Regional anesthesia allows surgery without affecting the patient's level of consciousness.However, this may cause anxiety in some patients.In previous research, scientists have tried to prevent anxiety with non-pharmacological interventions such as music and cognitive therapies.Virtual reality is thought to offer an immersive experience that can alter the mind's perception of pain. Scientists have found in previous preliminary studies that virtual reality is safe and effective as an adjunct to standard sedative/analgesic protocols for reducing patients' pain and anxiety during endoscopy, colonoscopy, dental treatments, burn dressings, and labor. In this study, it is expected that anxiety scores, postoperative analgesic need and intraoperative sedation need will decrease, recovery quality will improve and patient satisfaction will increase in patients who will undergo upper extremity surgery under regional anesthesia and watch videos through VR glasses.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
86
After the VR group comes to the preoperative area and is evaluated, they will be asked to wear VR glasses and headphones. VR glasses and headphones were worn on the patient during peripheral nerve block applications and the operation. At the end of the operation, the VR glasses and headphones were removed and they were taken to the postoperative recovery room.
After evaluation of the patients taken to the preoperative area, routine peripheral nerve block application was performed without the use of VR glasses. VR glasses were not worn during the operation, as is the routine protocol. At the end of the surgery, they were taken to the postoperative recovery room.
Ankara City Hospital
Ankara, Cankaya, Turkey (Türkiye)
State-Trait Anxiety Scale
preoperative and postoperative STAI I and II score questions will be asked.
Time frame: Preoperative, Postoperative 4.hour
systolic blood pressure
non invasive systolic blood pressure measurement
Time frame: Preoperative, İntraoperative 0 min, İntraoperative 60min, End of Operation, Postoperative 4.hour
diastolic blood pressure
non invasive diastolic blood pressure measurement
Time frame: Preoperative, İntraoperative 0 min, İntraoperative 60min, End of Operation, Postoperative 4.hour
mean arterial pressure
mean blood pressure measurement
Time frame: Preoperative, İntraoperative 0 min, İntraoperative 60min, End of Operation, Postoperative 4.hour
heart rate
intraoperatif and perioperatif ecg monitarization
Time frame: Preoperative, İntraoperative 0 min, İntraoperative 60min, End of Operation, Postoperative 4.hour
oxygen saturation
intraoperatif and perioperative pulse oxymeter measurement
Time frame: Preoperative, İntraoperative 0 min, İntraoperative 60min, End of Operation, Postoperative 4.hour
aditional analgesic requirement
postoperative additional analgesic requirement
Time frame: postoperative up to 24 hour
VAS score
A blinded evaluator will evaluate the visual analog scale score.
Time frame: Postoperative 1.hour, 4.hour., 12.hour., 24hour.
Patient satisfaction scale
A blinded evaluator will evaluate the Patient satisfaction scale
Time frame: Postoperative 4.hour
Surgeon satisfaction scale
A blinded evaluator will evaluate the surgeon satisfaction scale
Time frame: Postoperativ 1.hour
The quality of recovery-15 (QoR-15)
A blinded evaluator will evaluate the QoR-15 scale.
Time frame: Preoperative, Postoperative 24.hour
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