Interest of Virtual Reality to Reduce Patient Anxiety During the Placement of a Percutaneous Implantable Port Catheter
- Conditions
- AnxietyCIP
- Interventions
- Device: Virtual reality
- Registration Number
- NCT05527379
- Lead Sponsor
- Hospices Civils de Lyon
- Brief Summary
The Vascular Access Unit (UAV) of the Lyon Sud Hospital Center is the first unit within a French public establishment where the Regional Health Agency (ARS) has authorized that medical procedures for the installation of central venous access be performed by nurses.
The installation of CIP represents an anxiety-provoking step for the patient, because the gesture, which consists of inserting a box under the skin, connected to a catheter, placed in a deep vein, involves uncomfortable, even painful moments. In the UAV, the installation of this device is carried out in the operating room, without premedication and only under local anesthesia. Affected patients usually have a diagnosis of serious illness (oncology).
Virtual Reality (VR) simulates the physical presence of the patient in an environment artificially generated by software. Many applications have already been evaluated in different health sectors, the investigators would like to show its interest in reducing patient anxiety during CIP placement under local anesthesia, without premedication.
The medical device used is Lumeen. It is a Class I medical device software within the meaning of Regulation (EU) 2017/745, CE marked. In the context of research, the Relaxation module is used. This module is the one intended for the management of anxiety and pain induced by medical procedures in adults and children over 6 years of age. It allows to perform immersions in 360° videos in real shots or computer-generated images, accompanied by natural sounds, relaxing music and a relaxation script recorded by hypnotherapists. The duration of an immersion can be adjusted according to the needs of the medical procedure..
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 120
- Adult patient ≥18 years old
- Patient operated on an outpatient basis and available for a phone call between D+1 and D+5
- Patient operated for a 1st pose of CIP at the UAV
- Patient whose anxiety measured by ENS Anxiety is at least 4/10 at entry
- Patient having signed the Informed Consent
- Patient affiliated to a social security
- Patient not sufficiently fluent in the French language, in the judgment of the investigator, to allow him a good understanding of the implementation and the interest of the virtual reality headset material;
- Patient with motion sickness;
- Patient participating in another study who, in the judgment of the investigator, could interfere with the results of this research protocol;
- Patient deprived of liberty or placed under guardianship or curators;
- Pregnant or breastfeeding women;
- Patient with a history of epilepsy ;
- Patient with a pacemaker or pacemaker;
- Patient with psychiatric disorders of a psychotic nature in the acute phase or visual hallucinations;
- Patient under anxiolytic treatment;
- Patient presenting wounds or infections on the level of the head not allowing the installation of the virtual reality helmet.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description CIP procedure under virtual reality Virtual reality CIP procedure under virtual reality
- Primary Outcome Measures
Name Time Method Description of Patient's anxiety through his participation through study completion, an average of 5 days Evaluated by Simple Numerical Scale : Anxiety from 0 to 10
Evolution of Patient's anxiety during the procedure Day 0 Evaluated by Simple Numerical Scale : Anxiety from 0 to 10
- Secondary Outcome Measures
Name Time Method Effects of virtual reality on memorization of the gesture Day 0 (after placing the port) and through study completion between D+1 and D+5 Measured by a Likert scale (Likert scale = Very Uncomfortable- Uncomfortable- Comfortable- Very Comfortable)
Effects of virtual reality on the caregiver's perception of the ease of the gesture Day 0 (after placing the port) Measured by a Likert scale, (Likert scale = Easy-patient Immobile - appearing relaxed / Moderately Easy-Patient slightly mobile- Reactive / Difficult-Patient having difficulty in staying Still- Very reactive- Seeming tense)
Effects of virtual reality on caregiver satisfaction Day 0 (after placing the port) Measured by a Simple Numerical Scale from 0 to 10
Effects of virtual reality on Pulse Day 0 (before, during and after placing the port) The Pulse of the patient
Effects of virtual reality on the pain perceived by the patient; Day 0 (after placing the port) The patient's pain, over the entire procedure, measured by Simple Numerical Scale : Pain from 0 to 10
Effects of virtual reality on satisfaction and comfort during installation Day 0 (after placing the port) Measured by a Simple Numerical Scale from 0 to 10
Effects of virtual reality on the duration of the intervention Day 0 (after placing the port) Duration of the procedure in minutes between the patient entering and leaving the operating room
Effects of virtual reality on Blood Pressure Day 0 (before, during and after placing the port) The Blood Pressure of the patient (both systolic and diastolic)
Effects of virtual reality on the perception of time Day 0 (after placing the port) Perception of time in minutes estimated by the patient (In your opinion, how long did the gesture last? and difference with the actual duration of the gesture
Trial Locations
- Locations (1)
Unité d'Accès Vasculaire/Secteur Anesthésie Blocs - CHLS
🇫🇷Pierre Bénite, France