Virtual Reality-Based Breathing Yoga Before Chest Tube Removal After Cardiac Surgery

NCT07794709 | Completed

• 1 other identifier: VR-CTR-2024-01
• Study Type: interventional
• Target: 52
• Locations: 1 country
• Sites: 1

Brief Summary

This randomized controlled trial was conducted to evaluate the effect of virtual reality-based breathing yoga applied before chest tube removal on pain and anxiety in patients after cardiac surgery. A total of 52 patients with chest tubes were randomly assigned to an intervention group (n=26) or a control group (n=26). Patients in the intervention group watched breathing yoga videos through virtual reality glasses for 15-20 minutes before chest tube removal, while patients in the control group received standard care. Pain was assessed using the Visual Analog Scale, and anxiety was assessed using the Spielberger State Anxiety Inventory. Pain and anxiety levels were evaluated before and after chest tube removal.

Conditions

Anxiety; Chest Tube Removal; Pain After Surgery

Keywords

Virtual Reality; Breathing Yoga; Cardiac Surgery; Pain; Anxiety; Nonpharmacological Intervention

Outcome Measures

Primary Outcomes (1)

• Change in State Anxiety Level

  State anxiety was assessed using the Spielberger State-Trait Anxiety Inventory-State subscale (STAI-I). The scale consists of 20 items and yields a total score ranging from 20 to 80, with higher scores indicating higher levels of state anxiety.

  30 minutes before chest tube removal and 15 minutes after chest tube removal

Secondary Outcomes (1)

• Change in Pain Intensity

  30 minutes before chest tube removal and 15 minutes after chest tube removal

Study Arms (2)

1

EXPERIMENTAL

Virtual Reality-Based Breathing Yoga

Behavioral: Virtual Reality-Based Breathing Yoga

2

NO INTERVENTION

Participants received standard care before chest tube removal without the virtual reality-based breathing yoga intervention.

Interventions

Virtual Reality-Based Breathing Yoga BEHAVIORAL

Participants watched breathing yoga videos through virtual reality glasses for 15-20 minutes before chest tube removal. The intervention was provided in addition to standard postoperative care.

1

Eligibility Criteria

• Age: 18 Years - 70 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Aged 18-70 years
• Underwent coronary artery bypass grafting or valve surgery
• Willing to participate in the study
• Mobilized and extubated on the second postoperative day
• Able to communicate without cognitive, sensory, or verbal impairment
• No diagnosed psychiatric disorder
• No vertigo
• No diagnosis of hypertension and not receiving antihypertensive treatment
• Not receiving sedative or anxiolytic medication
• No major intraoperative or postoperative complications, such as severe bleeding, nausea, or vomiting

You may not qualify if:

• \- Remained intubated on the second postoperative day

Sponsors & Collaborators

• Sennur Kula Şahin: lead

Study Sites (1)

Prof. Dr. Cemil Tascioglu City Hospital

Istanbul, Istanbul, 34010, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Anxiety Disorders; Pain

Condition Hierarchy (Ancestors)

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

Study Design

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

Model Details: Participants were randomly assigned in a 1:1 ratio to either the virtual reality-based breathing yoga group or the standard care control group.

Study Record Dates

• First Submitted: August 26, 2026
• First Posted: August 31, 2026
• Study Start: August 10, 2024
• Primary Completion: January 1, 2025
• Study Completion: January 1, 2025
• Last Updated: August 31, 2026

Record last verified: 2026-08

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)