In this study, the effect of virtual reality application used during upper gastrointestinal endoscopy on pain, anxiety and vital signs will be investigated. The research will be conducted as a mixed methods research including quantitative and qualitative methods. The exploratory sequence mixed design model, one of the mixed method designs, will be used in the research.
Objective: In this study, the effect of virtual reality application used during upper gastrointestinal endoscopy on pain, anxiety and vital signs will be investigated. The research will be conducted as a mixed methods research including quantitative and qualitative methods. The exploratory sequence mixed design model, one of the mixed method designs, will be used in the research. The research was carried out in the endoscopy unit of a university hospital in Van between November 2022 and March 2023. This research, in which an exploratory sequential mixed design was used, consists of two stages. In the research, the quantitative phase, in which a pretest-posttest design, randomized controlled, experimental method was used, was completed with 75 patients, and the qualitative phase, in which the phenomenological/phenomenological design was used, was completed with 19 patients. Patient introduction form, state anxiety scale, pain visual comparison scale, patient follow-up form and semi-structured interview form were used to collect data. IBM SPSS V23 program (quantitative) and inductive qualitative content analysis (qualitative) were used to analyze the data.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
80
In recent years, virtual reality has been widely used as a distraction practice in clinical medical care to relieve pain. Virtual reality is a method of viewing computer images to isolate the individual from real life for a while. Virtual reality glasses, consisting of a head-mounted display and glasses connected to a mobile phone, is a computer technology that creates a 3D environment. The virtual reality application, which was originally designed for entertainment purposes, started to be used in the medical field to reduce pain during invasive procedures in parallel with the developments in computer technologies. It is preferred in clinical practice as an easily accessible, non-invasive and inexpensive method.
Van Yüzüncü Yıl University, Faculty of Health Sciences, Department of Nursing, Van, Turkey
Van, Turkey (Türkiye)
Anxiety state before endoscopy
The statements in the state anxiety scale were answered as "not at all", "a little", "a lot" and "totally" according to the feelings of the person. A total score of 20-80 is obtained from the scale. A low score indicates a low level of anxiety, and a high one indicates a high level of anxiety. The score obtained from the scale, on the other hand, indicates mild anxiety between 20-39, moderate anxiety between 40-59 and severe anxiety between 60-80.
Time frame: Anxiety state reported within the first 10 minutes before the endoscopy procedure
Pain intensity before endoscopy
Pain severity assessment with Visual Assessment Scale (VAS) Score: 0-10; 0- No Pain, 10- Worst Pain
Time frame: Pain intensity reported within the first 5 minutes prior to the endoscopy procedure
Heart rate before the endoscopy procedure
60 to 100 beats per minute is normal.
Time frame: Just before the endoscopy procedure
Blood pressure before the endoscopy procedure
90/60 mm Hg to 120/80 mm/Hg is normal.
Time frame: Just before the endoscopy procedure
Respiration rate before the endoscopy procedure
12 to 20 breaths per minute is normal.
Time frame: Just before the endoscopy procedure
Body temperature before the endoscopy procedure
Normal Body temperature; 36 to 37-5 degrees is normal.
Time frame: Just before the endoscopy procedure
Oxygen saturation (SpO2) before the endoscopy procedure
Normal oxygen saturation usually ranges from 95% to 100%.
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Time frame: Just before the endoscopy procedure
Oxygen saturation (SpO2) after endoscopy procedure
Normal oxygen saturation usually ranges from 95% to 100%.
Time frame: within first 5 minutes after endoscopy procedure
Body temperature after endoscopy procedure
Normal Body temperature; 36 to 37-5 degrees is normal.
Time frame: within first 5 minutes after endoscopy procedure
Respiration rate after endoscopy procedure
12 to 20 breaths per minute is normal.
Time frame: Respiratory rate/minute reported in the first 5 minutes after the endoscopy procedure
Blood pressure after the endoscopy procedure
90/60 mm Hg to 120/80 mm/Hg is normal.
Time frame: within first 5 minutes after the endoscopy procedure
Heart rate after the endoscopy procedure
60 to 100 beats per minute is normal.
Time frame: Heart rate per minute reported in the first 5 minutes after the endoscopy procedure
Post-endoscopy pain
Pain severity assessment with Visual Assessment Scale (VAS) Score: 0-10; 0- No Pain, 10- Worst Pain
Time frame: Pain severity reported in the first 5 minutes after the endoscopy procedure
Post-endoscopy anxiety state
The statements in the state anxiety scale were answered as "not at all", "a little", "a lot" and "totally" according to the feelings of the person. A total score of 20-80 is obtained from the scale. A low score indicates a low level of anxiety, and a high one indicates a high level of anxiety. The score obtained from the scale, on the other hand, indicates mild anxiety between 20-39, moderate anxiety between 40-59 and severe anxiety between 60-80.
Time frame: Anxiety state reported within the first 10 minutes after the endoscopy procedure
Patient opinions on endoscopy
General thoughts of the patient about endoscopy
Time frame: Two hours after endoscopy
Patient opinions on virtual reality glasses and its application
General thoughts of the patient about the use of virtual reality glasses during endoscopy
Time frame: Two hours after endoscopy
Patient opinions on the effect of virtual reality application on pain
Patient opinions on the effect of virtual reality application on pain
Time frame: Two hours after endoscopy
Patient opinions on the effect of virtual reality application on anxiety
Patient opinions on the effect of virtual reality application on anxiety
Time frame: Two hours after endoscopy