The Effect of Virtual Reality Glasse on Pain and Anxiety During Episiotomy Repair
Condition: Anxiety; Pain; Episiotomy Wound; Midwifery
MeSH terms: Anxiety Disorders
Study type: Interventional

Summary: 
      Episiotomy is one of the common surgical operations that can cause anxiety in women and have
      side effects such as pain. Nerve blockades with analgesic effects such as lidocaine used
      during episiotomy repair or the use of tranquilizers and sleep-inducing drugs used to reduce
      anxiety during this procedure may have side effects. Nowadays, the trends towards non-medical
      methods (virtual reality glasses, praying, distraction, music therapy) in addition to medical
      methods during episiotomy repair are increasing due to the inevitable nature of these methods
      and the absence of side effects. In the study, it is stated that women will prefer
      non-medical methods (such as distraction or prayer) to alleviate pain or anxiety. It is
      important for midwives to have knowledge about these alternative methods (music therapy,
      virtual reality glasses, distraction, massage, acupressure, praying) to reduce the pain and
      anxiety that occurs during episiotomy repair. A new technology, virtual reality (VR), helps
      users connect to an environment that simulates reality, reducing pain by distracting them
      from the real world through computers or other devices. Although initially considered a
      technology only for the entertainment industry, its field of application has grown over the
      past decade to include various clinical areas such as pain management, physical
      rehabilitation, and psychiatric disorders. VR is suitable for clinical use and is a
      non-invasive and drug-free analgesic method. Its use in obstetrics is very new. Virtual
      reality glasses are recognized as a safe, inexpensive and effective non-pharmacological
      anxiolytic agent that allows for the reduction of regular pharmacological sedative doses due
      to their effect on anxiety and pain perception. Skin-to-skin contact is defined by the World
      Health Organization as the basic component of postnatal care. Skin-to-skin contact helps to
      reduce the pain felt during episiotomy repair in the mother and in the postpartum period.
      This research was planned to determine the effect of virtual reality glasses on pain and
      anxiety during episiotomy repair.
    

Detailed description: 
      Episiotomy is one of the common surgical operations that can cause anxiety in women and have
      side effects such as pain. Nerve blockades with analgesic effect such as lidocoin used during
      episiomy repair or the use of tranquilizers and sleep-inducing drugs used to reduce anxiety
      during this procedure may have side effects.This research was planned to determine the effect
      of virtual reality glasses and skin-to-skin contact application on pain and anxiety during
      episiotomy repair.This study is A prospective, double-blinded randomized controlled trial.
      Participants will randomized into VR, skin to contact, and control groups.Participants will
      be consisted of women over 20 years of age, 37-42. to be in the week of pregnancy, Singular
      pregnancy, being primiparous, Mediolateral episiotomy, Having a planned vaginal birth, Having
      a vertex presentation, Newborn APGAR score of 7 and above, Newborn weighing between 2-4 kg.
      In the selection of participants who meet the research criteria for the study, an
      introductory information form created by the researchers in the light of the literature will
      be used. Later, each method (VR,skin to contact and control group) will be evaluated for
      Visual Analog scale (VAS), State-Trait Anxiety Inventory (STAI).
    

Intervention name(s): VR group; Skin to skin group
Intervention type(s): Other; Other
Intervention description(s): Women in this group will wear virtual reality glasses (15-20 minutes) until the episiotomy repair begins and ends. At the same time, the hospital protocol will be applied to this group.
Before episiotomy repair, each woman is given superficial perineal anesthesia with a 4 ml ampoule of Jetocaine (ADEKA®, lidocaine HCl 40 mg/2 mL, epinephrine 0.025 mg/2 mL). This dose is repeated if necessary.; For women in this group, a warm sterile operating room towel will be placed on the newborn until the episiotomy repair begins and ends, so that her naked body remains on the mother's chest.At the same time, the hospital protocol will be applied to this group.
Before episiotomy repair, each woman is given superficial perineal anesthesia with a 4 ml ampoule of Jetocaine (ADEKA®, lidocaine HCl 40 mg/2 mL, epinephrine 0.025 mg/2 mL). This dose is repeated if necessary.
Other intervention name(s): VR (virtual reality glasse) group; Skin to contact group
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Randomized controlled clinical trial
Masking: Triple (Participant, Care Provider, Outcomes Assessor)
Primary purpose: Supportive Care
Keywords: anxiety; pain; Episiotomy; Episiotomy wound; skin to contact; Midwifery