A comparative study assessing the impact of virtual reality based pre education on pre operative anxiety in patients scheduled for open heart surgery : A prospective interventional investigation
试验速览
- 阶段
- 1/2 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 80
- 试验地点
- 1
- 主要终点
- To compare the effect of VR-based preoperative education in lowering pre-operative anxiety, as measured by the Amsterdam Preoperative Anxiety and Information scale ( APAIS score )
研究概览
简要总结
Preoperative anxiety is common among patients undergoing open heart surgery and is associated with adverse psychological and physiological outcomes, including increased perioperative stress, analgesic requirements, and delayed recovery. Patients who suffer from moderate to severe anxiety prior to cardiac surgery experience more pain during post op as compared to patients experiencing mild anxiety.Conventional preoperative education methods may be insufficient in addressing patient fears and improving understanding of the surgical process. VR based distraction videos have been used earlier to decrease preoperative anxiety. Innovation in this study is that we are using virtual reality (VR)–based pre-education to offer an immersive and interactive approach that may enhance patient engagement and reduce anxiety by familiarizing patients with the perioperative environment. This study evaluates the effectiveness of VR-based preoperative education in reducing preoperative anxiety among patients scheduled for open heart surgery. Patients were divided into a control group receiving standard preoperative counseling and an experimental group receiving additional VR-based education. Anxiety levels were assessed using validated anxiety measurement scales before surgery. The outcomes of both groups were compared to determine the impact of VR intervention.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Participant, Investigator and Outcome Assessor Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 80.00 Year(s)（—）
- 性别
- All
入选标准
- •Age more than or equal to 18 yrs
- •Patients undergoing elective cardiac surgery through midline sternotomy
- •Patients who can give informed consent.
排除标准
- •Patients who are taking other treatment for anxiety, VR inappropriate ( Epilepsy, cognitive impairments, Visual or hearing impairments, Vestibular Disorders)
- •Patients undergoing emergency surgery or with unstable hemodynamics
- •Patients who have undergone prior surgery involving general or spinal anaesthesia 4.
结局指标
主要结局
To compare the effect of VR-based preoperative education in lowering pre-operative anxiety, as measured by the Amsterdam Preoperative Anxiety and Information scale ( APAIS score )
时间窗: Pre intervention | Immediately after intervention | 24 hrs post intervention
次要结局
- To compare the serum cortisol levels in patients receiving VR-based pre-education to those receiving standard pre-op education 24 hrs after intervention.(24 hrs after intervention)
- To compare the effectiveness of VR-based pre-education in alleviating stress as measured by the Visual Analog Scale (VAS) 24 hrs after intervention.(24 hrs after intervention)
- To compare the differences in postoperative pain perception among patients who received VR-based pre-educational interventions as compared to those receiving standard pre-op education using the Visual Analog Scale 48 hrs post extubation.(48 hrs post extubation)
研究者
Dr Jyoti Thakur
AIIMS Rishikesh