- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT06906120
Virtual reality-basert operasjonsroms introduksjon for å redusere angst og kirurgisk frykt hos kirurgiske pasienter
Effekten av virtual reality-basert operasjonsroms introduksjon om angst, kirurgisk frykt og tilfredshet hos ortopediske kirurgiske pasienter
Kjære deltaker,
Denne studien har tittelen "Effekten av introduksjon av operasjonsrom ved bruk av virtual reality -briller på angst, kirurgisk frykt og tilfredshetsnivå hos pasienter som gjennomgår ortopedisk kirurgi." Deltakelsen din er helt frivillig, og å velge å ikke delta vil ikke påvirke behandlingen eller omsorgen på noen måte.
Målet med denne studien er å evaluere effekten av introduksjon av operasjonsrom ved bruk av virtual reality -briller på angst, kirurgisk frykt, postoperative smertenivåer, fysiologiske parametere og pasienttilfredshet hos pasienter som gjennomgår ortopedisk kirurgi. Hvis resultatene fra studien er positive, vil virtual reality-støttede introduksjonsmetoder bli anbefalt som et effektivt pedagogisk verktøy for kirurgiske pasienter.
I denne studien vil data bli samlet inn gjennom sosiodemografisk informasjon og flere spørreskjemaer (form for introduksjon av pasientinnføring, angstfeil, kirurgisk fryktskala, numerisk vurderingsskala). I tillegg vil dine fysiologiske parametere og elektrodermal aktivitet bli målt ved hjelp av overvåkningsenheter, og du vil se en video som introduserer operasjonsromsmiljøet med virtual reality -briller. Denne videoen vil ikke dekke selve kirurgiske prosessen, men vil gi generell informasjon om overføringen til operasjonsrommet, operasjonsromsmiljøet og den postoperative serviceprosessen. Studien begynner en dag før operasjonen og avsluttes før utskrivningen.
Informasjonen som ble innhentet under denne studien vil bli brukt i vitenskapelig forskning uten å avsløre identiteten din og vil bli holdt i samsvar med konfidensialitetsprinsipper. Det vil ikke være kostnad for din deltakelse i denne studien, og det vil heller ikke betales noen betaling for din deltakelse.
Studieoversikt
Status
Intervensjon / Behandling
Detaljert beskrivelse
Denne studien tar sikte på å evaluere effekten av en operasjonsromstur utført ved bruk av Virtual Reality (VR) briller på angst, kirurgisk frykt, smerter etter operasjonen, tilfredshetsnivå og fysiologiske parametere hos pasienter som gjennomgår ortopedisk kirurgi.
Intervensjonen vil innebære en 3D -pedagogisk video som introduserer operasjonsromsmiljøet, kirurgiske teamroller og forventet pasientopplevelse i løpet av den perioperative perioden. Denne videoen vil bli presentert ved hjelp av Meta Quest 3 VR -briller. Deltakere i intervensjonsgruppen vil se denne videoen før operasjonen, mens kontrollgruppen vil få standard preoperativ utdanning.
De primære resultatene inkluderer endringer i preoperativ angst (STAI-I), kirurgisk frykt (kirurgisk fryktskala) og fysiologiske parametere (f.eks. Hjertefrekvens, blodtrykk og elektrodermal aktivitet). Sekundære utfall inkluderer smerter etter operasjonen og pasienttilfredshet. Data vil bli samlet inn på flere tidspunkter, inkludert før og etter intervensjonen, på operasjonsdagen og i løpet av den postoperative perioden.
Studien er designet som en randomisert kontrollert studie med en prøvestørrelse på 60 deltakere, like fordelt mellom intervensjons- og kontrollgrupper. Dataanalyse vil omfatte passende statistiske tester basert på variabel distribusjon og gruppesammenligninger.
