The Effect of Virtual Reality Application Used During Endoscopy on Pain, Anxiety and Vital Signs: A Mixed Methods Study
- Conditions
- Patient Relations, NurseSupportive CareNurse's Role
- Interventions
- Other: Experimental group
- Registration Number
- NCT05587946
- Lead Sponsor
- İBRAHİM NAS
- Brief Summary
In this study, the effect of virtual reality application used during upper gastrointestinal endoscopy on pain, anxiety and vital signs will be investigated. The research will be conducted as a mixed methods research including quantitative and qualitative methods. The exploratory sequence mixed design model, one of the mixed method designs, will be used in the research.
- Detailed Description
Objective: In this study, the effect of virtual reality application used during upper gastrointestinal endoscopy on pain, anxiety and vital signs will be investigated. The research will be conducted as a mixed methods research including quantitative and qualitative methods. The exploratory sequence mixed design model, one of the mixed method designs, will be used in the research.
The research was carried out in the endoscopy unit of a university hospital in Van between November 2022 and March 2023. This research, in which an exploratory sequential mixed design was used, consists of two stages. In the research, the quantitative phase, in which a pretest-posttest design, randomized controlled, experimental method was used, was completed with 75 patients, and the qualitative phase, in which the phenomenological/phenomenological design was used, was completed with 19 patients. Patient introduction form, state anxiety scale, pain visual comparison scale, patient follow-up form and semi-structured interview form were used to collect data. IBM SPSS V23 program (quantitative) and inductive qualitative content analysis (qualitative) were used to analyze the data.
Recruitment & Eligibility
- Status
- ENROLLING_BY_INVITATION
- Sex
- All
- Target Recruitment
- 80
Not provided
Exclusion criteria from quantitative section research;
- sedation applied,
- who want to withdraw from the study,
- Patients using analgesics or anti-anxiety medications before and during the procedure
Exclusion criteria from qualitative departmental research;
• Those in the control group
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Intervention/treatment Experimental group 1. Implementation steps 1-4 of the Control Group will be done. 2. The patient will be informed about the virtual reality application. 3. The patient will be told that they can remove their glasses at any time and stop participating in the study. 4. 2 minutes before the endoscopy process starts, the previously determined video will be started by putting on the Virtual Reality Glasses. 5. Glasses will be worn from the beginning to the end of the procedure. 6. The patient will be observed during the procedure. The data obtained during the observation will be noted. 7. After the endoscopy procedure; "State Anxiety Scale", "Visual Comparison Scale" will be re-applied and vital signs will be measured and recorded in the Patient Follow-up Form. 8. After the endoscopy procedure, patients will be given an interview appointment on the same day to collect the data of the qualitative part of the study. 9. "Semi-Structured Interview Form" will be applied in the interview.
- Primary Outcome Measures
Name Time Method Body temperature before the endoscopy procedure Just before the endoscopy procedure Normal Body temperature; 36 to 37-5 degrees is normal.
Respiration rate after endoscopy procedure Respiratory rate/minute reported in the first 5 minutes after the endoscopy procedure 12 to 20 breaths per minute is normal.
Oxygen saturation (SpO2) before the endoscopy procedure Just before the endoscopy procedure Normal oxygen saturation usually ranges from 95% to 100%.
Oxygen saturation (SpO2) after endoscopy procedure within first 5 minutes after endoscopy procedure Normal oxygen saturation usually ranges from 95% to 100%.
Blood pressure before the endoscopy procedure Just before the endoscopy procedure 90/60 mm Hg to 120/80 mm/Hg is normal.
Blood pressure after the endoscopy procedure within first 5 minutes after the endoscopy procedure 90/60 mm Hg to 120/80 mm/Hg is normal.
Post-endoscopy pain Pain severity reported in the first 5 minutes after the endoscopy procedure Pain severity assessment with Visual Assessment Scale (VAS) Score: 0-10; 0- No Pain, 10- Worst Pain
Heart rate before the endoscopy procedure Just before the endoscopy procedure 60 to 100 beats per minute is normal.
Heart rate after the endoscopy procedure Heart rate per minute reported in the first 5 minutes after the endoscopy procedure 60 to 100 beats per minute is normal.
Pain intensity before endoscopy Pain intensity reported within the first 5 minutes prior to the endoscopy procedure Pain severity assessment with Visual Assessment Scale (VAS) Score: 0-10; 0- No Pain, 10- Worst Pain
Respiration rate before the endoscopy procedure Just before the endoscopy procedure 12 to 20 breaths per minute is normal.
Body temperature after endoscopy procedure within first 5 minutes after endoscopy procedure Normal Body temperature; 36 to 37-5 degrees is normal.
Post-endoscopy anxiety state Anxiety state reported within the first 10 minutes after the endoscopy procedure The statements in the state anxiety scale were answered as "not at all", "a little", "a lot" and "totally" according to the feelings of the person. A total score of 20-80 is obtained from the scale. A low score indicates a low level of anxiety, and a high one indicates a high level of anxiety. The score obtained from the scale, on the other hand, indicates mild anxiety between 20-39, moderate anxiety between 40-59 and severe anxiety between 60-80.
Anxiety state before endoscopy Anxiety state reported within the first 10 minutes before the endoscopy procedure The statements in the state anxiety scale were answered as "not at all", "a little", "a lot" and "totally" according to the feelings of the person. A total score of 20-80 is obtained from the scale. A low score indicates a low level of anxiety, and a high one indicates a high level of anxiety. The score obtained from the scale, on the other hand, indicates mild anxiety between 20-39, moderate anxiety between 40-59 and severe anxiety between 60-80.
- Secondary Outcome Measures
Name Time Method Patient opinions on endoscopy Two hours after endoscopy General thoughts of the patient about endoscopy
Patient opinions on virtual reality glasses and its application Two hours after endoscopy General thoughts of the patient about the use of virtual reality glasses during endoscopy
Patient opinions on the effect of virtual reality application on pain Two hours after endoscopy Patient opinions on the effect of virtual reality application on pain
Patient opinions on the effect of virtual reality application on anxiety Two hours after endoscopy Patient opinions on the effect of virtual reality application on anxiety
Trial Locations
- Locations (1)
Van Yüzüncü Yıl University, Faculty of Health Sciences, Department of Nursing, Van, Turkey
🇹🇷Van, Turkey