Effect of Virtual Reality Environment Created in Preoperative Area and Hand Massage on Patient Outcomes

Effect of Virtual Reality Environment Created in Preoperative Area and Hand Massage on Patient Outcomes

The aim of this study is to investigate the effects of video watching with virtual reality glasses and classical hand massage on patient outcomes in patients undergoing elective surgery. In addition, it's examined that if virtual reality glasses and hand massage execution is convenient way of to reduce anxiety in patients before surgery.

The main questions it aims to answer are:

• Is there a significant difference between the study groups in terms of post-application anxiety level?
• Is there a significant difference between the study groups in terms of post-application vital signs, pain and patient satisfaction? Researchers will compare responses to anxiety scales before and after the hand massage and virtual reality videos to see if they reduce anxiety levels.

Participants will:

• In the virtual reality group, they will answer the questions on the surgical anxiety scale, watch the video with VR glasses and answer the questions on the scale again.
• In the massage group, they will answer the questions on the surgical anxiety scale, and after the researcher gives them a hand massage, they will answer the questions on the scale again.

Surgical Anxiety Scale: The scale was developed by Burton et al. in 2018 to assess preoperative anxiety levels. Each item of the 17-item scale is answered between 0 and 5 points. It consists of three sub-dimensions reflecting individuals' health status, recovery process, and anxiety about procedures. Health-related anxiety is calculated by adding the scores given to items 7, 8, 9, 10, 12, and 13; recovery-related anxiety is calculated by adding the scores given to items 2, 14, 16, and 17; and procedure-related anxiety is calculated by adding the scores given to items 1, 3, 4, and 5. The total score of the scale is calculated by adding the scores of all sub-dimensions and the scores of the three items not included in the sub-dimensions. A minimum of 0 and a maximum of 68 points can be obtained from the scale. Although there is no cut-off point for the scale, it can be said that surgical anxiety increases as the total score of the scale increases.

Inclusion Criteria:

• Patients who will undergo elective surgery and whose general condition is ASA (American Society of Anesthesiology) classification I, II or III
• Patients who are not sedated
• Patients over the age of 18
• Patients without a psychiatric or behavioral diagnosis
• Patients who do not have a communication barrier due to hearing loss or spoken language

Exclusion Criteria:

• Vertigo and motion sickness
• Carpal tunnel syndrome
• Hand cuts