The Effect of Different Images Watched With Virtual Reality During Phlebotomy

Zonguldak Bulent Ecevit University

Status: Completed

Conditions: Blood Donation; Anxiety Management; Pain Management; Virtual Reality

Treatments: Other: group watching cold environment image; Other: group watching hot environment image

Study type: Interventional

Funder types: Other

Identifiers

NCT06487520

2019/04-18

Details and patient eligibility

About

Aim: The purpose of this study was to investigate the effect of watching a cold environment image via virtual reality on pain and anxiety related to phlebotomy procedure in volunteer blood donors.

Methods: The study was conducted between June 2019 and December 2019 with 120 healthy individuals who applied for blood donation for the first time in Northern Turkey. Individuals included in the study were assigned to intervention, placebo and control groups with 40 people in each group by block randomization method. During the phlebotomy procedure, the intervention group watched a cold environment image via virtual reality, the placebo group watched a hot environment image, and the control group received standard application. "Descriptive Characteristics Form", "Visual Comparison Scale", "State and Trait Anxiety Inventory" and The CONSORT checklist were used to collect data.

Enrollment: 120 patients

Sex: All

Ages: 18 to 35 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Being in accordance with time and place
• Being aged between 18 and 35 years
• Being able to evaluate the visual analog scale correctly
• Participating voluntarily in the research.
• Being willing to donate blood
• Donating blood for the first time
• Have a body mass index within normal limits (18.5-24.9 kg/m2)
• Have no vision or hearing problems
• Have no disease that may affect pain perception
• Have no vertigo, heart or lung disease
• Have no signs of infection, dermatitis, phlebitis, scar tissue or incision in the area where invasive intervention will be performed
• Have no psychiatric disease
• Being able to accurately assess the state and trait anxiety inventory with the VAS
• Have an average pressure pain threshold value of 8-16 Lb obtained from three measurements taken at 5-second intervals from the elbow region of the left upper extremity where no intervention was performed
• Have no vertigo, heart or lung disease
• Have no signs of infection, dermatitis, phlebitis, scar tissue or incision in the area where invasive intervention will be performed
• Have no psychiatric disease
• Being able to accurately assess the state and trait anxiety inventory with the VAS
• Have an average pressure pain threshold value of 8-16 pounds (Lb) obtained from three measurements taken at 5-second intervals from the elbow region of the left upper extremity where no intervention was performed

Exclusion criteria

• Not participating voluntarily in the research
• Not fitting the inclusion criteria of the research
• Having a vision or hearing problem
• Failure of phlebotomy at the first attempt
• Development of syncope after phlebotomy

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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120 participants in 3 patient groups, including a placebo group

group watching hot environment image

Experimental group

Description:

A virtual reality headset was placed on the heads of the individuals included in the intervention group one minute before the procedure and a cold environment image called "Peaceful mountain snow" was shown. By starting the image before the procedure, the individual was prevented from seeing the needle and blood. At the end of the procedure, the tourniquet and needle were removed and the virtual reality headset was removed from the individual's head and the displayed image was terminated.

Treatment:

Other: group watching hot environment image

group watching cold environment image

Placebo Comparator group

Description:

A virtual reality headset was placed on the heads of the individuals in the placebo group one minute before the procedure and a warm environment image called "Deep space relaxation" was shown. By starting the image before the procedure, the individual was prevented from seeing the needle and blood. At the end of the procedure, the tourniquet and needle were removed and the virtual reality headset was removed from the individual's head and the image shown was terminated

Treatment:

Other: group watching cold environment image

The control group

No Intervention group

Description:

No intervention was performed on the control group before the peripheral intravenous catheterization procedure, and the standard peripheral intravenous catheterization procedure was performed.