Studietype
Registrering (Faktiske)
Fase
- Ikke aktuelt
Kontakter og plasseringer
Studiesteder
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Ataşehir
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Istanbul, Ataşehir, Tyrkia (Türkiye), 34642
- Acibadem Atasehir Hospitla
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ataşehir
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Istanbul, ataşehir, Tyrkia (Türkiye), 34662
- Acibadem Altunizade Hospital
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Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
- Voksen
- Eldre voksen
Tar imot friske frivillige
Beskrivelse
Inkluderingskriterier:
- Personer i alderen 18-65 år
- Pasienter planlagt for artroskopisk kirurgi
- De som ikke har gjennomgått noen tidligere kirurgiske inngrep
- Pasienter som vil gjennomgå kirurgi under generell anestesi
- Personer uten kommunikasjonsbarrierer
- Pasienter med klar bevissthet og orientering til person, sted og tid
- De uten nevrologiske eller psykiatriske lidelser
- Personer uten alvorlige visuelle eller auditive svekkelser
Eksklusjonskriterier:
- Manglende evne til å kommunisere med pasientene
- Utvikling av et livstruende helseproblem etter operasjonen
- Overgang til åpen kirurgi under prosedyren
- Pasienter som ønsker å trekke seg fra studien
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Ingen (Open Label)
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
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Eksperimentell: Virtual Reality-Based Education Group
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For the Intervention Group: The intervention consisted of a researcher-developed 360-degree virtual reality operating room education video. The 9-minute 22-second video was recorded from the patient's perspective using an Insta360 X4 camera and presented with Meta Quest 3 VR headsets. It included transfer from the ward, handover to the surgical team, transfer to the operating table, safety and monitoring, anesthesia induction, emergence from anesthesia, and transfer to the ward. At relevant points, perioperative information was provided through researcher-prepared voice-over narration integrated into the video. Participants watched the video once on an examination bed/stretcher in examination rooms, positioned at approximately 30-45 degrees with a pillow under the head. A disposable hygienic headset strap cover was used. The same device, procedure, and video were used. The VR education was provided in addition to the institution's standard preoperative education.
Andre navn:
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Ingen inngripen: Standard utdanningsgruppe
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Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
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Preoperative anxiety level: State Anxiety - State-Trait Anxiety Inventory (STAI-I)
Tidsramme: STAI-I was assessed 24-48 hours before surgery, before the intervention; immediately after the intervention; on the day of surgery, before surgery; and within 2 hours after surgery.
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State anxiety will be assessed using the State Anxiety subscale of the State-Trait Anxiety Inventory (STAI-I).
The STAI-I consists of 20 items rated on a 4-point Likert-type scale, with total scores ranging from 20 to 80. Higher scores indicate higher levels of state anxiety.
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STAI-I was assessed 24-48 hours before surgery, before the intervention; immediately after the intervention; on the day of surgery, before surgery; and within 2 hours after surgery.
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Patient satisfaction with perioperative care
Tidsramme: Satisfaction will be measured within 2 hours after discharge procedures have started.
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Patient satisfaction with perioperative care will be assessed using a 10-point satisfaction scale.
Scores range from 1 to 10, with higher scores indicating higher satisfaction.
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Satisfaction will be measured within 2 hours after discharge procedures have started.
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Surgical fear level: Surgical Fear Questionnaire (SFQ)
Tidsramme: Surgical fear was assessed 24-48 hours before surgery, before the intervention; immediately after the intervention; and on the day of surgery, before surgery.
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Surgical fear was assessed using the Surgical Fear Questionnaire (SFQ).
The SFQ consists of 8 items rated on an 11-point scale from 0 (not afraid at all) to 10 (very afraid).
The total score ranges from 0 to 80, with higher scores indicating greater surgical fear.
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Surgical fear was assessed 24-48 hours before surgery, before the intervention; immediately after the intervention; and on the day of surgery, before surgery.
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Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
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Postoperative pain level: Numeric Rating Scale (NRS)
Tidsramme: Postoperative pain was assessed within 2 hours after surgery.
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This measure compared postoperative pain levels between the virtual reality education and standard education groups. Pain level was assessed using the Numerical Rating Scale (NRS). Minimum Value: 0 (No Pain) Maximum Value: 10 (Worst Pain) Higher Scores: Indicate worse outcomes, meaning more severe pain. |
Postoperative pain was assessed within 2 hours after surgery.
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Physiological parameters: Heart rate
Tidsramme: Heart rate was assessed 24-48 hours before surgery, before the intervention; immediately after the intervention; on the day of surgery, before surgery; and at the first and second hours after admission to the inpatient ward.
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Heart rate was assessed in the intervention and control groups.
