Evaluation of the Effect of Virtual Reality Glasses on Preoperative Surgical Anxiety in Adult Patients
DOI:
https://doi.org/10.37609/srinmed.50Anahtar Kelimeler:
laparoscopic cholecystectomy- virtual reality- preoperative anxietyÖz
Objective: Patients often experience varying levels of anxiety before surgery. It is essential to assess and address preoperative anxiety for each patient to ensure optimal outcomes. This study aims to evaluate the effectiveness of virtual reality (VR) glasses in reducing preoperative anxiety in patients undergoing laparoscopic cholecystectomy.
Method: This prospective, observational cohort study included 84 patients aged 18–65 scheduled for elective laparoscopic cholecystectomy with an American Society of Anesthesiologists (ASA) physical status of I or II. Participants viewed a 30-minute VR video using a smartphone and VR headset. Oxygen saturation and heart rate were recorded before and after the VR session. Additionally, patients completed the “Anxiety Specific to Surgery Questionnaire” both before and after the VR intervention.
Results: The study included 84 patients undergoing laparoscopic cholecystectomy. The VR intervention significantly reduced preoperative anxiety, as indicated by the questionnaire results (p < 0.001), with a moderate effect size. Although heart rate decreased after the VR session, the change was not statistically significant.
Conclusion: The use of VR significantly reduced preoperative anxiety in patients scheduled for laparoscopic cholecystectomy.
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Referanslar
Türkiye Cumhuriyeti Sağlık Bakanlığı Sağlık İstatistikleri Yıllığı 2018. Ankara; 2019. [cited 2019 Dec 27] https://dosyasb.saglik.gov.tr/ Eklenti/36134,siy2018trpdf.pdf?0
Yılmaz E. Cerrahi süreç: Ameliyat öncesi hazırlık ve bakım. In: Aslan FE, editor. Cerrahi bakım vaka analizleri ile birlikte’de. Ankara: Akademisyen Tıp Kitabe-vi; 2016. p.319-45.
Jawaid M, Mushtaq A, Mukhtar S, Khan Z. Preoperative anxiety before elective surgery. Neurosciences 2007;12(2):145-8.
Dayılar H, Oyur G, Kamer E, Sarıçiçek A, Cengiz F, Hacıyanlı M. Kolon ameliyatı öncesi hastaların anksi-yete düzeylerinin değerlendirilmesi. Turk J Colorectal Dis 2017;27:6-10.
Jlala HA, French JL, Foxall GL, Hardman JG, Bedforth NM. Effect of preoperative multimedia information on perioperative anxiety in patients undergoing procedures under regional anaesthesiology. Br J Anaesth 2010; 104: 369-74.
Taşdemir A, Erakgün A, Deniz MN, Çertuğ A. Preo-peratif bilgilendirme yapılan hastalarda ameliyat öncesi ve sonrası anksiyete düzeylerinin state-trait anxiety inventory test ile karşılaştırılması. Turk J Anaesth Reanim 2013; 41:44-49.
Gürsoy A, Candaş B, Güner Ş, Yılmaz S. Preoperative stress: an operating room nurse intervention assessment. Journal of PeriAnesthesia Nursing 2016; 31(6): 495-503.
Aykent R, Kocamanoğlu İS, Üstün E, Tür A, Şahinoğ-lu H. Preoperatif anksiyete nedenleri ve değerlendirilmesi: APAIS ve STAI skorlarının karşılaştırılması. Türkiye Klinikleri Anesteziyoloji ve Reanimasyon Dergisi 2007; 5 (1): 7-13.
Kayahan M, Sertbaş G. Dahili ve cerrahi kliniklerde yatan hastalarda anksiyete-depresyon düzeyleri ve stresle başa çıkma tarzları arasındaki ilişki. Anadolu Psikiyatri Dergisi 2007; 8: 113-120.
Espineira CH, Aguila MMR, Castillo MR, Valdivia AF, Sanchez IR. Relationship between anxiety level of patients and their satisfaction with different aspects of healthcare. Health Policy 2009; 89: 37-45.
Vermişli UHS, Çukurova İ, Baydur H, Yılmaz E. Kulak burun boğaz ve baş boyun cerrahisi kliniğinde cerrahi tedavi için yatan hastaların ameliyat öncesi hasta öğrenim gereksinimi ve kaygı arasındaki ilişki. Kulak Burun Bogaz Ihtis Derg 2016; 26(2): 79-91.
