Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
The Effect of Virtual Reality Application on Pain and Anxiety During Chest Tube Removal Following Open Heart Surgery: Randomized Controlled Study
Açık Kalp Ameliyatı Olan Hastalarda Göğüs Tüpü Çıkarılması Sırasında Uygulanan Sanal Gerçekliğin Ağrı ve Anksiyete Üzerine Etkisi: Randomize Kontrollü Çalışma
Nilgün ÖZBAŞa , Yasin ÇAKMAKb , Sameh ALAGHAc
aYozgat Bozok University Akdağmadeni School of Health, Department of Nursing, Division of Surgical Diseases Nursing, Yozgat, Türkiye
bYozgat Bozok University Akdağmadeni School of Health, Department of Nursing, Yozgat, Türkiye
cYozgat Bozok University Faculty of Medicine, Department of Cardiovascular Surgery, Yozgat, Türkiye
Turkiye Klinikleri J Nurs Sci. 2024;16(3):640-8
doi: 10.5336/nurses.2023-101151
Article Language: EN
Full Text
ABSTRACT
 Objective: Chest tube removal is a painful medical procedure following cardiac surgery. This study aimed to examine the effect of virtual reality (VR) application on pain and anxiety during chest tube removal in patients undergoing open-heart surgery. Material and Methods: In this parallel-group, randomized controlled study, a total of 40 participants were randomly assigned to intervention (n=20) and control (n=20) groups. 360-degree VR videos with nature and landscape scenes and relaxing background music were shown to the intervention group using VR glasses. Data were collected using a Patient Information Form, visual analog scale (VAS), Trait Anxiety Inventory, and Profile of Mood States Tension-Anxiety Subscale (POMS-TA). Descriptive statistics, independent samples t-test, chi-square tests, mixed design analysis of variance, and Bonferroni correction were used for data analysis. Results: VAS, POMS-TA Subscale, systolic and diastolic blood pressure, pulse, and respiratory scores measured immediately after chest tube removal (T1), 10 minutes later (T2), and one hour later (T3) were found to be lower in the intervention group compared to the control group (p<0.05). The number of patients using analgesics during and after chest tube removal was lower in the intervention group (p<0.05). Conclusion: VR application reduced pain and anxiety levels during chest tube removal and improved vital signs. Additionally, VR reduced the use of analgesics during and after the procedure. In this context, VR applications can be recommended as an effective attention diversion method during chest tube removal.

Keywords: Virtual reality; chest tube; pain; anxiety; nursing
ÖZET
 Amaç: Kalp ameliyatı sonrası göğüs tüpü çıkarılması, ağrılı tıbbi işlemlerden biridir. Bu çalışma, açık kalp ameliyatı geçiren hastalarda göğüs tüpü çıkarılması sırasında sanal gerçeklik (SG) uygulamasının ağrı ve anksiyete üzerindeki etkisini incelemek amacıyla yapılmıştır. Gereç ve Yöntemler: Bu paralel gruplu, randomize kontrollü çalışmada toplam 40 katılımcı rastgele olarak müdahale (n=20) ve kontrol (n=20) gruplarına atanmıştır. Müdahale grubuna SG gözlükleri kullanılarak doğa ve manzara sahneleri ve rahatlatıcı fon müziği içeren 360 derece VR videolar izletilmiştir. Veriler; Hasta Bilgi Formu, Görsel Kıyaslama Ölçeği (GKÖ), Sürekli Anksiyete Ölçeği ve Duygu Durum Profili Gerginlik & Anksiyete Alt Ölçeği (DDP-GAAÖ) kullanılarak toplanmıştır. Verilerin değerlendirilmesinde tanımlayıcı istatistikler, bağımsız örneklerde t-testi, ki-kare testleri, karma desen varyans analizi ve ve Bonferroni düzeltmesi kullanılmıştır. Bulgular: Göğüs tüpü çıkarılmasından hemen sonra (T1), 10 dk sonra (T2) ve 1 saat sonra (T3) ölçülen GKÖ, DDP-GAAÖ, sistolik ve diyastolik kan basıncı, nabız ve solunum skorları, müdahale grubunda kontrol grubuna göre daha düşük bulunmuştur (p<0,05). Göğüs tüpü çıkarılması sırasında ve sonrasında analjezik kullanan hastaların sayısı müdahale grubunda daha düşüktü (p<0,05). Sonuç: SG uygulaması, göğüs tüpü çıkarılması sırasında ağrı ve anksiyete düzeylerini azaltmış ve temel yaşamsal bulguları iyileştirmiştir. Ayrıca SG, işlem sırasında ve sonrasında analjezi kullanımını azaltmıştır. Bu bağlamda, SG uygulamaları göğüs tüpü çıkarılması sırasında etkili bir dikkat dağıtma yöntemi olarak önerilebilir.

Anahtar Kelimeler: Sanal gerçeklik; göğüs tüpü; ağrı; anksiyete; hemşirelik
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