The Effect of Virtual Reality Glasses on Anxiety Level and Breast Milk Amount

Study Overview
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Brief Summary
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Pain, anxiety, nausea, vomiting, etc. In coping with symptoms, virtual reality glasses are recommended as a distraction application. The study was planned to examine the effect of virtual reality glasses applied to mothers whose babies were in the neonatal intensive care unit, on the level of anxiety and the amount of breast milk.

Detailed Description
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Although milk is expressed early and frequently, milk volume and milk production may be lower in some mothers in the first few weeks.For this reason, pharmacological and non-pharmacological methods have been focused on to increase prolactin secretion and breast milk production in mothers with premature babies. It is emphasized that practices such as breast massage, hot application, nutrition and fluid consumption of the mother, thinking about her baby or looking at her picture, and psychological relaxation during milk expression with a pump increase the amount of milk. It is thought that the mother's stress and anxiety negatively affect the amount of breast milk in preterm births, and that methods that provide relaxation and relief will contribute to breast milk production by reducing stress and anxiety. Pain, anxiety, nausea, vomiting, etc. In coping with symptoms, virtual reality glasses are recommended as a distraction application.

Official Title
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The Effect of Virtual Reality Glasses Applied to Mothers Whose Babies Are in the Neonatal Intensive Care Unit on the Level of Anxiety and the Amount of Breast Milk

Conditions
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Anxiety, Amount of Breast Milk

Intervention / Treatment
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* Other: Virtual reality glasses


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Are between the ages of 18-45, Those who gave birth at a gestational age of 30 weeks or more, whose baby is still in intensive care, whose baby has started breastfeeding, Giving breast milk to her baby by expressing, Not using any medication that will affect milk supply, Not diagnosed with a psychiatric disease that will affect breastfeeding in the postpartum period, Those who have not had any breast-related surgery before, Understands Turkish and can communicate, Mothers who sign the Informed Volunteer Consent Form will be included in the research. Exclusion Criteria: Those who are younger than 18 years of age or older than 45 years of age, The gestational age is less than 30 weeks, whose baby was discharged from intensive care, whose baby has not started breastfeeding, Those who do not express breast milk to their babies, Using medication that will affect milk supply, Diagnosed with a psychiatric disease that will affect breastfeeding in the postpartum period, Have had any breast-related surgery before, Cannot communicate in Turkish, Mothers who do not sign the Informed Volunteer Consent Form will not be included in the research.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 45 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: Supportive Care
Intervention Model: Single Group Assignment
Interventional Model Description: Single-subject quasi-experimental research
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Virtual reality glasses<br>First of all, the State Anxiety Inventory will be applied to all women (60 women).Then, milk will be expressed from both breasts once a day (10:00) for the first 3 days and the amount of milk expressed will be recorded in the Breast Milk Amount Tracking Form. After the first 3 days, all women will be relaxed by watching virtual reality glasses (10 minutes) once a day (10:00 in the morning) for 3 days, and the State Anxiety Inventory will be applied at the end of the video. Then, milk will be expressed from both breasts and recorded in the Breast Milk Amount Tracking Form. | Other: Virtual reality glasses<br>* Videos consisting of nature and undersea images will be played through virtual reality glasses, which the woman wants to watch and can change whenever she wants.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| State-Anxiety Inventory | In the Likert-type scale consisting of 20 items, the items are numbered from 1 to 4 (1 means not at all and 4 means completely).The scores obtained from the scale vary between 20 and 80 and there are direct (straight) and reversed expressions in the scale. | Up to 3 Months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Breast Milk Quantity Monitoring Form | It is a form consisting of 3 parts developed by the researcher to record information about milking date, milking time and milk amount. | Up to 3 Months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Anxiety, Breast milk, Breastfeeding, Premature, Virtual reality glasses