Virtual Reality Glasses and Stress Ball Applications in Dressing Change

Suleyman Demirel University

Status: Not yet enrolling

Conditions: Surgical Wound; Abdominal Surgery

Treatments: Device: Stress Ball Group; Device: Virtual Reality Glasses Group

Study type: Interventional

Funder types: Other

Identifiers

NCT06476314

22/326

Details and patient eligibility

About

According to the statistical data of the Ministry of Health for the year 2021 in Türkiye, approximately 4.7 million surgical interventions are performed annually. According to the 2017 data from the National Health Service-Associated Infections Surveillance Network, the Surgical Site Infection (SSI) rate in our country is 0.72%, and it is stated that it can be prevented by approximately 60%. Dressing application holds an important place in surgical wound management, wound healing, and preventing complications. Patients may experience pain, anxiety, and fear due to unknown factors and previous experiences during the dressing change which holds an important place in wound care management. The aim is to minimize patients' negative emotions/situations during dressing changes by diverting their attention elsewhere using virtual reality (VR) glasses and stress balls. Upon reviewing the literature, no study was found that examines the effect of applying VR glasses and stress balls during abdominal surgery dressing changes on pain, vital signs, anxiety, fear, comfort, and satisfaction levels in adults. In this regard, the aim of the research is; to examine the effects of VR glasses and stress ball application on pain, vital signs, anxiety, fear, comfort, and satisfaction levels during dressing changes in patients undergoing abdominal surgery. The study was designed as a pre-test post-test control group randomized experimental model. The sample of the study consists of adult patients who underwent abdominal surgery in Isparta City Hospital General Surgery Service-1. In the study sample, 120 individuals were included in total 40 with VR glasses, 40 individuals using stress balls, and 40 in the control group. Patient Information Form, Visual Analog Scale, and State-Trait Anxiety Scale will be used in data collection. Data from the study will be analyzed with number, percent, average, x-square, variance, and t-test in a computer environment. In consideration of the data, it is believed that important findings will be obtained in increasing satisfaction and comfort by eliminating pain, anxiety, and fear during dressing changes in patients.

Enrollment: 120 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Acceptance to participate in the study both in writing and verbally.
• Being over 18,
• Having undergone abdominal surgery,
• Being on the 1st day after surgery,
• Being subjected to first dressing after surgery,
• Staying in the one-person room or being the only patient in the room,
• Being conscious (person, place and time orientation),
• Patients who have no vision, hearing or communication problems will be included in the study.

Exclusion criteria

• Patients using analgesic, anxiolytic, and sedative medications before, during, and immediately after dressing changes.
• Having chronic pain disorder
• Having a disease that may affect primarily vital signs (such as Hypertension, COPD),
• Not having any psychiatric and cognitive/mental disease (dementia, etc.),
• Having chronic diseases like epilepsy, vertigo,
• Being diagnosed with vision, hearing(auditory) and/or balance disorder
• Having an addiction or abusing alcohol or drugs.

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 Glasses Group

Experimental group

Description:

Apart from the routine clinic procedure, VR video scenes (contain nature views) will be watched for 5-10 minutes during the procedure.

Treatment:

Device: Virtual Reality Glasses Group

Stress Ball Group

Experimental group

Description:

Apart from the routine clinic procedure, it will be asked squeezing the stress ball for about 5-10 minutes (squeezing it once every time he counts to five)during the procedure.

Treatment:

Device: Stress Ball Group

Control Group

No Intervention group

Description:

Only dressing will be changed just as routine clinic procedure without any intervention