The Effect of Virtual Reality and Eye Mask During Dressing After CABG Surgery

Официальное название

The Effect of Virtual Reality and Eye Mask Application During Dressing After Coronary Artery Bypass Graft Surgery on Sternotomy Pain, Anxiety, and Physiological Parameters

Обзор

This study aims to evaluate the effects of virtual reality (VR) and eye mask (EM) applications on pain, anxiety, and physiological parameters during dressing after Coronary Artery Bypass Graft (CABG) surgery. Postoperative dressing procedures, especially after sternotomy, often cause significant pain and anxiety in patients. These issues can negatively impact recovery and increase the need for medication. Non-pharmacological interventions such as VR and EM may help reduce these symptoms. In this randomized controlled trial, 90 patients are divided into three groups: VR group, EM group, and a control group receiving standard care. Pain and anxiety levels are monitored baseline, immediately after, and 15 minutes after both the first and second dressing procedures. Physiological parameters are measured baseline, during, immediately after, and 15 minutes after both dressing procedures. Additionally, analgesic use is followed baseline and immediately after each dressing procedure. The study is conducted in a cardiovascular intensive care unit in Istanbul, Türkiye. It is expected that the findings will support the integration of VR and EM as effective, low-cost, and non-invasive options for postoperative care, improving patient comfort and healthcare quality.

Подробное описание

This randomized controlled experimental study investigates the effects of virtual reality (VR) and eye mask (EM) applications on sternotomy pain, anxiety, and physiological parameters during postoperative dressing following Coronary Artery Bypass Graft (CABG) surgery.Pain and anxiety during dressing procedures after CABG surgery can negatively affect the recovery process, increase stress responses, prolong hospital stays, and raise the need for medication. Non-pharmacological interventions such as VR and EM are considered effective strategies for managing these symptoms.

The study includes 90 patients, randomly assigned to one of three groups: VR Group: Patients watched 360-degree nature-themed videos using a virtual reality headset during dressing. EM Group: Patients wore an eye mask during dressing. Control Group: Patients received standard care without any additional intervention. The study is being conducted in the Cardiovascular Surgery Intensive Care Unit of a public hospital located in Istanbul, Türkiye.

Inclusion criteria include adult patients undergoing CABG for the first time, ASA classification I-II-III, fully conscious, oriented, cooperative, and willing to provide informed consent. Exclusion criteria include patients with infections or complications, psychiatric disorders, or sensory impairments such as hearing or vision problems. Pain and anxiety levels are assessed at three time points during both the first and second dressing procedures: baseline, immediately after dressing, and 15 minutes after dressing. Physiological parameters (blood pressure, pulse rate, respiratory rate, oxygen saturation) are measured at four time points: baseline, immediately after dressing, and 15 minutes after dressing. Analgesic use is recorded baseline and immediately after each dressing. This study is one of the first to compare VR and EM interventions in the context of high-risk, postoperative cardiac surgery. The results are expected to contribute to evidence-based nursing practices, improve patient comfort in the postoperative period, and support the use of cost-effective, drug-free alternatives for pain and anxiety management in clinical care.

Вмешательства

• Устройство Virtual Reality Headset
  During the dressing change, nature-themed videos will be shown through a virtual reality headset that immerses the user in a 360-degree, three-dimensional virtual environment.
• Устройство Eye Mask
  A soft, adjustable, 3D-structured eye mask (Poblex brand) will be applied during the dressing procedure.

Первичные конечные точки

• Visual Analog Scale (VAS) [Срок оценки: Baseline, immediately after, and 15 minutes after first and second dressing]
• State-Trait Anxiety Inventory (STAI-II) [Срок оценки: Baseline, immediately after, and 15 minutes after first and second dressing]

Вторичные конечные точки (4)

• Physiological Parameters (Blood pressure) [Срок оценки: Baseline, during, immediately after, and 15 minutes after first and second dressing]
• Physiological Parameters (Pulse) [Срок оценки: Baseline, during, immediately after, and 15 minutes after first and second dressing]
• Physiological Parameters (SpO₂) [Срок оценки: Baseline, during, immediately after, and 15 minutes after first and second dressing]
• Physiological Parameters (Respiratory rate ) [Срок оценки: Baseline, during, immediately after, and 15 minutes after first and second dressing]

Критерии участия

Критерии включения

• Adults aged 18-65 years
• First-time coronary artery bypass graft (CABG) surgery for coronary artery disease
• ASA physical status I, II, or III
• Conscious, oriented, and cooperative
• Able to communicate verbally
• Provided written informed consent

Критерии исключения

• Presence of sternal wound infection or inflammation
• Intubated at the time of assessment
• Undergoing revision surgery
• Receiving anesthesia or sedation in the ICU
• Experiencing intraoperative or postoperative complications
• Inability to speak Turkish
• Hearing or visual impairment
• Diagnosed psychiatric or cognitive disorder
• Diagnosis of epilepsy
• Body mass index (BMI) ≥ 30
• Participation in another clinical trial during the same period

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Поддерживающая терапия

Центры проведения

Turkey (Türkiye) · 1 центр

• Prof. Dr. Cemil Taşçıoğlu City Hospital — Istanbul

Идентификаторы

NCT: NCT07039812 · CABG-15

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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