Effect of Virtual Reality Glasses Use During Episiotomy Repair Related

Study Overview
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Brief Summary
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H1-1: Watching video with virtual reality glasses during episiotomy repair reduces the level of pain. H1-2 Watching video with virtual reality glasses during episiotomy repair reduces the level of anxiety. H1-3: Watching video with virtual reality glasses during episiotomy repair increases the level of satisfaction.

Official Title
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The Effect Of Watchıng Vıdeo Wıth Vırtual Realıty Glasses On Paın, Anxıety And Satısfactıon Durıng Epızıotomy Repaır

Conditions
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Midwifery, Labor Delivery

Intervention / Treatment
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* Other: virtual reality glasses


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 18 years and over, Able to speak Turkish and express himself in Turkish, There is no visual or hearing impairment, Being open to communication, spiritually and mentally healthy, 37- 42 weeks of gestation Single pregnancy, Primiparity, Vaginal delivery, Vertexpresentation Media lateral episiotomy, Uncomplicated newborn Newborns between 2500 and 4000 g. Those with episiotomy between 4-8 cm Exclusion Criteria: Presence of obstetric or non-obstetric complications, Presence of bleeding requiring urgent measures, Administration of sedative drugs before and during episiotomy repair, spinal anesthesia, epidural anesthesia, pudendal block (except for local infiltration of the perineum), Lacerations other than episiotomy (anal sphincter injury or Grade 3 or 4 tear), Instrument delivery (with vacuum or forceps), Postpartum complications in newborns, Chronic disease (diabetes mellitus, thyroid disease and hypertension), Having a psychiatric diagnosis

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 42 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Sample size G-power 3.1.9.7. program (Faul et al 2007, Faul et al 2009). Shourab et al. anxiety score average in the study; It was found to be 24.9±1.9 in the intervention group and 21.2±1.1 in the control group. In the light of this study, 0.897 effect size, 0.95 power, 0.05 alpha level and bidirectional hypothesis options were selected in the program, and the number of participants for each group was 34 (Shourab et al 2016). The pregnant women who came to the hospital will evaluate in terms of sample criteria and randomized sampling will divide into two groups. In order to ensure randomization in the study, a random numbers table was created by dividing them into two groups over the number determined on the site https://www.random.org/. Pregnant women will be assigned to groups according to the randomization scheme. Considering that there may be data loss, 20% more was determined and it was planned to study with 82 (41 intervention, 41 control) pregnant women.
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Video will be watched with virtual reality glasses during episiotomy repair<br>Views of nature with virtual reality glasses during episiotomy repair. | Other: virtual reality glasses<br>* OculusQuest 2 128GB brand virtual reality glasses will be used in our research. OculusQuest 2 128GB is the original all-in-one gaming system for virtual reality. It can only be used as desired with the VR headset and controllers. It adapts to its environment. In this way, it can be played standing and sitting in small and large areas. When glasses will be used on another pregnant women within the scope of COVID-19 measures, disinfection will be provided with 'DiverseyOxivir Plus (hydrogen peroxide)' surface disinfectant. Before the episiotomy repair, the video glasses will be opened, the video will be adjusted to suit the woman. In order for the repair method to be the same for all women, It will be planned to use absorbable, synthetic, braided, sterile surgical thread produced from 1-0 polyglactin.<br>* Other names: Video will be watched with virtual reality glasses during episiotomy repair;|
| No Intervention: Control<br>It will be perform routine practice who the women in the control group. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Socio-Demographic Data Collection Form | Pregnant Introductory Information Form is a questionnaire prepared by researchers using the literature. | in active phase on labor (4 cm vaginal dilatation) | 
| State-Trait Anxiety Inventory (STAI)-Questionnaire | State-Trait Anxiety Inventory (STAI)-Questionnaire [ Time Frame: up to one hour ] STAI was used to measure the anxiety level of pregnant women. It was developed by Spielberger et al. (Spielberger et al., 1970) and Öner and Le Compte conducted a Turkish validity and reliability study of the scale (Öner & LeCompte, 1983). In the scale, individuals are provided to express their feelings with 40 expressions. With the state anxiety scale, it is possible to determine how the individual feels at the moment and in the conditions, and with the trait anxiety scale, how he feels outside of the current situation and conditions. The scale is a 4-point Likert type.The last score obtained shows the anxiety level of the individual. High scores from the scale indicate an increased level of anxiety, low scores indicate a decrease. | immediately before repair episiotomy | 
| Visual Analog Scale-Pain (VAS-P) | The VAS-P, which is used to evaluate the severity of pain, is a 10 cm long horizontally or vertically drawn ruler, starting with No pain (0) and ending with Unbearable pain (10). The woman is asked to show the point on this line that corresponds to the intensity of pain she feels. The distance between the marked point and the starting end of the line (0=no pain) is measured in centimeters and the numerical value found shows the severity of the patient's pain (Hayes and Patterson 1921). VAS-P is accepted as a safe, valid and usable measurement tool in repeated measurements. In this study, horizontally prepared VAS-P was used to assess pain intensity. | immediately before repair episiotomy | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| State-Trait Anxiety Inventory (STAI)-Questionnaire | State-Trait Anxiety Inventory (STAI)-Questionnaire [ Time Frame: up to one hour ] | immediately after episiotomy repair | 
| Visual Analog Scale-Pain (VAS-P) | The VAS-P, which is used to evaluate the severity of pain, is a 10 cm long horizontally or vertically drawn ruler, starting with No pain (0) and ending with Unbearable pain (10). The woman is asked to show the point on this line that corresponds to the intensity of pain she feels. The distance between the marked point and the starting end of the line (0=no pain) is measured in centimeters and the numerical value found shows the severity of the patient's pain (Hayes and Patterson 1921). VAS-P is accepted as a safe, valid and usable measurement tool in repeated measurements. In this study, horizontally prepared VAS-P was used to assess pain intensity. | immediately after episiotomy repair | 
| Birth Action Follow-up Form | This form includes the week of pregnancy, the height and weight of the pregnant woman, hemoglobin values, induction status, how long the birth stages last, the time of opening the episiotomy, the time of starting the repair, the ending time of the repair, the length of the episiotomy, the baby's Apgar score, the baby's weight. | 60 minutes after birth | 
| Satisfaction Evaluation Scale and Form | Visual Analog Scale (VAS) has been adapted to similar usage principles. The VAS is a scale that is evaluated by individuals on a horizontal or vertical line of 10 cm or 100 mm, with one end indicating that the individual is very good and the other end is very bad. | immediately after episiotomy repair | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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episiotomy, Virtual Reality, pain, satisfaction, anxiety