Randomized controlled trial to measure pain experience, side effects and satisfaction of VR following varicose vein, hernia repair and gallbladder surgeries.
While there is substantial evidence supporting the use of Virtual Reality (VR) during dressing changes for burn victims, there are little information of the effect of VR to decrease pain after surgery. Although pharmacological analgesics are popular in clinical practice, this approach usually is associated with side effects, most commonly nausea, cognitive dysfunction, and constipation. Generally, VR effects are based on gate theory of cognitive load, due to the fact that conscious attention is needed to perceive pain and we can process a finite amount of information.High-Tech-VR devices shown to be more effective in reducing pain than are Low-Tech-VR systems (Prothero, J. D., \& Hoffman, H. D, 1995). In addition, studies have shown that interactivity play an important role to decrease both, pain unpleasantness and time spent thinking about pain, while increasing fun (Wender, R., et al., 2010, Gromala, D., et al 2011). Thus, interactivity helps patients to have a better immersion into VR world. Considering this, in the proposed study, patients will be randomized to either receive a high immersive and interactive VR environment using Oculus Rift Headset in addition to standard care or to receive only standard care during their post-operative care following surgery to prospectively assess the utility of virtual reality (VR) for pain management following varicose vein, hernia repair and gallbladder surgeries.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
62
During the VR experience patients will have the opportunity to choose from different VR environments (VR application - Nature Treks VR) and explore them using Oculus Rift Device.
Municipal Hospital of Cluj-Napoca
Cluj-Napoca, Romania
Pain intensity
Graphic Rating Scale measure pain intensity from 1 to 10, 1 - no pain; 10 - worst pain.
Time frame: Pain intensity before intervention; Change from Baseline pain intensity (immediately following intervention)
Pain intensity
Skin conductance response
Time frame: 5 minutes before intervention (baseline)
Pain intensity
Skin conductance response
Time frame: 15 minutes - During the intervention
Satisfaction with the intervention
Patient Satisfaction Survey
Time frame: Immediately following intervention
Presence in the VR environment
Presence Inventory assesses the degree of spatial presence, involvement, ecological validity, overall presence, and negative effects experienced during the VR intervention
Time frame: Immediately following intervention
Simulator Sickness
Simulator Sickness Questionnaire
Time frame: Immediately following intervention
Relaxation
Graphic Rating Scale measure relaxation from 1 to 10, 1 - stressed; 10 - very relaxed.
Time frame: Relaxation level before intervention; Change from Baseline relaxation level (immediately following intervention)
Time thinking about pain
Graphic Rating Scale measure the time spent thinking about pain from 1 to 10; 1 - not at all, 10 - all the time
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Time frame: immediately following intervention