Effects of Virtual Reality and Nature Sounds on Pain and Anxiety During Hysterosalpingography
Condition: Women's Health
Study type: Interventional

Summary: 
      The aim of this study is to demonstrate the effects of virtual reality and nature sounds on
      pain and anxiety during hysterosalpingography.
    

Detailed description: 
      Infertility treatment is a stressful and anxious process that begins when couples are
      diagnosed with infertility. Although this process may seem like a simple medical
      intervention, the treatment stages affect the couple in many ways when it is deepened.
      Infertility treatment is a process that requires the active participation of couples against
      emotional and physical difficulties. The treatment process is a period in which couples
      should be in constant communication with healthcare professionals, as well as intensive
      routine and surgical procedures.In this process, medical and surgical treatment methods are
      used. In the literature, it is stated that 85-90% of the problems that cause infertility are
      solved with medical and surgical treatment. In the evaluation of infertile couples,
      hysterosalpingography (HSG) is a invasive radiologic procedure to visualize uterine cavity
      and tubes after contrast enhancement. HSG plays an important diagnostic role in finding the
      cause of infertility and in deciding the line of management.The aim of this study is to
      demonstrate the effects of virtual reality and nature sounds on pain and anxiety during
      hysterosalpingography. This randomized controlled study will conduct at Ondokuz Mayıs
      University Training and Research Hospital, Obstetrics and Gynecology polyclinic between
      February 2022 and August 2022. Volunteer women undergoing HSG as part of infertility
      evaluation will be includ. Participants will randomly assigned to the Virtual Reality and
      nature sounds intervention, nature sounds intervention or the control group using a
      computer-generated list. A data collection form including socio-demographic and obstetric
      characteristics such as age, educational status, place to live, duration of infertility,
      previous pregnancies, births, abortion/curettage numbers, Spielberger State Anxiety Scale and
      Visual Analog Scale for pain and Visual Analog Scales for satisfaction will use for each
      patient. After obtaining written informed consent, the data collection form, Spielberger
      State Anxiety Scale and VAS pain scoring scale will be applied to both groups by face to face
      interview during the day giving appointment for HSG. Immediately after the questionnaires
      were applied, the nurse gave virtual reality glasses and headphone to intervention group for
      before HSG and while HSG totally 30 minutes. The nurse gave to nature sounds intervention
      group headphone. After the groups will formed, a nature-based sound will listen to the women
      in the nature sounds group before and during the HSG procedure. Listening to nature-based
      sound will perform for a total of 15 minutes half an hour before the HSG procedure, and for
      15 minutes during the procedure, for a total of 30 minutes. Participants in the control group
      received standard care (verbal information about procedure and a short written information
      about the procedure) and no intervention (nature sounds or virtual reality) will perform.The
      IBM SPSS (Statistical package for the Social Sciences) 23.0 package program will use to
      evaluate the data obtained in the study.
    

Intervention name(s): Virtual Reality and nature sounds; nature sounds
Intervention type(s): Device; Other
Intervention description(s): After obtaining informed consent, the data collection form, Spielberger State Anxiety Scale and VAS scoring scale for pain were applied to both groups by face to face interview during the day giving appointment for HSG. Before and during the HSG shooting, the virtual reality and nature sounds application group watched a video with a nature view with virtual reality glasses and listening nature sounds.
Glasses were introduced before the procedure. Before the procedure started, glasses were put on and training was given to continue watching the video by wearing glasses during the procedure.
The women include in the virtual reality and nature sounds application group will make to watch a video with a nature view with nature sounds for 15 minutes before and during the HSG procedure.
Each woman was shown the same video.; After obtaining informed consent, the data collection form, Spielberger State Anxiety Scale and VAS scoring scale for pain were applied to both groups by face to face interview during the day giving appointment for HSG. Before the procedure started, glasses will put on and training was given to continue. After the groups were formed, a nature-based sound was played to the women in the nature sounds group before and during the HSG shooting.
Listening to nature-based sound will perform for a total of 15 minutes half an hour before the HSG procedure, and for 15 minutes during the procedure, for a total of 30 minutes.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: This randomized controlled study was conducted at Ondokuz Mayis University Training and Research Hospital, Obstetrics and Gynecology polyclinic between February 2022 and August 2022. The CONSORT (Consolidated Standards of Reporting Trials) guidelines for reporting randomised controlled trials (RCTs) has been used to describe the methods.
Masking: None (Open Label)
Primary purpose: Supportive Care