Effect of Virtual Reality on Perioperative Anxiety, Stress and Pain in Total Hip Arthroplasty: a Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Virtual Reality
- Sponsor
- Tanta University
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- Anxiety
- Status
- Recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
The aim of this study is to evaluate Virtual reality (VR) on perioperative anxiety, pain, hemodynamics, and stress hormones in patients undergoing Total hip arthroplasty (THA).
Detailed Description
VR is a computer technology that provides the feeling of being immersed in a simulated three-dimensional (3D) world where the user may interact with the virtual environment. Clinical studies have shown that VR technology is effective in reducing pain perception and anxiety. It has also been proposed as an effective non-pharmacological alternative for reducing acute procedural pain and providing anxiety relief.
Investigators
Mohammed Said ElSharkawy
Lecturer of Anesthesiology, Surgical Intensive Care and Pain Medicine
Tanta University
Eligibility Criteria
Inclusion Criteria
- •Age 21 years or above.
- •Both sexes.
- •The American Society of Anesthesiologists (ASA) physical status I-III.
- •Scheduled for elective THA under spinal anesthesia.
Exclusion Criteria
- •Cerebrovascular disease.
- •Psychiatric-cognitive dysfunction.
- •Claustrophobia.
- •Deaf and blind patients.
- •Uncooperative.
- •Adrenal insufficiency.
- •Chronic alcohol and substance addiction.
- •Chronic sedative and narcotic use.
Outcomes
Primary Outcomes
Anxiety
Time Frame: 15 min before operation till immediately postoperative.
Each patient will be instructed about the scores; State Anxiety Inventory (STAI-S). The Arabic validated version of STAI-S test will be provided to the patients to determine the anxiety levels. Scores vary between and 20-80 with high scores associated with higher anxiety levels. Patients will be asked to read each statement and then indicate how they were feeling at that moment by marking the appropriate parentheses on the right side of each statement. Anxiety will be measured at baseline (15 min before operation), before spinal anesthesia and immediately postoperative.
Secondary Outcomes
- Stress measured by blood serum level of cortisol(6 hours postoperative.)
- Patient satisfaction(24 hours after surgery.)
- Total intraoperative haloperidol consumption(Intraoperatively.)
- The degree of postoperative pain(24 hours postoperatively.)
- Heart rate changes(Till the end of surgery.)
- Mean arterial blood pressure changes(Till the end of surgery.)
- Stress measured by Cohen Perceived Stress Scale(15 min before operation till immediately postoperative.)
- Amount of opioid consumption(24 hours after surgery.)