The effect of virtual reality distraction on reducing patients' anxiety before coronary angiography: a randomized clinical trial study
Tóm tắt
Coronary angiography is used as a qualified method to diagnose coronary heart disease. However, patients undergoing coronary angiography experience a great deal of anxiety. The present study is aimed at investigating the effect of virtual reality on anxiety before coronary angiography. In a randomized controlled trial, 60 candidates for coronary angiography were randomly assigned to two intervention and control groups from April to July 2019. Data were collected by Spielberger’s situational anxiety questionnaire. The participants’ anxiety level and their heart rate, respiratory rate, and blood pressure were measured before and immediately after the intervention. The Intervention group received virtual reality intervention, and the control group was cared for based on the hospital routine. Data were entered into the SPSS version 24.0 software (SPSS Inc.) and analyzed using Chi-square, Paired samples, and independent sample
The majority of participants were male (71.25%) and the Mean ± SD age of them in the intervention and control groups was 50.95 ± 4.120 and 52.08 ± 4.002 years, respectively. The mean score of anxiety (
This study indicated the implementation of a VR distraction protocol in the patients could effectively reduce perioperative anxiety and its indices. It showed that VR is a safe method without any complications related to the device and with good acceptability.
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Qin S, Gu Y, Song T (2019) Effect of peer support on patient anxiety during the coronary angiography or percutaneous coronary intervention perioperative period: a protocol for a systematic review and meta-analysis of randomised controlled trials. BMJ Open 10(3):e031952. https://doi.org/10.1136/bmjopen-2019
Benjamin EJ, Blaha MJ, Chiuve SE, Cushman M, Das SR, Deo R et al (2017) Heart disease and stroke statistics-2017 update: a report from the American Heart Association. Circulation 135(10):e146–e603. https://doi.org/10.1161/CIR.0000000000000485
Talaei M, Sarrafzadegan N, Sadeghi M, Oveisgharan S, Marshall T, Thomas GN et al (2013) Incidence of cardiovascular diseases in an Iranian population: the Isfahan Cohort Study. Arch Iran Med 16(3):0
Nekouei ZK, Yousefy A, Manshaee G, Nikneshan S (2011) Comparing anxiety in cardiac patients candidate for angiography with normal population. ARYA Atherosclerosis 7(3):93–96
Moradi T, Adib HM (2015) State and trait anxiety in patients undergoing coronary angiography. Int J Hosp Res 4(3):123–128
Habibzadeh H, Milan ZD, Radfar M, Alilu L, Cund A (2018) Effects of peer-facilitated, video-based and combined peer-and-video education on anxiety among patients undergoing coronary angiography: randomised controlled trial. Sultan Qaboos Univ Med J 18(1):e61. https://doi.org/10.18295/squmj.2018.18.01.010
Assari S, Zandi H, Ahmadi K, Saleh DK (2017) Extent of coronary stenosis and anxiety symptoms among patients undergoing coronary angiography. J Tehran Univ Heart Center 12(4):155–159
Asgari MR, Barari L, Ghorbani R, Darabiyan M, Eskandarian R, Ghods AA (2019) Anxiety levels in patients candidate for coronary artery angiography. Koomesh 21(3):437–443 ((Persian))
Gu G, Zhou Y, Zhang Y, Cui W (2016) Increased prevalence of anxiety and depression symptoms in patients with coronary artery disease before and after percutaneous coronary intervention treatment. BMC Psychiatry 16(1):1–9. https://doi.org/10.1186/s12888-016-0972-9
Aboalizm SE, El Gahsh NF, Masry SE (2016) Effect of early nursing preparation on anxiety among patients undergoing cardiac catheterization. Am J Nurs 5(5):222–231. https://doi.org/10.11648/j.ajns.20160505.17
Jamshidi N, Abaszade A, Najafi-Kaliani M (2012) Stress, anxiety and depression of patients before coronary angiography. Zahedan J Res Med Sci (Tabib-e-Shargh) 13(1) (Persian)
Vardanjani MM, Alavi NM, Razavi NS, Aghajani M, Azizi-Fini E, Vaghefi SM (2013) A randomized-controlled trial examining the effects of reflexology on anxiety of patients undergoing coronary angiography. Nurs Midwif Stud 2(3):3–9. https://doi.org/10.5812/nms.12167
Riener R, Harders M (2012) Introduction to virtual reality in medicine. In: Virtual reality in medicine. Springer, London
Tytler J (2020) Encyclopædia Britannica 2020 January 07, 2020. https://www.britannica.com/biography/James-Tytler
Arjmandnia A, Maleki F, Sharifi H, Heydari K (2017) Investigating the effectiveness of physical education program on improving the social competence of mentally retarded students in the pre-vocational course. Except Educ 2(145):29–38 ((Persian))
Bohil CJ, Alicea B, Biocca FA (2011) Virtual reality in neuroscience research and therapy. Nat Rev Neurosci 12(12):752–762
Noben L, Goossens SMTA, Truijens SEM, Van Berckel MMG, Perquin CW, Slooter GD et al (2019) A virtual reality video to improve information provision and reduce anxiety before cesarean delivery: randomized controlled trial. JMIR Mental Health 6(12):e15872.