Bringman H, Giesecke K, Th€orne A, Bringman S. Relaxing music as premedication before surgery: A randomised controlled trial. Acta Anaesthesiol Scand. 2009;53:759e764.
Hudson BF, Ogden J. Exploring the impact of intraoperative interventions for pain and anxiety management during local anesthetic surgery. A systematic review and meta-analysis. J Perianesth Nurs. 2016;31:118e133.
Inal S, Canbulat N. Using of distraction methods on procedural pain management of pediatric patients. J Curr Pediatr. 2015;13:116e121.
Kipping B, Rodger S, Miller K, Kimble RM. Virtual reality for acute pain reduction in adolescents undergoing burn wound care: A prospective randomized controlled trial. Burns. 2012;38:650e657.
Scapin S, Echevarría-Guanilo ME, Boeira Fuculo Junior PR, Gonçalves N, Rocha PK, Coimbra R. Virtual reality in the treatment of burn patients: A systematic review. Burns. 2018;5418:1e14.
Elmali H, Akpinar Balci R. The effect of watching humorous film on postsurgical pain levels. Complement Ther Clin Pract. 2017;26:36e41.
Kazancioglu HO, Tek M, Ezirganli S, Demirtas N. Does watching a video on third molar surgery increase patients’ anxiety level. Oral Surg Oral Med Oral Pathol Oral Radiol. 2015;119:272e277.
Karanci AN, Dirik G. (2003). Predictors of pre and postoperative anxiety in emergency surgery patients. Journal of Psychosomatic Research, 55, 363– 369.
Uğraş, G. A, Yıldırım, G., Yüksel, S., Öztürkçü, Y., Kuzdere, M., & Öztekin, S. D. (2018). The effect of different types of music on patients’ preoperative anxiety: A randomized controlled trial. Complementary therapies in clinical practice, 31, 158-163.
Pourmand A, Davis S, Lee D, Barber S, Sikka N. Emerging utility of virtual reality as a multidisciplinary tool in clinical medicine. Games Health J. 2017;6(5):263– 70.
Tashjian VC, Mosadeghi S, Howard AR, Lopez M, Dupuy T, Reid M, et al. Virtual reality for management of pain in hospitalized patients: results of a controlled trial. JMIR Ment Heal. 2017;4(1):e9.
J, Wiederhold B, Miller I, Wiederhold M. Virtual reality assisted anaesthesia during upper gastrointestinal endoscopy: report of 115 cases. Semanticscholar. 2017;(January):75–82.
urman E, Roma Jasinewicius T, Bissada NF, Vic-toroff KZ, Skillicorn R, Buchner M. Virtual reality distraction for pain control during periodontal scaling and root planing procedures. J Am Dent Assoc. 2009;140(12):1508– 16.
Morris LD, Louw QA, Grimmer-Somers K. The effectiveness of virtual reality on reducing pain and anxiety in burn injury patients: a systematic review. Clin J Pain. 2009;25(9):815–26.
Frey DP, Bauer ME, Bell CL, Low LK, Hassett AL, Cassidy RB, et al. Virtual reality analgesia in labor: the VRAIL pilot study—a preliminary randomized controlled trial suggesting benefit of immersive virtual reality analgesia in unmedicated laboring women. Anesth Analg. 2019;128(6):e93–6.
Sieber FE, Zakriya KJ, Gottschalk A, Blute MR, Lee HB, Rosenberg PB, et al. Sedation depth during spinal anesthesia and the development of postoperative delirium in elderly patients undergoing hip fracture repair. Mayo Clin Proc. 2010;85(1):18–26.
Bhananker SM, Posner KL, Cheney FW, Caplan RA, Lee LA, Domino KB. Injury and liability associated with monitored anesthesia care: a closed claims analysis. Anesthesiology. 2006;104(2):228–34.
Hoffman HG, Doctor IN, Patterson DR, Carrougher GJ, Furness TA, 3rd. Virtual reality as an adjunctive pain control during burn wound care in adolescent patients. Pain. 2000;85(1-2):305-9.
Hoffman HG, Garcia-Palacios A, Patterson DR, Jensen M, Furness T, 3rd, Ammons WF, Jr. The effectiveness of virtual reality for dental pain control: a case study. Cyberpsychol Behav. 2001;4(4):527-35.
