Department of Surgical Nursing, Faculty of Health Sciences, Bitlis Eren University, Bitlis.
Department of Medical Biology, Faculty of Medicine, Malatya Turgut Ozal University, Malatya, Turkey.
Surg Laparosc Endosc Percutan Tech. 2024 Jun 1;34(3):259-267. doi: 10.1097/SLE.0000000000001279.
This research was conducted to identify the effect of virtual reality and music on patients' pain, comfort, and vital signs after laparoscopic abdominal surgery.
This study was designed as a prospective randomized controlled single-blind clinical trial. The research population consisted of adult patients who underwent laparoscopic abdominal surgery in surgery clinics. The research sample comprised 225 patients who had laparoscopic abdominal surgery. Experimental groups watched virtual reality videos and listened to music, whereas no intervention was administered to the control group. The research data were evaluated with descriptive statistics, the χ 2 test, the Friedman test, the one-way analysis of variance, the Kruskal-Wallis test, and Tukey's and Dunn's post hoc tests.
In the post-test phase after the 2 interventions, the virtual reality and music groups had lower pain and comfort levels than the control group, and this intergroup difference was statistically significant ( P <0.05). Results for vital signs in successively repeated post-test measurements after interventions were in general different, and these differences were statistically significant. Patients in the virtual reality group generally had higher pulse rate, diastolic blood pressure, respiratory rate, and body temperature values in successively repeated post-test measurements than patients in other groups ( P <0.05). Patients in the control group generally had higher systolic blood pressure and saturation values in successively repeated post-test measurements than patients in other groups ( P <0.05).
It was discerned that music and the virtual reality practice reduced patients' pain and comfort levels and had positive effects on their vital signs after laparoscopic abdominal surgery.
本研究旨在确定虚拟现实和音乐对腹腔镜腹部手术后患者疼痛、舒适度和生命体征的影响。
本研究设计为前瞻性随机对照单盲临床试验。研究人群为在外科诊所接受腹腔镜腹部手术的成年患者。研究样本包括 225 名接受腹腔镜腹部手术的患者。实验组观看虚拟现实视频并听音乐,而对照组则不进行任何干预。使用描述性统计、χ²检验、Friedman 检验、单因素方差分析、Kruskal-Wallis 检验以及 Tukey 和 Dunn 事后检验评估研究数据。
在 2 种干预后的后测阶段,虚拟现实和音乐组的疼痛和舒适度水平低于对照组,且组间差异具有统计学意义(P<0.05)。干预后连续重复后测测量的生命体征结果总体上不同,且这些差异具有统计学意义。与其他组相比,虚拟现实组患者在连续重复的后测测量中通常具有更高的脉搏率、舒张压、呼吸率和体温值(P<0.05)。与其他组相比,对照组患者在连续重复的后测测量中通常具有更高的收缩压和饱和度值(P<0.05)。
音乐和虚拟现实实践可减轻腹腔镜腹部手术后患者的疼痛和舒适度水平,并对其生命体征产生积极影响。