The Efficacy of VR and AR on Pruritus

Study Overview
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Brief Summary
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The research will be conducted randomly in order to determine the effect of VR and AR on pruritus symptom.

Detailed Description
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In this study, there will be three groups: intervention group 1 with autogenic relaxation (AR), intervention group 2 with virtual reality (VR) game application and control group with routine nursing care and kidney functions narration. The number of volunteers to be included in the study was determined by power analysis. Forty patients with itch symptoms will be included in each group. Preliminary application for all three groups will be performed in the patient group registered to the Dialysis Unit of the Nephrology Department of Hacettepe University and Baskent University Hospital. Socio-Demographic Form, 5-D Itch Scale, Dermatology Life Quality Index, State and Trait Anxiety Scale, Pruritus Behavior and SGO / OR Application Log.

Official Title
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Evaluation of the Efficacy of VR and AR on Pruritus Symptoms in Patients Receiving Hemodialysis Treatment

Conditions
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Chronic Renal Insufficiency, Pruritus, Itch

Intervention / Treatment
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* Other: Autogenic Relaxation
* Other: virtual reality game application
* Other: kidney function narration


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Receiving hemodialysis treatment for the last 6 months, Receiving four hour hemodialysis treatment three times a week, 18-65 years of age, experiencing pruritus for the last month. Not taking any pharmacological / non-pharmacological treatment for pruritus No cognitive and psychiatric diagnosis, Do not use hearing aids, Open to communication and cooperation, Using smart mobile phone, Without liver disease and dermatological diseases, Patients who agree to participate in the study will be included in the study. Exclusion Criteria: Pregnant in the research process, Kidney transplantation, Experiencing discomfort due to virtual reality glasses, Patients who voluntarily leave the trial will be excluded from the follow-up.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

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: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Autogenic Relaxation<br>Autogenic Relaxation: It is an exercise program consisting of standard sentences that describe the body's absolute comfort and calm features. | Other: Autogenic Relaxation<br>* Autogenic relaxation<br>|
| Experimental: Virtual Reality<br>Virtual reality: Playing games via smart phone with virtual reality glasses and headset. | Other: virtual reality game application<br>* virtual reality game application,<br>|
| Other: Control Group<br>Routine nursing care and kidney function narration | Other: kidney function narration<br>* kidney function narration<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 5-D Itch Scale | The score obtained from information about itching severity, frequency, and its effect on daily life activities. | Assessing change of 5-D Itch Scale scores baseline, first, fifth and seventh weeks. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Dermatology Life Quality Index | The scale gives an information about quality of life | Assessing change of Dermatology Life Quality Index scores baseline, first, fifth and seventh weeks. . | 
| State-Trait Anxiety Inventory | The scale gives an information about anxiety | Assessing change of State-Trait Anxiety Inventory scores baseline, first, fifth and seventh weeks. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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itch, pruritus, nursing, virtual reality