VR Effects After Hip Replacement Surgery Pain

Официальное название

The Effect of Virtual Reality on Pain, Anxiety, and Comfort Levels After Total Hip Replacement Surgery

Обзор

Total Hip Arthroplasty (THA), a procedure performed to enhance the quality of life, is accompanied by postoperative challenges such as pain and anxiety that adversely affect patient comfort. Inadequate management of these complications can prolong the length of hospital stay, delay recovery, lead to functional impairments, and elevate the risk of chronic pain development. Conventional pharmacological interventions employed for management are limited due to their potential for adverse effects and dependency. Virtual reality (VR) is a non-pharmacological distraction technique utilized in the healthcare sector, leveraging advanced technology to maximize patient comfort by alleviating pain and minimizing anxiety. A review of the literature reveals that while the use of VR has positive effects on pain and anxiety, there is a notable scarcity of high-quality randomized controlled trials concurrently evaluating its impact on pain, anxiety, and comfort levels in postoperative orthopedic procedures such as THA. In this randomized controlled trial, participants in the control group will receive standard care, whereas those in the experimental group will receive a 30-minute VR intervention-offering three distinct options-in addition to standard care during the acute phase of the first 48 hours. Postoperative assessments will be conducted using the Visual Analogue Scale (VAS) for pain intensity, the State Anxiety Inventory for anxiety levels, and the Perianesthesia Comfort Scale for comfort levels. By evaluating the potential of VR as a non-pharmacological adjuvant in post-THA care, the findings of this study will provide significant contributions to evidence-based nursing practices aimed at developing multimodal pain management strategies, reducing opioid consumption, and enhancing patient satisfaction.

Вмешательства

• Поведенческое cognitive intervention
  The patient undergoing the virtual reality session will lie in a supine position, supported and comfortable, with the head elevated at an angle of 30˚-45˚. The content will feature nature sounds and soothing background music; three different segments will be programmed: a forest or beach landscape, an underwater scene, and an outdoor excursion. Each option consists of 30 minutes of footage. The patient will select their preferred footage from these options, and after the sound settings are adjus

Первичные конечные точки

• Evaluation of Pain in Patients After Total Hip Arthroplasty Surgery [Срок оценки: The first 24 hours after surgery, 25-48 hours after surgery]
• Evaluation of Anxiety in Patients After Total Hip Arthroplasty Surgery [Срок оценки: The first 24 hours after surgery, 25-48 hours after surgery]
• Evaluation of Comfort Levels in Patients After Total Hip Arthroplasty Surgery [Срок оценки: The first 24 hours after surgery, 25-48 hours after surgery]

Критерии участия

Критерии включения

• Patients scheduled for elective surgery who agree to participate in the study,
• Individuals 18 years of age or older,
• Those with adequate cognitive function,
• Those who have not previously undergone total hip replacement surgery,
• Those who volunteer to participate in the study and sign the informed consent form,
• Patients with a pain score (on a scale of 1 to 10) of 4 or higher were included in the study.

Критерии исключения

• Individuals under the age of 18,
• Those previously diagnosed with a chronic pain syndrome (other than hip osteoarthritis),
• Individuals with impaired cognitive function (severe psychiatric disorders),
• Individuals who have previously undergone total hip replacement surgery,
• Individuals with severe hearing or visual impairments,
• Individuals with a history of opioid dependence,
• Patients with a pain score (on a scale of 1 to 10) of 4 or lower were excluded from the study.

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

• Malatya Turgut Özal University — Malatya

Идентификаторы

NCT: NCT07689461 · VR-THA-2026

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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