Dahlquist LM, Weiss KE, Dillinger Clendaniel L, Law EF, Ackerman CS, McKenna KD (2008) Effects of videogame distraction using a virtual reality type head-mounted display helmet on cold pressor pain in children. J Pediatr Psychol 34(5):574–584. https://doi.org/10.1093/jpepsy/jsn023
Frere CL, Crout R, Yorty J, McNeil DW (2001) Effects of audiovisual distraction during dental prophylaxis. J Am Dental Assoc 132(7):1031–1038. https://doi.org/10.14219/jada.archive.2001.0309
Umezawa S, Higurashi T, Uchiyama S, Sakai E, Ohkubo H, Endo H et al (2015) Visual distraction alone for the improvement of colonoscopy-related pain and satisfaction. World J Gastroenterol WJG 21(15):4707. https://doi.org/10.3748/wjg.v21.i15.4707
Kerimoglu B, Neuman A, Paul J, Stefanov DG, Twersky R (2013) Anesthesia induction using video glasses as a distraction tool for the management of preoperative anxiety in children. Anesth Analg 117(6):1373–1379. 10.213/ANE.0b013e3182a8c18f
Alshatrat SM, Alotaibi R, Sirois M, Malkawi Z (2019) The use of immersive virtual reality for pain control during periodontal scaling and root planing procedures in dental hygiene clinic. Int J Dental Hygiene 17(1):71–76. https://doi.org/10.1111/idh.12366
Brown K, Foronda C (2020) Use of virtual reality to reduce anxiety and pain of adults undergoing outpatient procedures. Informatics 7(3):36. https://doi.org/10.3390/informatics7030036
Marteau TM, Bekker H (1992) The development of a six-item short-form of the state scale of the Spielberger State—Trait Anxiety Inventory (STAI). Br J Clin Psychol 31(3):301–306. https://doi.org/10.1111/j.2044-8260.1992.tb00997.x
Bagheri-Nesami M, Shorofi SA, Zargar N, Sohrabi M, Gholipour-Baradari A, Khalilian A (2014) The effects of foot reflexology massage on anxiety in patients following coronary artery bypass graft surgery: a randomized controlled trial. Complement Ther Clin Pract 20(1):42–47. https://doi.org/10.1016/j.ctcp.2013.10.006
Morgan H, Gallagher SM (2019) 59 The effect of a virtual reality immersive experience upon anxiety levels in patients undergoing cardiac catheterisation: the virtual cath trial. Heart 105(Suppl 6):A50. https://doi.org/10.1136/heartjnl-2019-BCS.57
Tadayonfar M, Foji S, Mohsenpour M, RakhshaniI M (2014) The effect of guided imagery on patients’ anxiety undergoing cardiac catheterization. J Sabzevar Univ Med Sci 20(5):689–695 ((Persian))
Gonzales EA, Ledesma RJ, McAllister DJ, Perry SM, Dyer CA, Maye JP (2010) Effects of guided imagery on postoperative outcomes in patients undergoing same-day surgical procedures: a randomized, single-blind study. AANA J 78(3):181–188
Ganry L, Hersant B, Sidahmed-Mezi M, Dhonneur G, Meningaud J (2018) Using virtual reality to control preoperative anxiety in ambulatory surgery patients: a pilot study in maxillofacial and plastic surgery. J Stomatol Oral Maxillofac Surg 119(4):257–261. https://doi.org/10.1016/j.jormas.2017.12.010
Aliakbari M, Alipor A, Ebrahimimoghadam H, Fekraty M (2017) The effect of virtual reality (VR) on psychological disorders in cancer caseses. Military Caring Sci 4(1):49–57 ((Persian))
Heidari M, Shahbazi S (2013) Effect of Quran and music on anxiety in patients during endoscopy. Knowl Health 8(2):67–70 ((Persian))
Taylor-Piliae RE, Chair S-Y (2002) The effect of nursing interventions utilizing music therapy or sensory information on Chinese patients’ anxiety prior to cardiac catheterization: a pilot study. Eur J Cardiovasc Nurs 1(3):203–211. https://doi.org/10.1016/S474-5151(02)00037-3
Valsecchi O, Vassileva A, Cereda AF, Canova P, Satogami K, Fiocca L et al (2018) Early clinical experience with right and left distal transradial access in the anatomical snuffbox in 52 consecutive patients. J Invasive Cardiol 30(6):218–223