Hoffman HG. Virtual-reality therapy. Sci Am. 2004;291(2):58-65.
Caumo W, Schmidt AP, Schneider CN, Bergmann J, Iwamoto CW, Bandeira D, et al. Risk factors for preoperative anxiety in adults. Acta Anaesthesiol Scand 2001 Mar;45(3):298-307.
Raja, M., Srinivasan, K., & Syed-Abdul, S. (2019, May). Preoperative Virtual Reality Based Intelligent Approach for Minimizing Patient Anxiety Levels. In 2019 IEEE International Conference on Consumer Electronics-Taiwan (ICCE-TW) (pp. 1-2). IEEE.
Noben, L., Goossens, S. M. T. A., Truijens, S. E. M., van Berckel, M. M. G., Perquin, C. W., Slooter, G. D., & van Rooijen, S. J. (2019). A Virtual Reality Video to Improve Information Provision and Reduce Anxiety Before Cesarean Delivery: Randomized Controlled Trial. JMIR Mental Health, 6(12), e15872.
Sahin G, Basak T, The Effects of Intraoperative Progressive Muscle Relaxation and Virtual Reality Application on Anxiety, Vital Signs, and Satisfaction: A Randomized Controlled Trial. J Perianesth Nurs. 2020;35(3):269-276.
Chow, C. H., Van Lieshout, R. J., Schmidt, L. A., Dobson, K. G., & Buckley, N. (2016). Systematic review: audiovisual interventions for reducing preoperative anxiety in children undergoing elective surgery. Journal of pediatric psychology, 41(2), 182-203.
Rousseaux, F., Faymonville, M. E., Nyssen, A. S., Dardenne, N., Ledoux, D., Massion, P. B., & Vanhauden-huyse, A. (2020). Can hypnosis and virtual reality reduce anxiety, pain and fatigue among patients who undergo cardiac surgery: a randomised controlled trial. Trials, 21(1), 1-9.
Ganry, L., Hersant, B., Sidahmed-Mezi, M., Dhonne-ur, G., & Meningaud, J. P. (2018). Using virtual reality to control preoperative anxiety in ambulatory surgery patients: A pilot study in maxillofacial and plastic surgery. Journal of stomatology, oral and maxillofacial surgery, 119(4), 257-261.
Eijlers, R., Legerstee, J. S., Dierckx, B., Staals, L. M., Berghmans, J., van der Schroeff, M. P., ... & Utens, E. M. (2017). Development of a virtual reality exposure tool as psychological preparation for elective pediatric day care surgery: methodological approach for a randomized controlled trial. JMIR research protocols, 6(9), e174.
Eijlers, R., Utens, E. M., Staals, L. M., de Nijs, P. F., Berghmans, J. M., Wijnen, R. M., ... & Legerstee, J. S. (2019). Meta-Analysis: Systematic Review and Meta-analysis of Virtual Reality in Pediatrics: Effects on Pain and Anxiety. Anesthesia and analgesia, 129(5), 1344.
Eijlers, R., Dierckx, B., Staals, L. M., Berghmans, J. M., van der Schroeff, M. P., Strabbing, E. M., ... & Utens, E. M. (2019). Virtual reality exposure before elective day care surgery to reduce anxiety and pain in children: A randomised controlled trial. European journal of anaesthesiology, 36(10), 728.
Faruki, A., Nguyen, T., Proeschel, S., Levy, N., Yu, J., Ip, V., ... & O’Gara, B. (2019). Virtual reality as an adjunct to anesthesia in the operating room. Trials, 20(1), 1-7.
Ryu, J. H., Park, J. W., Nahm, F. S., Jeon, Y. T., Oh, A. Y., Lee, H. J., ... & Han, S. H. (2018). The effect of gamification through a virtual reality on preoperative anxiety in pediatric patients undergoing general anesthesia: a prospective, randomized, and controlled trial. Journal of clinical medicine, 7(9), 284.
Batuman, A., Gulec, E., Turktan, M., Gunes, Y., & Oz-cengiz, D. (2015). Preoperative informational video reduces preoperative anxiety and postoperative negative behavioral changes in children. Minerva Aneste-siologica, 82(5), 534-542.
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