Parlak Emine Arici, Ayhan Hatice, Erer İmren, Iyigun Emine
Gulhane Faculty of Nursing, University of Health Sciences Türkiye, Ankara, Turkey.
Department of Chest Diseases, Bozuyuk State Hospital, Ɓilecik, Turkey.
Nurse Educ Pract. 2025 May;85:104380. doi: 10.1016/j.nepr.2025.104380. Epub 2025 Apr 23.
This study is planned to examine the effect of a virtual reality-based operating room tour on nursing students' anxiety, stress and self-confidence levels experienced in the operating room setting.
It is important to know whether the impact of virtual reality-based applications on nursing students' anxiety and stress levels during clinical education.
A Randomized Controlled Trial METHOD: This study was conducted with 82 students. The students in the intervention group (n = 41) were given to experience the operating room environment through a virtual reality-based operating room tour following theoretical training. The students in the control group (n = 41) proceeded directly to clinical practice after the theoretical training. The data were collected after theoretical training, in the clinical simulation training laboratory and during clinical practice.
The mean state anxiety score of the students in the intervention group (39.02 SD 4.76) was found to be statistically significantly lower than that of the students in the control group (41.68 SD 5.72) (p = 0.025). When examining stress levels, the average score of the perceived stress scale subdimension related to ''Stress from the environment'' was lower in the intervention group (5.04 SD 2.09) compared with the control group (7.19 SD 3.43) (p = 0.001). Furthermore, the self-confidence level of the students in the intervention group in the operating room (7.93 SD 1.09) was found to be higher than that of the students in the control group (6.72 SD 1.20) (p < 0.001).
Before clinical practice, it was observed that the virtual reality-based operating room tour reduced students' stress and anxiety related to the environment, while also increasing their self-confidence levels.
本研究旨在探讨基于虚拟现实的手术室参观对护生在手术室环境中所体验到的焦虑、压力和自信心水平的影响。
了解基于虚拟现实的应用在临床教育期间对护生焦虑和压力水平的影响很重要。
随机对照试验
本研究共纳入82名学生。干预组（n = 41）的学生在理论培训后通过基于虚拟现实的手术室参观体验手术室环境。对照组（n = 41）的学生在理论培训后直接进入临床实习。在理论培训后、临床模拟训练实验室以及临床实习期间收集数据。
发现干预组学生的平均状态焦虑得分（39.02，标准差4.76）在统计学上显著低于对照组学生（41.68，标准差5.72）（p = 0.025）。在检查压力水平时，干预组与“环境压力”相关的感知压力量表子维度的平均得分（5.04，标准差2.09）低于对照组（7.19，标准差3.43）（p = 0.001）。此外，干预组学生在手术室中的自信心水平（7.93，标准差1.09）高于对照组学生（6.72，标准差1.20）（p < 0.001）。
在临床实习前，观察到基于虚拟现实的手术室参观降低了学生与环境相关的压力和焦虑，同时还提高了他们的自信心水平。
