Using the Immersive Virtual Reality for the Management of Anxiety and Pain in Orthopedic Surgery
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Enrollment
- 80
- Locations
- 1
- Primary Endpoint
- Measurement of general anxiety Spielberger
Study Overview
Brief Summary
Interventions may be a particular source of anxiety for some patients, and the management of surgical pain is still a real challenge. In order to avoid the side effects of medications, a lot of caregivers are turning to complementary medicines.
The prosthetic knee surgeries are painful and anxiety-provoking acts. At the hospital of Montauban, to relieve patients' pain, we offer them a therapeutic regimen with regional anesthesia (spinal anesthesia). We also use accompaniment hypnotic virtual reality to the management of anxiety and pain patients.
Detailed Description
Interventions may be a particular source of anxiety for some patients, and the management of surgical pain is still a real challenge. In order to avoid the side effects of medications, a lot of caregivers are turning to complementary medicines.
The prosthetic knee surgeries are painful and anxiety-provoking acts. At the hospital of Montauban, to relieve patients' pain, we offer them a therapeutic regimen with regional anesthesia (spinal anesthesia). We also use accompaniment hypnotic virtual reality to the management of anxiety and pain patients.
Despite a high level of approval of patients (according our satisfaction surveys) concerning hypnotic virtual reality, we want to evaluate our practice. Thus, in the future, we can invest in this type of material and make it available to a larger number of patients, but only if complementary care proves its effectiveness.
The purpose of this study is to evaluate the effectiveness of hypnotic virtual reality support on the patient's state of anxiety before and after prosthetic knee surgeries under spinal anesthesia.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Crossover
- Primary Purpose
- Supportive Care
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 90 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Eligible patients for prosthetic knee surgery under spinal anesthesia
- •Patient who has received appropriate information and has provided informed consent
- •Patient with French social security system
Exclusion Criteria
- •Patient under general anaesthesia
- •Patients treated in conventional inpatient care or in the traditional ambulatory circuit
- •Patient under guardianship or trusteeship
- •Minor patient < 18 years of age
- •Patient who has not provided informed consent or who cannot submit to the study protocol
- •Patient suffering from cognitive disorders (ex: Alzheimer's disease)
- •Patients who are deaf or hearing-impaired or epilepsy
- •Infected patient or identified as carrier of an infectious agent
Arms & Interventions
Hypnotic virtual reality support
Hypnotic virtual reality support using hypnosis software Hypno-VR® (Strasbourg, France) paired with VR headsets Oculus VR® (Menlo Park, CA, USA)
Intervention: Hypnotic virtual reality support using hypnosis software Hypno-VR® (Device)
Without hypnotic virtual reality support
Intervention: No Hypnotic virtual reality (Device)
Outcomes
Primary Outcomes
Measurement of general anxiety Spielberger
Time Frame: 60 minutes
Questionnaire general anxiety Spielberger: This questionnaire assesses your anxiety in life in general, and refers to trait anxiety. It is a stable disposition of personality. The total score ranges from 20 - 80. The following guidelines are recommended for the interpretation of scores: Minus than 35 normal or no anxiety; 36 to 45, mild anxiety; 46 to 55, moderate anxiety; 56 to 65 severe anxiety; more than 65 severe anxiety.
Measurement of state of anxiety Spielberger
Time Frame: 60 minutes
Questionnaire state of anxiety Spielberger: The Anxiety-State Scale assesses the feelings of apprehension, tension, nervousness and anxiety that the subject feels anxiety when the situation. The total score ranges from 20 - 80. The following guidelines are recommended for the interpretation of scores: Minus than 35 normal or no anxiety; 36 to 45, mild anxiety; 46 to 55, moderate anxiety; 56 to 65 severe anxiety; more than 65 severe anxiety.
Secondary Outcomes
- Effectiveness of hypnotic virtual reality:(48 hours)
Investigators
Edmundo PEREIRA DE SOUZA NETO
Principal Investigator
Centre Hospitalier de Montauban