The Effect of Virtual Reality Glasses Application on Pain and Anxiety Levels in Colorectal Surgery Patients
This study aims to determine the effect of virtual reality glasses on pain and anxiety levels in colorectal surgery patients. This study is a single-center, parallel-group, open-label, randomized controlled clinical trial. This study will be conducted with 60 patients who underwent colorectal surgery between August 2025 and December 2025. Participants will be randomized into two groups as the intervention group (n=30) and the control group (n=30).
All patients in the experimental and control groups will be asked to fill out the "Informed Consent Form" the day before the surgery, and the patients who agree to participate in the study will be asked to fill out the "Patient Introduction Form" and the "State Anxiety Scale" by the researchers.
The "Simulator Illness Questionnaire" used in the Virtual Reality disease field will be applied to the experimental group to determine their physiological conditions before the application. Then, a relaxing music-backgrounded video containing images of nature will be watched with virtual reality glasses for 10-15 minutes the day before the surgery. Then, the "Simulator Illness Questionnaire" and the "State Anxiety Scale" will be filled out again.
The "Simulator Illness Questionnaire" will be applied to the patients 2 hours after their transfer from the postoperative care unit to the clinic, which is the most appropriate time after the surgery, when their vital signs have stabilized and clinical compliance has been achieved, and their physiological conditions before the application will be determined. Then, the patients in the experimental group will be asked to watch a relaxing music-backgrounded video containing images of nature for 10-15 minutes with virtual reality glasses. The researcher will perform the video with virtual reality glasses in the patient rooms and beds. Afterwards, the "Simulator Disease Survey" will be repeated. There will be no compelling effect that will negatively affect the health of the patients during the application, and the application will be terminated when the patients feel uncomfortable. A safe environment will be created so that there are no objects around the patients that they can bump into or trip over. A 5-10 minute trial period will be performed at the beginning with the observer and the virtual reality glasses will be applied. The patient will be able to end the study at any time. If the patients use glasses/lenses, compliance will be checked.
No intervention will be applied to the control group patients and the routine practices of the clinic will continue.
All patients in the experimental and control groups will be assessed for pain with the Visual Analog Scale (VAS) at the 2nd and 4th hours and the "State Anxiety Scale" will be applied.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Ankara, Turkey (Türkiye)
- Ankara Yıldırım Beyazıt University
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patients who are 18 years of age or older, 65 years of age or younger,
- Who will undergo laparoscopic colorectal surgery,
- Who do not develop any complications during or after the surgical procedure,
- Who volunteer to participate in the study will be included in the study.
Exclusion Criteria:
- Patients who have not undergone laparoscopic surgery,
- Those who are hemodynamically unstable,
- Those with neurological or psychological problems,
- Those who are transferred to the intensive care unit after surgery,
- Emergency and unplanned cases,
- Those with visual, auditory or systemic disorders,
- Those who have balance problems,
- Those diagnosed with hypertension or hypotension,
- Patients diagnosed with anxiety disorder or epilepsy will be excluded from the study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Experimental
All patients in the experimental group will be asked to fill out the "Informed Consent Form" the day before the surgery, and the patients who agree to participate in the study will be asked to fill out the "Patient Introduction Form" and the "State Anxiety Scale" by the researchers. The "Simulator Illness Questionnaire" used in the Virtual Reality disease field will be applied to the experimental group to determine their physiological status before the application. Then, a relaxing music-backgrounded video containing nature images will be watched with virtual reality glasses for 10-15 minutes the day before the surgery. Then, the "Simulator Illness Questionnaire" and the "State Anxiety Scale" will be filled out again. The "Simulator Illness Questionnaire" will be applied to the patients at the most appropriate time after the surgery, when their vital signs have stabilized and clinical compliance has been achieved, and 2 hours after their transfer from the postoperative care unit to th |
The day before the surgery, you will be shown a video of nature images with relaxing music for 10-15 minutes using virtual reality glasses.
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|
No Intervention: Control
All patients in the control group will be given permission with the "Informed Consent Form" the day before the surgery, and the patients who agree to participate in the study will be asked to fill out the "Patient Introduction Form" and the "State Anxiety Scale" by the researchers. No intervention will be applied to the control group patients, and the routine practices of the clinic will continue. All patients in the experimental and control groups will be assessed for pain with the Visual Analog Scale (VAS) at the 2nd and 4th hours, and the "State Anxiety Scale" will be applied. |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Visual Analog Scale (VAS)
Time Frame: preoperative, postoperative 2 hours, postoperative 4 hours
|
VAS is a scale consisting of 10 cm lines (0-10 cm) used to assess pain.
0 means "no pain" and 10 means "unbearable pain".
In this method, the patient is asked to mark the number between these two extreme points and the degree of pain (F.
E. Aslan, 2002).
|
preoperative, postoperative 2 hours, postoperative 4 hours
|
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Spielberger State and Trait Anxiety Inventory (STAI)
Time Frame: preoperative, postoperative 2 hours, postoperative 4 hours
|
STAI, which is widely used and still valid, was developed by Spielberger, Gorsuch and Lushene in 1970, and its Turkish language and content validity was made by Öner and Le Compte in 1983.
It consists of 2 subscales covering 20 statements measuring state and trait anxiety.
The State Anxiety Subscale (STAI-S) expresses how an individual feels at a certain moment and under certain conditions; and the Trait Anxiety Subscale (STAI-T) expresses how they generally feel.
The inventory is answered through 4-dimensional definitions.
The feelings and behaviors expressed in the State Anxiety Subscale items are specified by selecting one of the options "(1) None, (2) Some, (3) A lot and (4) Completely" according to the severity of such experiences.
The feelings and behaviors expressed in the Trait Anxiety Subscale items are specified according to their frequency levels; It is expressed as "(1) Almost Never, (2) Sometimes, (3) A Lot of the Time, and (4) Almost Always".
High scores from each subsca
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preoperative, postoperative 2 hours, postoperative 4 hours
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Simulator Sickness Questionnaire (SSQ)
Time Frame: preoperative, postoperative 2 hours
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Simulation Sickness Questionnaire (SSQ) is widely used to measure Virtual Reality sickness (Sevinc and Berkman, 2020, Igoshina et al. 2022).
Simulator sickness questionnaire consists of 16 questions.
These questions are located under 4 components: nausea (N), oculomotor (O), disorientation (D) and weighted total (T).
The majority of studies conducted using SSQ reported only the Total Score score (Sevinc, and Berkman, 2020).
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preoperative, postoperative 2 hours
|
Collaborators and Investigators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- colorectalsurgery
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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