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This study aims to compare the effects of the Theory of Human Caring based short-term mindfulness meditation and virtual reality on patients scheduled for laparoscopic cholecystectomy.
Anxiety, fear and sleep disorders are frequently encountered conditions in preoperative patient evaluation. Common postoperative problems include pain, sleep disturbances, nausea and vomiting. When these problems are not dealt with effectively, patient comfort and satisfaction are adversely affected, recovery time after surgery and total hospital stay are prolonged, and the time allocated to nursing care increases. Today, it has gained great importance to try to manage these problems with pharmacological and non-pharmacological evidence-based approaches. In particular, nurses need to identify possible problems in both preoperative patient evaluation and postoperative patient follow-up and produce solutions for them. Although it is stated in studies that using easy, effective and safe non-invasive methods such as meditation and virtual reality can reduce the possibility of complications, increase the comfort level of patients, improve the quality of post-surgical recovery, and thus make the surgical process successful, there is no evidence to defend its effectiveness more clearly. more based studies are needed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Mindfulness Meditation Group | Experimental | Mindfulness meditation will be applied to the patients in the Mindfulness Meditation Group for 15 minutes in the preoperative period, in both evening and morning. |
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| Virtual Reality Group | Experimental | Virtual reality will be experienced to the patients in the Virtual Reality Group for 15 minutes in the preoperative period, in both evening and morning. |
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| Control Group | No Intervention | The patients in the Control Group will not undergo any intervention in the preoperative period and will receive the routine nursing care of the clinic. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mindfulness Meditation | Behavioral | A 15-minute mindfulness meditation will be conducted by the meditation instructor researcher. |
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| Measure | Description | Time Frame |
|---|---|---|
| Mindfulness meditation practice provides a positive change in surgical fear in laparoscopic cholecystectomy patients. | In order to evaluate surgical fear, the Surgical Fear Scale will be applied twice, before and after the mindfulness meditation practice, in the preoperative period. | the evening before and the morning of the surgery |
| Mindfulness meditation practice provides a positive change in sleep quality in laparoscopic cholecystectomy patients. | In order to evaluate sleep quality, the Richard Campbell Sleep Questionnaire will be applied in the preoperative period, in the morning of the surgery and in the postoperative period, in the morning after the surgery. | in the preoperative period, in the morning of the surgery and in the postoperative period, in the morning after the surgery |
| Mindfulness meditation practice provides a positive change in nausea in laparoscopic cholecystectomy patients. | In order to evaluate nausea, the Numerical Rating Scale will be applied five times in the postoperative period at the 0th, 2nd, 6th, 12th, and 24th hours after the surgery. | at postoperative 0th, 2nd, 6th, 12th and 24th hours |
| Mindfulness meditation practice provides a positive change in pain in laparoscopic cholecystectomy patients. | In order to evaluate the pain, the Numerical Rating Scale will be applied five times in the postoperative period at the 0th, 2nd, 6th, 12th, and 24th hours after the surgery. | at postoperative 0th, 2nd, 6th, 12th and 24th hours |
| Mindfulness meditation practice provides a positive change on the quality of recovery in laparoscopic cholecystectomy patients. | In order to evaluate the recovery quality, the Quality of Recovery-15T Questionnaire will be applied in the preoperative period and in the postoperative period. |
| Measure | Description | Time Frame |
|---|---|---|
| Mindfulness meditation and virtual reality applications have positive effects on vital signs. | twice in the preoperative period and five times in the postoperative period | |
| Mindfulness meditation and virtual reality applications have positive effects on blood glucose regulation. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Erzincan Binali Yildirim University - Mengücek Gazi Education and Research Hospital | Erzincan | Erzincan | 24030 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D005705 | Gallbladder Diseases |
| ID | Term |
|---|---|
| D001660 | Biliary Tract Diseases |
| D004066 | Digestive System Diseases |
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| ID | Term |
|---|---|
| D064866 | Mindfulness |
| ID | Term |
|---|---|
| D015928 | Cognitive Behavioral Therapy |
| D001521 | Behavior Therapy |
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |
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Two different interventions (mindfulness meditation and virtual reality) will be applied to two different experimental groups before surgery. The control group has no intervention.
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| Virtual Reality | Behavioral | A 10-minute virtual reality experience will be provided by using virtual reality glasses. |
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| in the preoperative period, evening before surgery and in the postoperative period, morning after surgery |
| Mindfulness meditation practice provides a positive change on patient satisfaction in laparoscopic cholecystectomy patients. | In order to evaluate patient satisfaction, Watson Caritas Patient Score will be applied once in the postoperative period. | at 24 hours after surgery |
| Virtual reality practice provides a positive change in surgical fear in laparoscopic cholecystectomy patients. | In order to evaluate surgical fear, the Surgical Fear Scale will be applied twice, before and after the virtual reality practice, in the preoperative period. | the evening before and the morning of the surgery |
| Virtual reality practice provides a positive change in sleep quality in laparoscopic cholecystectomy patients. | In order to evaluate sleep quality, the Richard Campbell Sleep Questionnaire will be applied in the preoperative period, in the morning of the surgery and in the postoperative period, in the morning after the surgery. | in the preoperative period, in the morning of the surgery and in the postoperative period, in the morning after the surgery |
| Virtual reality practice provides a positive change in nausea in laparoscopic cholecystectomy patients. | In order to evaluate nausea, the Numerical Rating Scale will be applied five times in the postoperative period at the 0th, 2nd, 6th, 12th, and 24th hours after the surgery. | at postoperative 0th, 2nd, 6th, 12th and 24th hours |
| Virtual reality practice provides a positive change in pain in laparoscopic cholecystectomy patients. | In order to evaluate pain, the Numerical Rating Scale will be applied five times in the postoperative period at the 0th, 2nd, 6th, 12th, and 24th hours after the surgery. | at postoperative 0th, 2nd, 6th, 12th and 24th hours |
| Virtual reality practice provides a positive change on the quality of recovery in laparoscopic cholecystectomy patients. | In order to evaluate the recovery quality, the Quality of Recovery-15T Questionnaire will be applied in the preoperative period and in the postoperative period. | in the preoperative period, evening before surgery and in the postoperative period, morning after surgery |
| Virtual reality practice provides a positive change on patient satisfaction in laparoscopic cholecystectomy patients. | In order to evaluate patient satisfaction, Watson Caritas Patient Score will be applied once in the postoperative period. | at 24 hours after surgery |
| in the preoperative period, morning before surgery and in the postoperative period, morning after surgery |