The cannulation of arteriovenous fistula is a painful procedure in hemodialysis patients. Previous studies have shown the effectiveness of virtual reality in reducing pain during needle-related procedures
Patients undergoing hemodialysis experience anxiety and pain related to the insertion of hemodialysis needles, estimated 320 times in total per year. The pain experienced is mostly caused by needle insertion into a fistula. Pain control is one of the main nursing tasks. Pain relief leads to the acceptance of the procedure and ultimately enhances the patients' quality of life. The use of virtual reality to reduce pain and anxiety during the arteriovenous fistula cannulation procedure is based on the concept that the perception of pain can be controlled because an individual is able to process only a limited amount of information at once. As such, the use of virtual reality during painful procedures may serve as a distraction.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
93
study group patients will view VR scene for 6 minutes before puncture .It involves a soothing nature experience and calming background music. Patients in intervention group will not able to see the puncture procedure due to the VR glasses.
Faculty of Nursing Mansoura University
Al Mansurah, Egypt
change in patients pain scores
visual analogue scale which consists of a vertical line 100 mm long, one end of the line reads "No pain" and at the other is "Unbearable pain
Time frame: will be measured at baseline and immediately after intervention (after 6 minutes of VR distraction)
change in patients anxiety scores
STAI includes two subscales with 20 items each that assess state and trait anxiety .The State Anxiety Scale requires individuals to describe their feelings at a specific moment under specific circumstances, while the Trait Anxiety Scale requires them to describe the way they feel in general.
Time frame: will be measured at baseline and immediately after intervention (after 6 minutes of VR distraction)
change in patients satisfaction score
. The patients will be asked to rate procedure satisfaction placing a mark on a 100-mm vertical visual analogue scale
Time frame: will be measured at baseline and immediately after intervention (after 6 minutes of VR distraction)
change in patients heart rate
checklist will be used to assess heart rate after puncture
Time frame: will be measured at baseline and immediately after intervention (after 6 minutes of VR distraction)
change in patients respiratory rate
checklist will be used to assess respiratory rate after puncture
Time frame: will be measured at baseline and immediately after intervention (after 6 minutes of VR distraction)
change in patients systolic blood pressure
checklist will be used to assess systolic blood pressure after puncture
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Time frame: will be measured at baseline and immediately after intervention (after 6 minutes of VR distraction)
change in patients diastolic blood pressure
checklist will be used to assess diastolic blood pressure after puncture
Time frame: will be measured at baseline and immediately after intervention (after 6 minutes of VR distraction)
change in patients Oxygen saturation (SpO2)
checklist will be used to assess Oxygen saturation after puncture
Time frame: will be measured at baseline and immediately after intervention (after 6 minutes of VR distraction)