Virtual Reality Forest Sounds and Patient Outcomes During Chest Tube Removal

NCT07457788 | Recruiting

• 1 other identifier: AYCA16202
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to investigate the effects of listening to nature sounds in a virtual reality forest on pain, vital signs, comfort, and patient satisfaction during chest tube removal. This study aims to determine whether there are significant differences in pain, comfort, patient satisfaction, and vital signs between the experimental and control groups during chest tube removal. "In this study, a VR video featuring a relaxing forest environment with nature sounds will be used with a virtual reality headset. Patients will be exposed to both auditory and visual stimuli. It is anticipated that the findings of this randomized controlled experimental study will make a significant contribution to the literature and clinical

Conditions

Chest Tube; Virtual Reality; Chest Tube Removal

Keywords

pain; chest tube; patient satisfaction; comfort; vital signs

Outcome Measures

Primary Outcomes (1)

• Pain level during chest tube removal

  Patient pain status is determined using the Visual Analog Scale (VAS). A score of 0 indicates 'no pain,' and a score of 10 indicates 'worst possible pain.' Higher scores indicate worse outcomes

  Pain levels will be measured 10 minutes before chest tube removal, immediately after removal, and 10 minutes after removal.

Secondary Outcomes (6)

• vital signs- Heart Rate

  10 minutes before chest tube removal and 10 minutes after chest tube removal.

• Vital signs- Respiratory Rate

  10 minutes before chest tube removal and 10 minutes after chest tube removal.

• Patient Satisfaction

  The patient satisfaction scale will be administered 10 minutes after the chest tube removal.

• Patient comfort level

  The comfort level is asked to the patient 10 minutes after chest tube removal for both the control and VR groups

• Vital Signs- Peripheral Oxygen Saturation (SpO₂)

  10 minutes before chest tube removal and 10 minutes after chest tube removal.

Study Arms (2)

Virtual Reality with Nature Sounds

EXPERIMENTAL

Data for the intervention group will be collected using the same data collection tools and time points as the control group, with the addition of the virtual reality (VR) application. The Patient Demographic Form will be administered 15 minutes before chest tube removal. Ten minutes before the procedure, patients will complete the Visual Analog Scale (Pain) and Vital Signs Monitoring Form. Patients will be informed about the procedure. Before the attending assistant physician arrives, the VR headset and headphones will be placed on the patient, and the patient will be positioned appropriately. During the procedure, the patient will view a virtual forest environment and listen to nature sounds for 5-10 minutes. Pain will be assessed immediately after the procedure. Ten minutes after the procedure, pain, patient satisfaction, vital signs, and comfort levels will be evaluated using the corresponding scales.

Device: Virtual Reality with Nature Sounds

Control Group

NO INTERVENTION

For patients assigned to the control group, 15 minutes before chest tube removal, only the Patient Demographic Form will be administered, without any intervention beyond the clinical protocol. Ten minutes before the procedure, patients will complete the Visual Analog Scale (Pain) and Vital Signs Monitoring Form. Patients will be informed about the procedure. They will be placed in a semi-Fowler position and asked to raise their arms upward. Once positioned correctly, patients will be instructed to take a deep breath and hold it while the chest tube is removed. Pain will be assessed immediately after the procedure. Ten minutes after the procedure, pain, patient satisfaction, comfort, and vital signs will be evaluated using the respective scales.

Interventions

Virtual Reality with Nature Sounds DEVICE

During chest tube removal, the patient will wear a VR headset and headphones to view a virtual forest environment and listen to nature sounds; pain, vital signs, comfort, and patient satisfaction will be assessed during this period.

Virtual Reality with Nature Sounds

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Able to speak and understand Turkish
• Willing to participate in the study
• Aged 18 years or older
• No auditory or visual impairments

You may not qualify if:

• Patients with impaired orientation to time and place
• Patients with migraine, vertigo, or dizziness
• Illiterate patients

Sponsors & Collaborators

• Uskudar University: lead

Study Sites (1)

Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Training and Research Hospital

Istanbul, Kadıköy, 34668, Turkey (Türkiye)

RECRUITING

MeSH Terms

Conditions

Pain; Patient Satisfaction

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Treatment Adherence and Compliance; Health Behavior; Behavior

Central Study Contacts

Ayça Uzun

CONTACT

+905376087592; acyauzun98@hotmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MSc nursing

Study Record Dates

• First Submitted: November 29, 2025
• First Posted: March 9, 2026
• Study Start: December 1, 2025
• Primary Completion: March 1, 2026
• Study Completion: June 1, 2026
• Last Updated: March 9, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)