Seçer Hale, Yayla Ayşegül
Department of Surgical Nursing, Erzurum Research Hospital, Erzurum, Turkey.
Department of Surgical Nursing, Faculty of Nursing, Atatürk University, Erzurum, Turkey.
Complement Ther Clin Pract. 2025 Feb;58:101931. doi: 10.1016/j.ctcp.2024.101931. Epub 2024 Nov 8.
The purpose of the current study is to determine the effects of virtual reality on pain, anxiety, and comfort during chest tube removal.
The research was conducted in the Cardiovascular Surgery Department of Atatürk University Health Practice and Research Hospital between January 2023 and April 2024. The study was performed as a randomized controlled experimental trial with a pretest-posttest control group. Eighty-two patients (41 in the intervention group and 41 in the control group) were included in the research. Patients in the intervention group watched a video with virtual reality glasses during chest tube removal. The "Descriptive Information Form," "Visual Analog Scale," "Verbal Pain Scale," "State Anxiety Inventory," and "Comfort Scale" were used to collect data. Number, percentage, mean, standard deviation, chi-square, paired sample t-test, independent sample t-test, Mann-Whitney U test, Wilcoxon test, and linear regression analysis were used in data evaluation. Our study was recorded in the Clinical Trials database with protocol number "NCT06550323."
The groups had similar descriptive characteristics (p > 0.05). The pre-procedural mean pain, anxiety, and comfort scores were similar in the two groups (p > 0.05). The post-procedural mean VAS and verbal pain scores, mean anxiety, and comfort scores of the intervention group were lower in comparison with the control group (p < 0.05).
The research findings showed that virtual reality significantly reduced pain and anxiety while increasing comfort levels during chest tube removal. Therefore, it is recommended that virtual reality be used during chest tube removal.
本研究旨在确定虚拟现实对胸腔引流管拔除过程中的疼痛、焦虑和舒适度的影响。
本研究于2023年1月至2024年4月在阿塔图尔克大学健康实践与研究医院心血管外科进行。该研究作为一项随机对照实验性试验，采用前测-后测对照组设计。82例患者（干预组41例，对照组41例）纳入研究。干预组患者在胸腔引流管拔除过程中佩戴虚拟现实眼镜观看视频。使用“描述性信息表”“视觉模拟量表”“言语疼痛量表”“状态焦虑量表”和“舒适度量表”收集数据。数据评估采用数字、百分比、均值、标准差、卡方检验、配对样本t检验、独立样本t检验、曼-惠特尼U检验、威尔科克森检验和线性回归分析。本研究已在临床试验数据库中注册，注册号为“NCT06550323”。
两组的描述性特征相似（p>0.05）。两组术前的平均疼痛、焦虑和舒适度评分相似（p>0.05）。与对照组相比，干预组术后的平均视觉模拟量表和言语疼痛评分、平均焦虑和舒适度评分更低（p<0.05）。
研究结果表明，虚拟现实在胸腔引流管拔除过程中显著减轻了疼痛和焦虑，同时提高了舒适度。因此，建议在胸腔引流管拔除过程中使用虚拟现实技术。
