Effect of Virtual Reality Glasses Application on Surgical Fear and Anxiety

Study Overview
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Brief Summary
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Purpose and Type of Research:This study will be conducted to examine the effect of virtual reality glasses on surgical fear and anxiety in patients scheduled for cardiovascular surgery. The study is a randomized controlled experimental research. Method:The population of the research was approximately 2900 patients who underwent cardiovascular surgery in a year at Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Education Research Hospital. The sample size of the study was calculated using the G*Power software program.The study will be completed with 60 people by taking 30 people into the experimental and control groups.Data will be collected with a personal information form, surgical fear scale and state anxiety scale. Hypothesis of the Research: H1: Application of virtual reality glasses reduces surgical fear in patients planned for cardiovascular surgery. H2: Application of virtual reality glasses reduces anxiety in patients scheduled for cardiovascular surgery.

Official Title
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The Effect of Virtual Reality Glasses Application on Surgical Fear and Anxiety in Patients Planned for Open Heart Surgery

Conditions
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Surgery, Virtual Reality, Fear, Anxiety State

Intervention / Treatment
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* Other: virtual reality glasses application
* Other: classical training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 18 years and over, Those who will undergo open heart surgery, Those who have not had cardiovascular surgery before, No communication problems, Is conscious and able to answer questions and does not have any disorder/disease that affects decision-making ability (dementia, Alzheimer's, etc.), Does not have a psychiatric disease such as anxiety disorder, panic attack, depression, Individuals who do not receive psychiatric treatment such as antipsychotics/anxiolytics will be included in the study. Exclusion Criteria: Being under the age of 18, Not having open heart surgery, Those who have previously undergone cardiovascular surgery, Having communication problems, Those who are unconscious and unable to answer questions Having any disorder/disease that affects decision-making ability (dementia, Alzheimer's, etc.), Having a psychiatric disease such as anxiety disorder, panic attack, depression, Individuals receiving psychiatric treatment such as antipsychotic/anxiolytic will not be included in the study.

Ages Eligible for Study
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Minimum Age: 18 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: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: VRG<br> | Other: virtual reality glasses application<br>* The experimental group will be given classical training (how to perform the surgery, complications that may occur after the surgery, preparation of fresh blood on the day of surgery, shaving by the barber on the morning of the surgery, how to take care of the mouth after shaving, how to shower with chlorexidine sponges, use of an apron, cap and mask after the shower). After 15 minutes video containing nature images and sounds will be shown through virtual glasses.<br>Other: classical training<br>* Information about classical training (how to perform the surgery, complications that may occur after the surgery, preparation of fresh blood on the day of surgery, shaving by the barber on the morning of the surgery, how to take care of the mouth after shaving, how to shower with chlorexidine sponges, use of an apron, cap and mask after the shower) will be given.<br>|
| Active Comparator: control group<br> | Other: classical training<br>* Information about classical training (how to perform the surgery, complications that may occur after the surgery, preparation of fresh blood on the day of surgery, shaving by the barber on the morning of the surgery, how to take care of the mouth after shaving, how to shower with chlorexidine sponges, use of an apron, cap and mask after the shower) will be given.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Personal Information Form | The form prepared by the researchers contains a total of 8 questions containing the patients' introductory information. | for 1 day | 
| surgical fear scale | There are 8 questions in the scale. The scale is an 11-point Likert type scale with a score between 0 and 10. The scale included two subscales related to the source of fear, each consisting of 4 items. While items 1 to 4 on the scale measure the fear of the short-term consequences of surgery, items 5 to 8 measure the fear of the long-term consequences of surgery (0: not at all afraid, 10: very afraid). An increase in the score indicates an increase in fear. | for 1 day | 
| state anxiety scale | It consists of a total of 40 items and is scored from 1 to 4. Scale items are evaluated using the Likert type scaling method as 1 = not at all, 2 = a little, 3 = a lot, 4 = completely. A high score on the scale indicates a high level of anxiety; A low score indicates a low level of anxiety. In the validity and reliability study of the scale, the alpha value was found to be 0.91. | for 1 day | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Heart surgery, surgical fear, anxiety, virtual reality