Mersin Toros State Hospital, Mersin, Turkey.
Mersin University, Faculty of Nursing, Department of Fundamentals Nursing, Çiftlikköy Campus, 33169 Yenişehir/Mersin, Turkey.
Appl Nurs Res. 2024 Oct;79:151841. doi: 10.1016/j.apnr.2024.151841. Epub 2024 Aug 17.
To determine the effect of virtual reality glasses intervention on pain, vital signs, and patient satisfaction of hemodialysis patients undergoing AVF catheter puncture.
Randomized controlled study.
The study was conducted in 60 patients receiving dialysis treatment in the HD unit of a public hospital in Turkey. The data were collected via the "Patient Identification Form", "Visual Analog Scale/VAS" and "Hemodynamics Variables Inspection Form". The patients in the experiment group watched videos through the virtual reality glasses for totally 5 minutes in average, 2 minutes before the AVF cannulation process and 3 minutes during the process. No intervention was applied to the patients in the control group other than the normal nursing interventions in the HD unit.
In the intra-group comparisons, the 2nd and 3rd measurement average pain level scores of the patients with in the experimental group were determined to be statistically significantly lower compared to their 1st measurement (p < 0.05); the 3rd measurement average pain level scores of the control group were determined to be statistically significantly lower compared to their 1st and 2nd measurements (p < 0.05).
It was determined that the virtual reality glasses decreased the pain that emerges during the AVF cannulation process and increased the patient satisfaction level. It is suggested that the virtual reality glasses should be used by the nurses in the HD unit since it is easily applicable in coping with pain in the patients and since it is an invasive method.
确定虚拟现实眼镜干预对接受动静脉瘘管穿刺的血液透析患者疼痛、生命体征和患者满意度的影响。
随机对照研究。
该研究在土耳其一家公立医院的血液透析单元对 60 名接受透析治疗的患者进行。通过“患者识别表”、“视觉模拟评分/VAS”和“血液动力学变量检查表”收集数据。实验组的患者在动静脉瘘管插管过程前平均观看 5 分钟的虚拟现实眼镜视频，2 分钟，3 分钟。对照组患者除了在血液透析单元接受正常护理干预外，不进行任何干预。
在组内比较中，实验组患者的第 2 次和第 3 次测量平均疼痛水平得分被确定为与第 1 次测量相比具有统计学显著降低（p<0.05）；对照组患者的第 3 次测量平均疼痛水平得分被确定为与第 1 次和第 2 次测量相比具有统计学显著降低（p<0.05）。
虚拟现实眼镜可减轻动静脉瘘管插管过程中出现的疼痛，并提高患者满意度。建议血液透析单元的护士使用虚拟现实眼镜，因为它易于应用于缓解患者的疼痛，并且是一种侵入性方法。
