Effect of Virtual Reality Application on Pain, Anxiety and Comfort During Chest Tube Removal Procedure

NCT06550323 | Enrolling By Invitation

• 1 other identifier: VRA15
• Study Type: interventional
• Target: 82
• Locations: 1 country
• Sites: 1

Brief Summary

Chest tubes are used to eliminate possible acute or chronic problems that may occur after trauma or surgical interventions to the chest area. This process, which aims to drain the fluid, blood or air accumulated in the pleural area, works with the support of closed underwater drainage systems. The chest tubes, which remain in place for a long time, fuse with the endothelium lying in the chest cavity. For this reason, the adhesions formed with the fusion cause very severe acute pain in the patient with the pulling force applied during removal.The high level of pain of the person will cause an increase in the level of anxiety and a decrease in the level of comfort. The anxiety experienced by the patients will also reduce the tolerance to pain.It has been observed that the use of virtual reality in the field of health significantly reduces the level of pain and anxiety during medical procedures, shortens wound healing and hospital stay, and increases compliance with treatment.In the literature, no studies were found in which the effects of virtual reality application on pain, anxiety and comfort were evaluated in patients whose chest tube was removed.Thereforee, this study was conducted to evaluate the effect of virtual reality application against all these negative situations.

Conditions

Chest Tube Removal

Keywords

virtual reality; pain; anxiety; comfort

Outcome Measures

Primary Outcomes (4)

• visual analog scale

  To evaluate pain severity, pain results are evaluated by scoring between 0-10. While 0 indicates "No pain", 10 indicates "Unbearable pain". The minimum value is 0 and the maximum value is 10. 0 represents a good result and 10 represents a bad result

  5 month

• State-Trait Anxiety Inventory Scale

  It is a 4-point Likert-type scale with 40 items and is scored as "never": 1, "a little": 2, "a lot": 3, "completely": 4, according to the degree of severity of the feelings, thoughts or behaviors expressed by the items. anxiety level will be determined.

  5 month

• comfort scale

  It is a scale ranging from 0 to 10 points. While 0 points indicate 'most comfortable', 10 points indicate 'most uncomfortable'. The minimum value is 0 and the maximum value is 10. 0 represents a good result and 10 represents a bad result

  5 month

• verbal pain scale

  0 points indicate "No pain", 1 point indicates "Mild pain", 2 points indicate "Moderate pain" and 3 points indicate "Severe pain".

  5 month

Study Arms (2)

Group using virtual reality glasses

EXPERIMENTAL

Virtual reality application will be applied to this group and virtual reality glasses will be put on 5 minutes before the procedure and the video will be started to be watched during the process.

Device: Group using virtual reality glasses

Group not using virtual reality glasses

NO INTERVENTION

Standard protocols will be applied to this group and no action will be taken.

Interventions

Group using virtual reality glasses DEVICE

Group using virtual reality glasses: During the procedure, individuals will wear glasses.

Group using virtual reality glasses

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Must be between the ages of 18-65,
• Must have undergone coronary artery bypass graft surgery and have a chest tube,
• Must participate in the study voluntarily,
• Must not have vision or hearing problems,
• Must not have disorientation in place and time,
• Must not have any psychiatric disorders,

You may not qualify if:

• Those with chronic pain and routinely using painkillers,
• Those using painkillers before the procedure,
• Those with problems such as migraine, vertigo, dizziness,
• Patients using prescription glasses and those having vision problems without glasses were not included in the study.

Sponsors & Collaborators

• Hale Rumeysa Seçer: lead

Study Sites (1)

Ataturk University

Erzurum, Turkey (Türkiye)

Location

Related Publications (1)

• Secer H, Yayla A. The effects of virtual reality on pain, anxiety, and comfort during the chest tube removal procedure: A randomized clinical trial. Complement Ther Clin Pract. 2025 Feb;58:101931. doi: 10.1016/j.ctcp.2024.101931. Epub 2024 Nov 8.

  PMID: 39541838 DERIVED

MeSH Terms

Conditions

Pain; Anxiety Disorders

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Mental Disorders

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Nurse

Study Record Dates

• First Submitted: July 20, 2024
• First Posted: August 13, 2024
• Study Start: March 20, 2023
• Primary Completion: July 25, 2024
• Study Completion: August 30, 2024
• Last Updated: August 13, 2024

Record last verified: 2024-08

Locations

TU (1)