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| Name | Class |
|---|---|
| Ataturk University | OTHER |
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In this study, the effect of virtual reality application used during upper gastrointestinal endoscopy on pain, anxiety and vital signs will be investigated. The research will be conducted as a mixed methods research including quantitative and qualitative methods. The exploratory sequence mixed design model, one of the mixed method designs, will be used in the research.
Objective: In this study, the effect of virtual reality application used during upper gastrointestinal endoscopy on pain, anxiety and vital signs will be investigated. The research will be conducted as a mixed methods research including quantitative and qualitative methods. The exploratory sequence mixed design model, one of the mixed method designs, will be used in the research.
The research was carried out in the endoscopy unit of a university hospital in Van between November 2022 and March 2023. This research, in which an exploratory sequential mixed design was used, consists of two stages. In the research, the quantitative phase, in which a pretest-posttest design, randomized controlled, experimental method was used, was completed with 75 patients, and the qualitative phase, in which the phenomenological/phenomenological design was used, was completed with 19 patients. Patient introduction form, state anxiety scale, pain visual comparison scale, patient follow-up form and semi-structured interview form were used to collect data. IBM SPSS V23 program (quantitative) and inductive qualitative content analysis (qualitative) were used to analyze the data.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention/treatment | Experimental |
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| Control group | No Intervention |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Experimental group | Other | In recent years, virtual reality has been widely used as a distraction practice in clinical medical care to relieve pain. Virtual reality is a method of viewing computer images to isolate the individual from real life for a while. Virtual reality glasses, consisting of a head-mounted display and glasses connected to a mobile phone, is a computer technology that creates a 3D environment. The virtual reality application, which was originally designed for entertainment purposes, started to be used in the medical field to reduce pain during invasive procedures in parallel with the developments in computer technologies. It is preferred in clinical practice as an easily accessible, non-invasive and inexpensive method. |
| Measure | Description | Time Frame |
|---|---|---|
| Anxiety state before endoscopy | The statements in the state anxiety scale were answered as "not at all", "a little", "a lot" and "totally" according to the feelings of the person. A total score of 20-80 is obtained from the scale. A low score indicates a low level of anxiety, and a high one indicates a high level of anxiety. The score obtained from the scale, on the other hand, indicates mild anxiety between 20-39, moderate anxiety between 40-59 and severe anxiety between 60-80. | Anxiety state reported within the first 10 minutes before the endoscopy procedure |
| Pain intensity before endoscopy | Pain severity assessment with Visual Assessment Scale (VAS) Score: 0-10; 0- No Pain, 10- Worst Pain | Pain intensity reported within the first 5 minutes prior to the endoscopy procedure |
| Heart rate before the endoscopy procedure | 60 to 100 beats per minute is normal. | Just before the endoscopy procedure |
| Blood pressure before the endoscopy procedure | 90/60 mm Hg to 120/80 mm/Hg is normal. | Just before the endoscopy procedure |
| Respiration rate before the endoscopy procedure | 12 to 20 breaths per minute is normal. | Just before the endoscopy procedure |
| Body temperature before the endoscopy procedure | Normal Body temperature; 36 to 37-5 degrees is normal. | Just before the endoscopy procedure |
| Oxygen saturation (SpO2) before the endoscopy procedure |
| Measure | Description | Time Frame |
|---|---|---|
| Patient opinions on endoscopy | General thoughts of the patient about endoscopy | Two hours after endoscopy |
| Patient opinions on virtual reality glasses and its application | General thoughts of the patient about the use of virtual reality glasses during endoscopy |
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Criteria:
Inclusion criteria:
Inclusion criteria for the quantitative study;
Qualitative research inclusion criteria;
Exclusion Criteria:
Exclusion criteria from quantitative section research;
Exclusion criteria from qualitative departmental research;
• Those in the control group
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| Name | Affiliation | Role |
|---|---|---|
| GÜLAY İPEK ÇOBAN, Prof.Dr. | Ataturk University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Van Yüzüncü Yıl University, Faculty of Health Sciences, Department of Nursing, Van, Turkey | Van | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D010146 | Pain |
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001523 | Mental Disorders |
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The Effect of Virtual Reality Application Used During Endoscopy on Pain, Anxiety and Vital Signs: A Mixed Methods Study
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Normal oxygen saturation usually ranges from 95% to 100%. |
| Just before the endoscopy procedure |
| Oxygen saturation (SpO2) after endoscopy procedure | Normal oxygen saturation usually ranges from 95% to 100%. | within first 5 minutes after endoscopy procedure |
| Body temperature after endoscopy procedure | Normal Body temperature; 36 to 37-5 degrees is normal. | within first 5 minutes after endoscopy procedure |
| Respiration rate after endoscopy procedure | 12 to 20 breaths per minute is normal. | Respiratory rate/minute reported in the first 5 minutes after the endoscopy procedure |
| Blood pressure after the endoscopy procedure | 90/60 mm Hg to 120/80 mm/Hg is normal. | within first 5 minutes after the endoscopy procedure |
| Heart rate after the endoscopy procedure | 60 to 100 beats per minute is normal. | Heart rate per minute reported in the first 5 minutes after the endoscopy procedure |
| Post-endoscopy pain | Pain severity assessment with Visual Assessment Scale (VAS) Score: 0-10; 0- No Pain, 10- Worst Pain | Pain severity reported in the first 5 minutes after the endoscopy procedure |
| Post-endoscopy anxiety state | The statements in the state anxiety scale were answered as "not at all", "a little", "a lot" and "totally" according to the feelings of the person. A total score of 20-80 is obtained from the scale. A low score indicates a low level of anxiety, and a high one indicates a high level of anxiety. The score obtained from the scale, on the other hand, indicates mild anxiety between 20-39, moderate anxiety between 40-59 and severe anxiety between 60-80. | Anxiety state reported within the first 10 minutes after the endoscopy procedure |
| Two hours after endoscopy |
| Patient opinions on the effect of virtual reality application on pain | Patient opinions on the effect of virtual reality application on pain | Two hours after endoscopy |
| Patient opinions on the effect of virtual reality application on anxiety | Patient opinions on the effect of virtual reality application on anxiety | Two hours after endoscopy |