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This research was carried out to evaluate the effect of video and accompanying music played with virtual reality glasses during episiotomy repair on women's perceived pain, vital signs and postpartum comfort during episiotomy repair.
This research is a randomized controlled experimental study. The study was conducted on 84 pregnant women, 40 of whom were in the intervention group and 44 were in the control group.
The goals expected to be achieved during the research are; Reducing the perceived pain during episiotomy repair with video and accompanying music played with virtual reality glasses during episiotomy repair Video and accompanying music watched with virtual reality glasses during episiotomy repair increase postpartum comfort The positive effect of video and accompanying music on vital signs during episiotomy repair with virtual reality glasses
Workgroup implementation steps Informed Voluntary Consent Form and Pregnancy Introductory Form (the first 8 questions of the pregnant introductory information - labor and episiotomy follow-up form) will be filled in by the researcher, to the pregnant women who were randomized daily to the study and control group by going to the clinic during the research. During the repair of mediolateral episiotomy, the pregnant women included in the study group will be shown the video accompanying the acemaşîrân makam with sterile virtual reality glasses with a view of nature. In the literature, it is stated that the video watched with the acemaşîrân makam and virtual reality glasses reduces pain [6, 7, 21] After the internet connection is established with a smart phone, the video to be clicked on youtube.com will be clicked, Relaxation Project 1 (SBS VR) video and Acemaşiran Ayini Şerifi Ney-Bendir will be selected for the sound, and video and music will be played with virtual reality glasses by pressing the play button[22, 23] Sound and image will be adjusted as the pregnant woman wants. During the study, all pregnant women included in the study will be given the same care and follow-up, apart from watching the video. The video containing nature scenes prepared by the researcher and the acemaşîrân maqam will be watched from the moment the episiotomy is opened to the time when the episiotomy is closed. Numerical pain assessment scale will be applied before, during (during hymen suturing) and 1 hour after the end of mediolateral episiotomy repair. Postpartum comfort scale 4-24th postpartum. The vital signs of the pregnant women in the study group will be recorded by the researcher before and during episiotomy repair (during hymen suturing) and 1 hour after the end of mediolateral episiotomy repair. In episiotomy repair, the time from the first suture to the last column will be recorded. The pregnant woman will be asked how long she perceives the duration of episiotomy.
Control group application steps Unlike the experimental group, only video and music applications will not be applied to the pregnant women included in the control group. Other applications will be made in the same way.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Workgroup | Experimental | During the repair of the mediolateral episiotomy, the pregnant women included in the study group will be shown a video accompanying the acemaşîrân office with sterile virtual reality glasses with a view of nature. |
|
| Control | No Intervention | Unlike the experimental group, only video and music applications will not be applied to the pregnant women included in the control group. Other applications will be done in the same way. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| During Episiotomy Repair, Women Will Be Watching Virtual Reality Glasses Accompanied by Music | Other | Unlike the experimental group, only video and music application will not be applied to the pregnant women included in the control group. Other applications will be done exactly. |
| Measure | Description | Time Frame |
|---|---|---|
| Numerical Pain Rating Scale | In the numerical evaluation scale, pain ranges from 0 (absence of pain) to 10 (unbearable pain). | before the episiotomy intervention, |
| Numerical Pain Rating Scale | In the numerical evaluation scale, pain ranges from 0 (absence of pain) to 10 (unbearable pain). | during the hymen suturing during the episiotomy, |
| Numerical Pain Rating Scale | In the numerical evaluation scale, pain ranges from 0 (absence of pain) to 10 (unbearable pain). | one hour after the intervention. |
| Postpartum Comfort Scale | The lowest score to be taken on the scale is 34, and the highest score is 170. | after 24 hours |
| Systolic Blood Pressure | mmHg; | before the episiotomy intervention, |
| diastolic Blood Pressure | mmHg; | before the episiotomy intervention, |
| Systolic Blood Pressure | mmHg; | during the hymen suturing during the episiotomy, |
| diastolic Blood Pressure | mmHg; | during the hymen suturing during the episiotomy, n |
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Inclusion Criteria:
primipary
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| Name | Affiliation | Role |
|---|---|---|
| mine gökduman keleş, 1 | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Adnan Menderes University Institute of Health Sciences ile | Aydin | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40082095 | Derived | Gokduman Keles M, Altinkaya SO. The Effect of Virtual Reality Accompanied by Music on Women's Perceived Pain, Postpartum Comfort During Episiotomy Repair: A Randomized Controlled Trial. Pain Manag Nurs. 2025 Aug;26(4):e398-e404. doi: 10.1016/j.pmn.2025.02.004. Epub 2025 Mar 12. |
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| ID | Term |
|---|---|
| D010146 | Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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This research is a randomized controlled experimental study.
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episiotomy application and intervention was done by midwives
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| Systolic Blood Pressure | mmHg; | one hour after the intervention |
| diastolic Blood Pressure | mmHg; | one hour after the intervention |
| pulse, | minute; | before the episiotomy intervention, during the hymen suturing during the episiotomy, and one hour after the intervention |
| espiratory rate | unit | before the episiotomy intervention, |
| espiratory rate | unit | during the hymen suturing during the episiotomy, |
| espiratory rate | unit | one hour after the intervention |