Effects of Different Relaxation Therapies on Pain and Sleep in Hip and Knee Arthroplasty Patients

Bartın Unıversity82 enrolled

Overview

Hip and knee replacement surgery is commonly performed in older adults. After surgery, many patients experience pain, limited movement, and sleep problems. These difficulties can make daily activities such as walking or climbing stairs more challenging and may reduce quality of life during recovery. Relaxation exercises are often used to help reduce pain and improve sleep after surgery. Virtual reality (VR) is a technology that provides a multisensory experience and may help people relax by shifting their attention away from pain and discomfort. This study is designed to compare two different relaxation approaches used after hip and knee replacement surgery. One group of patients will perform relaxation exercises using virtual reality, while another group will perform traditional relaxation exercises. The study will examine pain levels and sleep quality in both groups. The results of this study may help to better understand whether virtual reality-based relaxation can be used as an alternative or supportive method for managing pain and sleep problems after joint replacement surgery.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

DOUBLE

Enrollment

Conditions

Osteoarthritis (OA) of the Hip Osteoarthritis (OA) of the Knee

Interventions

Virtual Reality-Based RelaxationBEHAVIORAL

Relaxation exercises delivered through virtual reality technology during the postoperative period following hip and knee replacement surgery.

Traditional Relaxation TherapyBEHAVIORAL

Standard relaxation exercises performed without virtual reality during the postoperative period following hip and knee replacement surgery.

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Those who volunteered to participate in the research, * 18 years and older, * No diagnosed mental or sleep problems, epilepsy, or depression, * No vision, hearing, or speech problems, * Those who speak Turkish, * Knee and hip replacement surgery , * No active nausea or vomiting prior to the virtual reality application, * According to the Numerical Rating Scale, the patient reports pain. * Those receiving analgesia treatment according to clinical protocol, * Anyone who owns a mobile phone or tablet capable of playing videos, using any brand of internet provider, * Patients who had not previously practiced breathing exercises were included . Exclusion Criteria: * Having a problem that prevents communication, * Being admitted to the ward where the surgery and study were performed at another center, . Complications develop after knee and hip replacement surgery, * Nausea and vomiting may occur during the procedure. * Wanting to withdraw from the research, * Experiencing chronic pain.

Outcomes

Primary Outcomes

Postoperative Pain Intensity

Pain intensity will be assessed using Numerical Rating Scale (0-10 points) in patients undergoing hip and knee replacement surgery. 0 represents no pain and 10 represents the most severe pain.

Time frame: Postoperative three days period

Secondary Outcomes

Sleep Quality

Sleep quality will be evaluated using Richards Campbell Sleep Questionnaire (0-100 points) during the postoperative period.The scale uses a score range of "0-25" to indicate very poor sleep and a score range of "76-100" to indicate very good sleep. The total score is evaluated based on 5 items; item 6, which assesses the noise level in the environment, is excluded from the total score evaluation. As the score obtained from the questionnaire increases, it is interpreted that the patients' sleep quality has improved.