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Heart rate was assessed 24-48 hours before surgery, before the intervention; immediately after the intervention; on the day of surgery, before surgery; and at the first and second hours after admission to the inpatient ward.
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Electrodermal activity (EDA)
Tidsramme: Before and after the intervention (3 min each), on the morning of surgery before transfer (3 min), and continuously during ward-to-OR transfer, from transfer start to handover completion.
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Electrodermal activity (EDA) was assessed to evaluate physiological arousal in the intervention and control groups.
EDA was recorded using a Shimmer3 GSR+ device.
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Before and after the intervention (3 min each), on the morning of surgery before transfer (3 min), and continuously during ward-to-OR transfer, from transfer start to handover completion.
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Physiological parameters: Systolic blood pressure
Tidsramme: Systolic blood pressure was assessed 24-48 hours before surgery, before the intervention; immediately after the intervention; on the day of surgery, before surgery; and at the first and second hours after admission to the inpatient ward.
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Systolic blood pressure was assessed in the intervention and control groups.
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Systolic blood pressure was assessed 24-48 hours before surgery, before the intervention; immediately after the intervention; on the day of surgery, before surgery; and at the first and second hours after admission to the inpatient ward.
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Physiological parameters: Diastolic blood pressure
Tidsramme: Diastolic blood pressure was assessed 24-48 hours before surgery, before the intervention; immediately after the intervention; on the day of surgery, before surgery; and at the first and second hours after admission to the inpatient ward.
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Diastolic blood pressure was assessed in the intervention and control groups.
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Diastolic blood pressure was assessed 24-48 hours before surgery, before the intervention; immediately after the intervention; on the day of surgery, before surgery; and at the first and second hours after admission to the inpatient ward.
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Physiological parameters: Respiratory rate
Tidsramme: Respiratory rate was assessed 24-48 hours before surgery, before the intervention; immediately after the intervention; on the day of surgery, before surgery; and at the first and second hours after admission to the inpatient ward.
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Respiratory rate was assessed in the intervention and control groups.
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Respiratory rate was assessed 24-48 hours before surgery, before the intervention; immediately after the intervention; on the day of surgery, before surgery; and at the first and second hours after admission to the inpatient ward.
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Physiological parameters: Peripheral oxygen saturation (SpO₂)
Tidsramme: Peripheral oxygen saturation (SpO₂) was assessed 24-48 hours before surgery, before the intervention; immediately after the intervention; on the day of surgery, before surgery; and at the first and second hours after admission to the inpatient ward.
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Peripheral oxygen saturation (SpO₂) was assessed in the intervention and control groups.
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Peripheral oxygen saturation (SpO₂) was assessed 24-48 hours before surgery, before the intervention; immediately after the intervention; on the day of surgery, before surgery; and at the first and second hours after admission to the inpatient ward.
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Physiological parameters: Body temperature
Tidsramme: Body temperature was assessed 24-48 hours before surgery, before the intervention; immediately after the intervention; on the day of surgery, before surgery; and at the first and second hours after admission to the inpatient ward.
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Body temperature was assessed in the intervention and control groups.
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Body temperature was assessed 24-48 hours before surgery, before the intervention; immediately after the intervention; on the day of surgery, before surgery; and at the first and second hours after admission to the inpatient ward.
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Andre resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
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Trait anxiety level: State-Trait Anxiety Inventory (STAI-II)
Tidsramme: 24-48 hours before surgery, prior to the intervention/education.
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Trait anxiety was assessed using the STAI-II subscale of the State-Trait Anxiety Inventory.
The STAI-II consists of 20 items scored on a 4-point Likert-type scale, with total scores ranging from 20 to 80. Higher scores indicate higher levels of trait anxiety.
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24-48 hours before surgery, prior to the intervention/education.
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Samarbeidspartnere og etterforskere
Sponsor
Publikasjoner og nyttige lenker
Generelle publikasjoner
- Ugras GA, Kanat C, Yaman Z, Yilmaz M, Turkmenoglu MO. The Effects of Virtual Reality on Preoperative Anxiety in Patients Undergoing Colorectal and Abdominal Wall Surgery: A Randomized Controlled Trial. J Perianesth Nurs. 2023 Apr;38(2):277-283. doi: 10.1016/j.jopan.2022.07.005. Epub 2022 Oct 29.
