The Effect of Virtual Reality Application Used During Endoscopy on Pain, Anxiety and Vital Signs: A Mixed Methods Study

İBRAHİM NAS

Status: Invitation-only

Conditions: Supportive Care; Patient Relations, Nurse; Nurse's Role

Treatments: Other: Experimental group

Study type: Interventional

Funder types: Other

Identifiers

NCT05587946

D. Tez

Details and patient eligibility

About

In this study, the effect of virtual reality application used during upper gastrointestinal endoscopy on pain, anxiety and vital signs will be investigated. The research will be conducted as a mixed methods research including quantitative and qualitative methods. The exploratory sequence mixed design model, one of the mixed method designs, will be used in the research.

Full description

Objective: In this study, the effect of virtual reality application used during upper gastrointestinal endoscopy on pain, anxiety and vital signs will be investigated. The research will be conducted as a mixed methods research including quantitative and qualitative methods. The exploratory sequence mixed design model, one of the mixed method designs, will be used in the research.

The research was carried out in the endoscopy unit of a university hospital in Van between November 2022 and March 2023. This research, in which an exploratory sequential mixed design was used, consists of two stages. In the research, the quantitative phase, in which a pretest-posttest design, randomized controlled, experimental method was used, was completed with 75 patients, and the qualitative phase, in which the phenomenological/phenomenological design was used, was completed with 19 patients. Patient introduction form, state anxiety scale, pain visual comparison scale, patient follow-up form and semi-structured interview form were used to collect data. IBM SPSS V23 program (quantitative) and inductive qualitative content analysis (qualitative) were used to analyze the data.

Enrollment: 80 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Criteria:

Inclusion criteria:

Inclusion criteria for the quantitative study;

• 18 years and older,
• who can read and write Turkish,
• without mental problems,
• Having no vision, hearing or perception problems,
• Diagnostic endoscopy was performed,
• No sedation before and during the procedure
• who volunteered to participate in the study,
• Those who have not taken analgesics in the last 8 hours

Qualitative research inclusion criteria;

• in the experimental group,
• who volunteered to participate in the research

Exclusion Criteria:

Exclusion criteria from quantitative section research;

• sedation applied,
• who want to withdraw from the study,
• Patients using analgesics or anti-anxiety medications before and during the procedure

Exclusion criteria from qualitative departmental research;

• Those in the control group

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

80 participants in 2 patient groups

Intervention/treatment

Experimental group

Description:

1. Implementation steps 1-4 of the Control Group will be done. 2. The patient will be informed about the virtual reality application. 3. The patient will be told that they can remove their glasses at any time and stop participating in the study. 4. 2 minutes before the endoscopy process starts, the previously determined video will be started by putting on the Virtual Reality Glasses. 5. Glasses will be worn from the beginning to the end of the procedure. 6. The patient will be observed during the procedure. The data obtained during the observation will be noted. 7. After the endoscopy procedure; "State Anxiety Scale", "Visual Comparison Scale" will be re-applied and vital signs will be measured and recorded in the Patient Follow-up Form. 8. After the endoscopy procedure, patients will be given an interview appointment on the same day to collect the data of the qualitative part of the study. 9. "Semi-Structured Interview Form" will be applied in the interview.

Treatment:

Other: Experimental group

Control group

No Intervention group

Description:

1. Hands will be washed. 2. The right patient will be determined, the procedure will be explained to the patient and permission will be obtained. 3. A "Patient Identification Form" will be applied to the individual before the endoscopy procedure. 4. Before the endoscopy procedure; "State Anxiety Scale" will be applied in the first 10 minutes, and "Visual Comparison Scale" will be applied in the first 5 minutes. Vital signs will be measured within the first 5 minutes and recorded on the Patient Follow-up Form. Then the individual will be taken to the endoscopy procedure. 5. The patient will be observed during the procedure. The data obtained during the observation will be noted. 6. After the endoscopy procedure; "State Anxiety Scale", "Visual Comparison Scale" will be applied again and vital signs will be measured and recorded in the Patient Follow-up Form.