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- Title
The Effect of Virtual Reality Application on Pain and Anxiety During Chest Tube Removal Following Open Heart Surgery: Randomized Controlled Study.
- Authors
ÖZBAŞ, Nilgün; ÇAKMAK, Yasin; ALAGHA, Sameh
- Abstract
Objective: Chest tube removal is a painful medical procedure following cardiac surgery. This study aimed to examine the effect of virtual reality (VR) application on pain and anxiety during chest tube removal in patients undergoing open-heart surgery. Material and Methods: In this parallel-group, randomized controlled study, a total of 40 participants were randomly assigned to intervention (n=20) and control (n=20) groups. 360-degree VR videos with nature and landscape scenes and relaxing background music were shown to the intervention group using VR glasses. Data were collected using a Patient Information Form, visual analog scale (VAS), Trait Anxiety Inventory, and Profile of Mood States Tension-Anxiety Subscale (POMS-TA). Descriptive statistics, independent samples t-test, chi-square tests, mixed design analysis of variance, and Bonferroni correction were used for data analysis. Results: VAS, POMS-TA Subscale, systolic and diastolic blood pressure, pulse, and respiratory scores measured immediately after chest tube removal (T1), 10 minutes later (T2), and one hour later (T3) were found to be lower in the intervention group compared to the control group (p<0.05). The number of patients using analgesics during and after chest tube removal was lower in the intervention group (p<0.05). Conclusion: VR application reduced pain and anxiety levels during chest tube removal and improved vital signs. Additionally, VR reduced the use of analgesics during and after the procedure. In this context, VR applications can be recommended as an effective attention diversion method during chest tube removal.
- Subjects
TURKEY; ANXIETY prevention; SCALE analysis (Psychology); PEARSON correlation (Statistics); CRONBACH'S alpha; T-test (Statistics); DATA analysis; RESEARCH funding; VISUAL analog scale; FISHER exact test; MEDICAL device removal; TREATMENT effectiveness; RANDOMIZED controlled trials; DESCRIPTIVE statistics; CHI-squared test; INTUBATION; VIRTUAL reality; STATE-Trait Anxiety Inventory; CONTROL groups; PRE-tests &; post-tests; PAIN; INTENSIVE care units; ANALYSIS of variance; RESEARCH methodology; STATISTICS; CHEST tubes; DATA analysis software; PSYCHOLOGICAL tests; COMPARATIVE studies; CARDIAC surgery
- Publication
Turkiye Klinikleri Journal of Nursing Sciences, 2024, Vol 16, Issue 3, p640
- ISSN
1308-092X
- Publication type
Article
- DOI
10.5336/nurses.2023-101151