The Effect of Virtual Reality Distraction on Pain and Anxiety During Arteriovenous Fistula Puncture Among Hemodialysis Patients: Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 93
- 试验地点
- 1
- 主要终点
- change in patients pain scores
研究概览
简要总结
The cannulation of arteriovenous fistula is a painful procedure in hemodialysis patients. Previous studies have shown the effectiveness of virtual reality in reducing pain during needle-related procedures
详细描述
Patients undergoing hemodialysis experience anxiety and pain related to the insertion of hemodialysis needles, estimated 320 times in total per year. The pain experienced is mostly caused by needle insertion into a fistula. Pain control is one of the main nursing tasks. Pain relief leads to the acceptance of the procedure and ultimately enhances the patients' quality of life. The use of virtual reality to reduce pain and anxiety during the arteriovenous fistula cannulation procedure is based on the concept that the perception of pain can be controlled because an individual is able to process only a limited amount of information at once. As such, the use of virtual reality during painful procedures may serve as a distraction.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •patients who are under- going conventional hemodialysis three times a week
- •hemodialysis period of one month or more
- •having a healthy AVF access with good function
- •welling to participate in study
排除标准
- •patients who have psychiatric diseases
- •panic disorder, anxiety disorder
- •dysfunctional fistula
- •vertigo, issues with sight, hearing, or perception
- •or use painkillers within three hours before hemodialysis
研究组 & 干预措施
study group
干预措施: virtual reality distraction (Procedure)
control group
结局指标
主要结局
change in patients pain scores
时间窗: will be measured at baseline and immediately after intervention (after 6 minutes of VR distraction)
visual analogue scale which consists of a vertical line 100 mm long, one end of the line reads "No pain" and at the other is "Unbearable pain
change in patients anxiety scores
时间窗: will be measured at baseline and immediately after intervention (after 6 minutes of VR distraction)
STAI includes two subscales with 20 items each that assess state and trait anxiety .The State Anxiety Scale requires individuals to describe their feelings at a specific moment under specific circumstances, while the Trait Anxiety Scale requires them to describe the way they feel in general.
次要结局
- change in patients satisfaction score(will be measured at baseline and immediately after intervention (after 6 minutes of VR distraction))
- change in patients heart rate(will be measured at baseline and immediately after intervention (after 6 minutes of VR distraction))
- change in patients respiratory rate(will be measured at baseline and immediately after intervention (after 6 minutes of VR distraction))
- change in patients systolic blood pressure(will be measured at baseline and immediately after intervention (after 6 minutes of VR distraction))
- change in patients diastolic blood pressure(will be measured at baseline and immediately after intervention (after 6 minutes of VR distraction))
- change in patients Oxygen saturation (SpO2)(will be measured at baseline and immediately after intervention (after 6 minutes of VR distraction))
研究者
mohamed elsayed hamed elzeky
lecturer, medical surgical nursing department, faculty of nursing, Mansoura university
Mansoura University