Effect of Virtual Reality on Patient Outcomes and Satisfaction in Total Knee Replacement

Aykut Turgut

Status: Not yet enrolling

Conditions: Postoperative Pain, Acute; Anxiety, Preoperative; Pain Management; Knee Replacement; Knee Replacement Surgery; Virtual Reality

Treatments: Device: Virtual Reality Intervention for Preoperative Anxiety and Postoperative Pain Management (2 hours); Device: Virtual Reality Intervention for Preoperative Anxiety and Postoperative Pain Management (6 hours); Device: Device: Virtual Reality Intervention for Preoperative Anxiety and Postoperative Pain Management (4 hours)

Study type: Interventional

Funder types: Other

Identifiers

NCT06933732

AIBU-SBF-AT-02

Details and patient eligibility

About

This study aims to evaluate the effectiveness of virtual reality (VR) in managing preoperative anxiety and postoperative pain in patients undergoing total knee replacement. Investigators will assess the impact of preoperative VR training on anxiety levels, explore the effectiveness of relaxing and distracting VR videos for pain management after surgery, and determine the optimal timing for VR application by comparing different VR intervention times. Our goal is to identify how VR can improve both the emotional and physical recovery process for patients undergoing knee replacement surgery.

Enrollment: 64 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients with an ASA score of 1, 2, or 3
• Elective unilateral total knee replacement surgery was planned,
• Patients who are able to read and write in Turkish

Exclusion criteria

• Using >30 mg of oral oxycodone or equivalent daily
• Long-term opioid use (>12 weeks)
• Substance use disorder
• Scheduled for emergency surgery
• Scheduled for revision surgery
• Requiring postoperative intensive care
• Patients with visual or hearing impairments
• Individuals experiencing motion-related nausea or dizziness
• History of stroke or dementia
• Pregnant or breastfeeding women
• Patients with a history of epilepsy or seizures

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

---

64 participants in 4 patient groups

Control Group

No Intervention group

Description:

Participants in this group will receive standard care, which includes preoperative education about the surgical process via an educational video and the completion of informed consent. No virtual reality intervention will be provided during their recovery.

2-Hour Postoperative VR Intervention

Experimental group

Description:

Participants in this group will first watch an educational VR video about the surgery before the procedure. Two hours post-surgery, they will be exposed to a VR intervention featuring calming nature videos.

Treatment:

Device: Virtual Reality Intervention for Preoperative Anxiety and Postoperative Pain Management (2 hours)

4-Hour Postoperative VR Intervention

Experimental group

Description:

Participants in this group will first watch an educational VR video about the surgery before the procedure. Four hours post-surgery, they will be exposed to a VR intervention featuring calming nature videos.

Treatment:

Device: Device: Virtual Reality Intervention for Preoperative Anxiety and Postoperative Pain Management (4 hours)

6-Hour Postoperative VR Intervention

Experimental group

Description:

Participants in this group will first watch an educational VR video about the surgery before the procedure. Six hours post-surgery, they will be exposed to a VR intervention featuring calming nature videos.

Treatment:

Device: Virtual Reality Intervention for Preoperative Anxiety and Postoperative Pain Management (6 hours)