The Effect of Virtual Reality Headset and Hand Massage on Pain, Anxiety, Patient Satisfaction, and Physiological Parameters in Patients Who Have Undergone Abdominal Surgery

Immediately before the procedure, the fourth researcher will administer the Numerical Pain Scale, the State Anxiety Scale, the Numerical Satisfaction Scale, and the Physiological Parameters Monitoring Form to patients on the second postoperative day at the clinic. Next, the second researcher will fit the patient with a virtual reality headset, and the patient will watch nature-themed videos-such as forest scenes, beach walks, and parks-for 15 minutes. After 15 minutes, the virtual reality session will end. Immediately after the intervention and 30 minutes later, the fourth researcher will have the patients complete the Numerical Pain Scale, State Anxiety Scale, Numerical Satisfaction Scale, and Physiological Parameters Monitoring Form.

Immediately before the procedure, the fourth researcher will administer the Numerical Pain Scale, the State Anxiety Scale, the Numerical Satisfaction Scale, and the Physiological Parameters Monitoring Form to patients on the second postoperative day at the clinic. Next, the second researcher will fit the patient with a virtual reality headset, and the patient will watch nature-themed videos-such as forest scenes, beach walks, and parks-for 15 minutes. After 15 minutes, the virtual reality session will end. Immediately after the intervention and 30 minutes later, the fourth researcher will have the patients complete the Numerical Pain Scale, State Anxiety Scale, Numerical Satisfaction Scale, and Physiological Parameters Monitoring Form. This distraction technique aims to reduce pain perception and anxiety levels, increase patient satisfaction during the procedure, and improve physiological parameters.

• VR 글래스

Immediately before the intervention, the fourth researcher will administer the Numerical Pain Scale, State Anxiety Scale, Numerical Satisfaction Scale, and Physiological Parameters Monitoring Form to patients on the second postoperative day at the clinic. Next, the second researcher will perform a classic hand massage for a total of 15 minutes-7.5 minutes on the right hand followed by 7.5 minutes on the left hand. After 15 minutes, the classical hand massage will be discontinued. Immediately after the intervention and 30 minutes later, the fourth researcher will have the patients complete the Numerical Pain Scale, State Anxiety Scale, Numerical Satisfaction Scale, and Physiological Parameters Monitoring Form.

Immediately before the intervention, the fourth researcher will administer the Numerical Pain Scale, State Anxiety Scale, Numerical Satisfaction Scale, and Physiological Parameters Monitoring Form to patients on the second postoperative day at the clinic. Next, the second researcher will perform a classic hand massage for a total of 15 minutes-7.5 minutes on the right hand followed by 7.5 minutes on the left hand. After 15 minutes, the classical hand massage will be discontinued. Immediately after the intervention and 30 minutes later, the fourth researcher will have the patients complete the Numerical Pain Scale, State Anxiety Scale, Numerical Satisfaction Scale, and Physiological Parameters Monitoring Form. This distraction technique aims to reduce pain perception and anxiety levels, increase patient satisfaction during the procedure, and improve physiological parameters.

• Hand Massage

During the initial patient encounter, the fourth researcher will administer the Numerical Pain Scale, the State Anxiety Scale, the Numerical Satisfaction Scale, and the Physiological Parameters Monitoring Form. In routine clinical practice, care will be continued by the nurse responsible for the patient's care. The second researcher will not perform any additional interventions. At the same time as the group receiving the virtual reality headset application and conventional hand massage, the fourth researcher will have the patients complete the Numerical Pain Scale, State Anxiety Scale, Numerical Satisfaction Scale, and Physiological Parameters Monitoring Form.

Pain intensity will be measured using a Visual Analog Scale (VAS) ranging from 0 (no pain) to 10 (the most severe pain possible). Measurements will be taken three times: on the second day after surgery, immediately before the procedure, immediately after the procedure, and 30 minutes later.

Anxiety levels will be assessed using the Situational Anxiety Inventory - Short Form (STAIS-S). This scale measures temporary anxiety levels. Scores range from 20 to 80. Measurements will be taken three times: on the second day after surgery; immediately before the procedure; immediately after the procedure; and 30 minutes after the procedure. Higher scores indicate higher (worse) anxiety levels.

Patient satisfaction will be assessed using a Visual Analog Scale (VAS) ranging from 0 (not at all satisfied) to 10 (extremely satisfied). Measurements will be taken three times: on the second day after surgery; immediately before the procedure; immediately after the procedure; and 30 minutes after the procedure. Higher scores indicate greater satisfaction.

Systolic blood pressure will be measured in millimeters of mercury (mmHg). Higher values indicate higher systolic blood pressure.

Diastolic blood pressure will be measured in millimeters of mercury (mmHg). Higher values indicate higher diastolic blood pressure.

Pulse rate will be measured in beats per minute (beats/min).

Respiratory rate will be measured in breaths per minute (breaths/min).