This randomized controlled experimental study aimed to determine the effect of using virtual glasses during uterine tone assessment on anxiety, pain and comfort. The hypotheses of this study were determined as follows: H1-a: Using virtual reality glasses during uterine tone assessment affects anxiety. H1-b: Using virtual reality glasses during uterine tone assessment affects pain. H1-c: Using virtual reality glasses during uterine tone assessment affects comfort.
Data collection tools will be collected from women who gave birth in the Maternity Ward of Malatya Education and Research Hospital between February 2024 and February 2025 and who agreed to participate in the study, using the face-to-face interview method on weekdays by the researchers. Data will be collected in two stages. The application time of the data collection tools is planned to be completed in approximately 20 minutes as pre-test and post-test. Before the women in the experimental group are applied with SG glasses, the Personal Information Form, State Anxiety Scale (SAS), Visual Analog Scale (VAS) and General Comfort Scale (GCS) will be applied and pre-test data will be collected. Then, these women will watch videos with nature scenes using SG glasses during the uterine tone assessment. After the uterine tone assessment process is completed, the pregnant women in the experimental group will be applied the State Anxiety Scale (SAS), Visual Analog Scale (VAS) and General Comfort Scale (GCS) again and the post-test data will be collected and the data collection process will be completed. Before the uterine tone assessment, the State Anxiety Scale (SAS), Visual Analog Scale (VAS) and General Comfort Scale (GCS) will be applied to the women in the control group and pre-test data will be collected. No intervention will be applied to these women during the uterine tone assessment process. After the uterine tone assessment process is completed, the State Anxiety Scale (SAS), Visual Analog Scale (VAS) and General Comfort Scale (GCS) will be applied to the pregnant women in the control group again and post-test data will be collected, and the data collection process will be completed. The pre-natal hemoglobin value and the 6th hour post-natal hemoglobin value of all women in the experimental and control groups will be recorded as part of the hospital's routine procedure.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
146
Virtual reality (VR) glasses are used as a midwifery intervention to reduce anxiety, stress, comfort and pain by drawing the individual's attention in a different direction. VR glasses are a stress induction method that provides a fictional reality simulation with visual-visual orientation and three-dimensional views that allow the person to experience real-time perspective. Women may experience pain at different levels in the postpartum period. Pain affects the woman's emotional state and severe pain can cause anxiety in the woman. Pain in the postpartum period is usually caused by rapid and intermittent contractions of the uterus. The application of pressure to the uterine fundus by the midwife to evaluate the amount of postpartum bleeding and the tone of the uterus may increase the woman's pain and anxiety level and may also cause deterioration in her general comfort. Considering this information, it is thought that the relaxing effect of using virtual glasses during the uterine ton
Inonu University
Malatya, None Selected, Turkey (Türkiye)
Visual Analog Scale (VAS) scores
The Visual Analog Scale will be used to assess the pain that will occur during the postpartum uterine tone assessment. VAS is a scale created between 0-10 cm. According to the scale, 0 cm: pain is not severe at all, 10 cm: unbearable pain. On the scale, 0-44 mm indicates mild pain, 45-74 mm indicates moderate pain, and 75-100 mm indicates severe pain.
Time frame: 20 minute
Spielberger State Anxiety Inventory (STAI) Scores
The inventory, which was developed by Spielberger, Gorsuch and Lushene in 1970 and whose validity and reliability in Turkish were made by Öner and Le Compte in 1985, consists of 20 items measuring state anxiety. The State Anxiety Inventory (SAI) requires the individual to describe how he/she feels at a certain moment and under certain conditions. The inventory is answered using 4-point scales. The feelings and behaviors expressed in the State Anxiety Inventory items are indicated by selecting one of the options "(1) Not at all, (2) A little, (3) A lot and (4) Completely" according to the degree of severity of such experiences. There are 10 reverse items in the SAI. These are items 1, 2, 5, 8, 10, 11, 15, 16, 19 and 20. The remaining items 3, 4, 6, 7, 9, 12, 13, 14, 17, and 18 directly measure the expression. Two separate keys are prepared to determine the total weights of the direct and reverse items in scoring. The total weighted score obtained for the direct statements is subtracted
Time frame: 20 minute
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