- Gursoy A, Candas B, Guner S, Yilmaz S. Preoperative Stress: An Operating Room Nurse Intervention Assessment. J Perianesth Nurs. 2016 Dec;31(6):495-503. doi: 10.1016/j.jopan.2015.08.011. Epub 2016 May 6.
- Delaney LD, Clauw DJ, Waljee JF. The Management of Acute Pain for Musculoskeletal Conditions: The Challenges of Opioids and Opportunities for the Future. J Bone Joint Surg Am. 2020 May 20;102 Suppl 1(Suppl 1):3-9. doi: 10.2106/JBJS.20.00228. No abstract available.
- Morgan H, Nana M, Phillips D, Gallagher S. The Effect of a VIrtual RealiTy Immersive Experience Upon Anxiety Levels, Procedural Understanding, and Satisfaction in Patients Undergoing CArdiac CaTHeterization: The VIRTUAL CATH Trial. J Invasive Cardiol. 2021 Sep;33(9):E681-E686. doi: 10.25270/jic/20.00664. Epub 2021 Aug 8.
- Rizzo MG Jr, Costello JP 2nd, Luxenburg D, Cohen JL, Alberti N, Kaplan LD. Augmented Reality for Perioperative Anxiety in Patients Undergoing Surgery: A Randomized Clinical Trial. JAMA Netw Open. 2023 Aug 1;6(8):e2329310. doi: 10.1001/jamanetworkopen.2023.29310.
- Cheng JYJ, Wong BWZ, Chin YH, Ong ZH, Ng CH, Tham HY, Samarasekera DD, Devi KM, Chong CS. Preoperative concerns of patients undergoing general surgery. Patient Educ Couns. 2021 Jun;104(6):1467-1473. doi: 10.1016/j.pec.2020.11.010. Epub 2020 Nov 21.
- Chan SL, Sit JWH, Ang WW, Lau Y. Virtual reality-enhanced interventions on preoperative anxiety symptoms in adults undergoing elective surgery: A meta-analysis and meta-regression. Int J Nurs Stud. 2024 Dec;160:104886. doi: 10.1016/j.ijnurstu.2024.104886. Epub 2024 Aug 30.
- Ugras GA, Yildirim G, Yuksel S, Ozturkcu Y, Kuzdere M, Oztekin SD. The effect of different types of music on patients' preoperative anxiety: A randomized controlled trial. Complement Ther Clin Pract. 2018 May;31:158-163. doi: 10.1016/j.ctcp.2018.02.012. Epub 2018 Feb 17.
- Ruiz Hernandez C, Gomez-Urquiza JL, Pradas-Hernandez L, Vargas Roman K, Suleiman-Martos N, Albendin-Garcia L, Canadas-De la Fuente GA. Effectiveness of nursing interventions for preoperative anxiety in adults: A systematic review with meta-analysis. J Adv Nurs. 2021 Aug;77(8):3274-3285. doi: 10.1111/jan.14827. Epub 2021 Mar 23.
- Leland DP, Pareek A, Therrien E, Wilbur RR, Stuart MJ, Krych AJ, Levy BA, Camp CL. Neurological Complications Following Arthroscopic and Related Sports Surgery: Prevention, Work-up, and Treatment. Sports Med Arthrosc Rev. 2022 Mar 1;30(1):e1-e8. doi: 10.1097/JSA.0000000000000322.
Studierekorddatoer
Studer hoveddatoer
Studiestart (Faktiske)
Primær fullføring (Faktiske)
Studiet fullført (Faktiske)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
- Pasienttilfredshet
- Smertebehandling
- Virtuell virkelighet
- Smertevurdering
- Fysiologiske parametere
- Elektrodermal aktivitet
- Ortopedisk kirurgi
- Kirurgisk angst
- Preoperativ utdanning
- Kirurgisk frykt
- Kirurgisk forberedelse
- VR -intervensjon
- Pasientutdanningsverktøy
- Preoperativ angstreduksjon
- VR-based operating room introduction
- patient education.
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- ORTO2025-VR01
Plan for individuelle deltakerdata (IPD)
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IPD-planbeskrivelse
IPD-delingstidsramme
Tilgangskriterier for IPD-deling
IPD-deling Støtteinformasjonstype
- STUDY_PROTOCOL
- SEVJE
- CSR
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