 0 points indicate 'most comfortable', 10 points indicate 'most uncomfortable'. The minimum value is 0 and the maximum value is 10. 0 represents a good result and 10 represents a bad result	5 month
verbal pain scale	0 points indicate "No pain", 1 point indicates "Mild pain", 2 points indicate "Moderate pain" and 3 points indicate "Severe pain".	5 month

Collaborators and Investigators

• Sponsor: Hale Rumeysa Seçer

Study record dates

Study Major Dates

• Study Start (Actual): March 20, 2023
• Primary Completion (Actual): July 25, 2024
• Study Completion (Estimated): August 30, 2024

Study Registration Dates

• First Submitted: July 20, 2024
• First Submitted That Met QC Criteria: August 10, 2024
• First Posted (Actual): August 13, 2024

Study Record Updates

• Last Update Posted (Actual): August 13, 2024
• Last Update Submitted That Met QC Criteria: August 10, 2024
• Last Verified: August 1, 2024

More Information

Terms related to this study

• Keywords: pain; comfort; anxiety; virtual reality
• Other Study ID Numbers: VRA15

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No