Burn Patient Care, Virtual Reality, Music, Pain, Anxiety and Pain Anxiety

Karabuk University

Status: Completed

Conditions: PAIN; ANXIETY; PAIN ANXIETY

Treatments: Other: Virtual reality; Other: Music

Study type: Interventional

Funder types: Other

Identifiers

NCT05688891

2022/514/221/7

Details and patient eligibility

About

Different non-pharmacological methods such as virtual reality glasses and music can be applied by nurses within the scope of care interventions for the management of pain and anxiety in burn patients during dressing changes and debridement.

In this study, it was aimed to determine the effect of virtual reality and music on pain, anxiety and pain anxiety in burn patient care.

Full description

Wound debridement, wound care, surgical interventions and other invasive procedures applied during burn treatment cause the patient to feel pain, and the repeated pain process creates anxiety in the patient.

In the studies in the literature, it is stated that anxiety and pain are closely related, pain affects the level of anxiety and anxiety affects the severity of pain.

The role of nurses in the burn team is very important in the management of pain and anxiety in the treatment of burns, which have both physiological and psychological effects.

The most important responsibility of the nurse in burn patient care is continuous and individualized pain diagnosis and management.

Different non-pharmacological methods such as virtual reality glasses and music can be applied by nurses within the scope of care interventions for the management of pain and anxiety.

Music is widely used to reduce pain and anxiety in burn patients during dressing changes and debridement.

Virtual reality (VR) glasses, which facilitate daydreaming and daydreaming, are another method used to reduce pain and anxiety. With the development of technology, the use of virtual reality glasses by nurses as a method of distraction, especially in burn patients, is increasing.

In this study, it was aimed to determine the effect of virtual reality and music on pain, anxiety and pain anxiety in burn patient care.

The sample group was selected in accordance with the research criteria from the individuals in the population who were given permission to participate in the research after the purpose of the research was explained.

Within the scope of the planned study, the sample size to be used in determining the effect of virtual reality and music on pain, anxiety and pain anxiety in burn patient care, effect size d= 0.485 (effect size), α=0.05 ( margin of error), 1-β With the help of the G-power (version 3.1) package program, a total of 120 people (at least 40 people in each group) were calculated, as =0.80 (power).

A list was created for 120 patients who met the inclusion criteria in the study and distributed to the experimental and control groups using a computerized randomization program.

Enrollment: 120 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• be between the ages of 18-65,
• Ability to read, write and speak Turkish,
• Not participating in another clinical trial at the same time,
• Not having any problems that prevent cognitive, affective and verbal communication,
• Having a patient group with a burnt total body area (TBSA) of less than 15%,
• 2nd degree and 3rd degree patient group in the granulation stage,
• No burns on the head, ears and face,
• Being a patient group with daily dressing changes and dressing frequency of 1-15,
• Absence of complaints such as respiratory problems that would prevent him from participating in the study,
• Absence of vision and hearing problems.

Exclusion criteria

• Pain intensity is between 8-10 points,
• Being under the influence of pharmacological or non-pharmacological intervention that will affect the pain,
• Being a first degree patient group,
• Having neurological, psychological and psychiatric diseases,
• Burns on the head, ears and face,
• Having vision and hearing problems,
• Applying sedation to the patient during the dressing,
• Stop watching VR glasses during dressing,
• Stop listening to music during dressing.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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120 participants in 3 patient groups

Virtual reality

Experimental group

Description:

Before the procedure, "Visual Analogue Scale-VAS", "Spielberger State and Trait Anxiety Inventory", "Burn-Specific Pain Anxiety Scale" were filled in.5 minutes before the burn dressing procedure, virtual reality glasses were put on the patient's head by the researcher and a 360° VR video with submarine and nature content pre-loaded on the glasses was opened. Video monitoring with Virtual Reality continued throughout the entire dressing.This procedure was performed during 2 consecutive dressing changes. A 1-week period was given between 2 dressings.After the procedure, the scales were filled again.

Treatment:

Other: Virtual reality

Music

Experimental group

Description:

5 minutes before the burn dressing procedure, the patient was asked about the type of music he preferred in the introductory patient information form. Then, the patient was started to listen after putting on headphones and adjusting the volume. The patient was asked to keep his eyes closed while listening to music. Music listening was continued throughout the entire dressing.This procedure was performed during 2 dressing changes in accordance with clinical treatment and protocols. A 1-week period was given between 2 dressings.After the procedure, the scales were filled again.

Treatment:

Other: Music

Control

No Intervention group

Description:

During the burn dressing procedure, no intervention method was used, and routine treatment and care interventions were continued.This procedure was performed during 2 dressing changes in accordance with clinical treatment and protocols. A 1-week period was given between 2 dressings.