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Evaluation of the Effect of Virtual Reality on Pain in the Management of Chronic Wounds.

Not Applicable
Conditions
Chronic Wounds
Interventions
Device: virtual reality
Registration Number
NCT04411264
Lead Sponsor
Centre Hospitalier Universitaire de la Réunion
Brief Summary

Pain management is a priority axis of health insurance spending objectives and contributes to improving the quality of care.There are several types of pain: acute, chronic and induced. These are often found in the management of chronic wounds. The high prevalence of chronic wounds represents a major public health problem. Chronic wounds require long, painful and regular treatment. When dressing these wounds, pain management is essential. Indeed, it can generate healing delays. Usually, pharmacological methods are used to reduce the pain induced by care. But these methods can lead to undesirable effects. Thus, new non-pharmacological techniques are emerging.The investigators therefore wish to assess the effect of virtual reality on pain induced by care during the repair of dressings in the management of chronic wounds.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
124
Inclusion Criteria
  • Adults
  • Knowing how to read and write French
  • Able to understand the issues of the study and give consent
  • Carrier of a chronic wound (ulcers, bedsores or wounds of the diabetic foot)
  • Requiring a weekly dressing treatment in the department for at least 4 successive treatments(4 weeks)
  • With pain during pre-inclusion care at least ≥3 to the Visual Analog Scale
  • Person with cognitive and sensory capacities adapted to Virtual Reality (pre-inclusion verification on a device test of 5 to 10 minutes)
  • Person affiliated or beneficiary of a social security scheme
Exclusion Criteria
  • Carriers of a wound located on the face or end of the head and interfering with the proper use of the Virtual Reality mask
  • Visually impaired and / or hard of hearing impacting the correct use of the Virtual Reality mask (test of 5 to 10 minutes of the device during the pre-inclusion visit)
  • Patient not fluent in French.
  • Current diagnosis of epilepsy, dementia or other neurological diseases preventing the use of Virtual Reality hardware and software
  • Patients under guardianship or curators

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Virtual reality for pain managementvirtual realityprotocol associating virtual reality with the classic protocol for pain management during the treatment of chronic wound dressings
Primary Outcome Measures
NameTimeMethod
Treatment-induced pain4 weeks

(AVS) Analog Visual Scale 0 to 10 : 0 for no pain ; 10 for maximum pain imaginable

Secondary Outcome Measures
NameTimeMethod
Level of situational anxiety4 weeks

(STAI-Y-A) State-Trait Anxiety Scale - Overall score varies between 20 and 80. The higher the score, the more anxious the patient.

Duration of treatment4 weeks

time in seconds

Frequency of use of analgesic4 weeks

analgesic consumption

Time spent thinking about pain4 weeks

(AVS) Analog Visual Scale 0 to 10 : 0 for no thought of pain ; 10 for throughout the treatment

Medical Outcome Study Short Form4 weeks

(SF6) Short Form (36) Health Survey_ Quality of life questionnaire

Worse Treatment-induced pain4 weeks

Analog Visual Scale

Healing process4 weeks

measurement of the wound on photograhies by imageJ ® planimetry software

Tolerance of virtual reality4 weeks

frequency of occurrence and intensity of motion sickness events

Trial Locations

Locations (2)

Centre Hospitalier Universitaire de Limoges

🇫🇷

Limoges, France

Centre Hospitalier Universitaire de la Réunion

🇫🇷

Saint-Pierre, France

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