Effect of virtual reality on preoperative anxiety in patients undergoing septorhinoplasty
Efeito da realidade virtual na ansiedade pré-operatória em pacientes submetidos à septorrinoplastia
Çağdaş Baytar, Keziban Bollucuoğlu
Abstract
Background
The aim of this study was to evaluate the effect of a virtual reality video on preoperative anxiety, hemodynamic parameters, and patient satisfaction in patients undergoing septorhinoplasty.
Methods
This was a prospective, observational cohort trial. Forty patients between the ages of 18–65 who were scheduled for elective septorhinoplasty, with an American Society of Anesthesiologists (ASA) physical status I–II were included in the study. Patients experienced a 15-minute virtual reality (VR) video via a phone using a VR device. A three-dimensional, 360° video depicted the beauty of nature and was accompanied by meditation music. Patients’ oxygen saturation values, heart rate, and blood pressure were monitored and recorded. Using the State-Trait Anxiety Inventory scale, anxiety scores and hemodynamic parameters were compared before and after VR application.
Results
Median anxiety scores decreased significantly from 40.5 to 34 (p < 0.001). VR also had positive effects on hemodynamic parameters.
Conclusions
VR reduces preoperative anxiety and has positive effects on hemodynamic parameters in patients undergoing septorhinoplasty. We anticipate that VR will be increasingly used as a non-pharmacological preoperative approach in the future.
Keywords
Resumo
Introdução
O objetivo deste estudo foi avaliar o efeito de um vídeo de realidade virtual na ansiedade pré-operatória, parâmetros hemodinâmicos e satisfação do paciente em pacientes submetidos a septorrinoplastia.
Métodos
Este foi um estudo de coorte prospectivo e observacional. Quarenta pacientes com idade entre 18 e 65 anos agendados para septorrinoplastia eletiva, com estado físico I-II da American Society of Anesthesiologists (ASA) foram incluídos no estudo. Os pacientes experimentaram um vídeo de realidade virtual (RV) de 15 minutos por telefone usando um dispositivo de realidade virtual. Um vídeo tridimensional de 360° retratava a beleza da natureza e era acompanhado por música de meditação. Os valores de saturação de oxigênio, frequência cardíaca e pressão arterial dos pacientes foram monitorados e registrados. Usando a escala State-Trait Anxiety Inventory, os escores de ansiedade e os parâmetros hemodinâmicos foram comparados antes e depois da aplicação da RV.
Resultados
Os escores medianos de ansiedade diminuíram significativamente de 40,5 para 34 (p < 0,001). A RV também teve efeitos positivos nos parâmetros hemodinâmicos.
Conclusões
A RV reduz a ansiedade pré-operatória e tem efeitos positivos nos parâmetros hemodinâmicos em pacientes submetidos à septorrinoplastia. Prevemos que a RV será cada vez mais usada como uma abordagem pré-operatória não farmacológica no futuro.
Palavras-chave
References
1 E. Erkilic, E. Kesimci, C. Soykut, et al. Factors associated with preoperative anxiety levels of Turkish surgical patients: From a single center in Ankara Patient Prefer Adherence., 11 (2017), pp. 291-296
2 N. Bahrami, M. Soleymani, Z. Arjinee, et al. Impact anxious patient care based upon the nursing process for elective surgery for women J Nurs Iran., 25 (2012), pp. 9-30
3 R.D. Miller Psychological preparation and preoperative medication in anesthesia. Miller’s Anesthesia (4th ed.), Churchill Livingstone, Philadelphia (1994), pp. 1015-1016
4 M. Namazi, S.A.A. Akbari, F. Mojab, et al. Aromatherapy with citrus aurantium oil and anxiety during the first stage of labor Iran Red Crescent Med J., 16 (2014), Article e18371
5 A. Ali, D. Altun, B.H. Oguz, et al. The effect of preoperative anxiety on postoperative analgesia and anesthesia recovery in patients undergoing laparascopic cholecystectomy J Anesth., 28 (2014), pp. 222-227
6 F. Dehghan, R. Jalali, H. Bashiri The effect of virtual reality technology on preoperative anxiety in children: a Solomon four-group randomized clinical trial Perioper Med., 8 (2019), pp. 1-7
7 E. Turksal, I. Alper, D. Sergin, et al. The effects of preoperative anxiety on anesthetic recovery and postoperative pain in patients undergoing donor nephrectomy Rev Bras Anestesiol., 70 (2020), pp. 271-277
8 L. Ganry, B. Hersant, M. Sidahmed-Mezi, et al. 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 (2018), pp. 257-261
9 Alan Stevens Understanding addiction to benzos Mary Pomerantz Advertising, Palm Beaches (2013), pp. 4-16
10 J.J.I. Chan, C.T. Yeam, H.M. Kee, et al. The use of pre-operative virtual reality to reduce anxiety in women undergoing gynecological surgeries: a prospective cohort study BMC Anesthesiol., 20 (2020), pp. 1-8
11 G. Székely, R.M. Satava Virtual reality in medicine. Interview by Judy Jones BMJ., 319 (1999), p. 1305
12 A. Li, Z. Montano, V.J. Chen, J.I. Gold Virtual reality and pain management: Current trends and future directions Pain Manag., 1 (2011), pp. 147-157
13 J.H. Ryu, J.W. Park, F.S. Nahm, et al. The effect of gamification through a virtual reality on preoperative anxiety in pediatric patients undergoing general anesthesia: A prospective, randomized, and controlled trial J Clin Med., 7 (2018), p. 284
14 T.M. Hendricks, C.N. Gutierrez, J.M. Stulak, J.A. Dearani, J.D. Miller The use of virtual reality to reduce preoperative anxiety in first-time sternotomy patients: a randomized controlled pilot trial Mayo Clin Proc., 95 (2020), pp. 1148-1157
15 H.G. Hoffman, I.N. Doctor, D.R. Patterson, et al. Virtual reality as an adjunctive pain control during burn wound care in adolescent patients Pain., 85 (2000), pp. 305-309
16 H.G. Hoffman, A. Garcia-Palacios, D.R. Patterson, et al. The effectiveness of virtual reality for dental pain control: a case study Cyberpsychol Behav., 4 (2001), pp. 527-535
17 K. Kim, C.H. Kim, S.Y. Kim, et al. Virtual reality for obsessive-compulsive disorder: past and the future Psychiatry Investig., 6 (2009), pp. 115-121
18 H.G. Hoffman Virtual-reality therapy Sci Am., 291 (2004), pp. 58-65
19 L. Gregg, N. Tarrier Virtual reality in mental health: a review Soc Psychiatry Psychiatr Epidemiol., 42 (2007), pp. 343-354
20 L.J. Julian Measures of anxiety: State-Trait Anxiety Inventory (STAI), Beck Anxiety Inventory (BAI), and Hospital Anxiety and Depression Scale-Anxiety (HADS-A) Arthritis Care Res (Hoboken)., 63 (2011), pp. 467-472
21 N. Öner, A. Le Compte Handbook of State-Trait Anxiety Inventory Boğaziçi University Press, Istanbul (1983)
22 A. Le Compte, N. Öner Durumluk-Sürekli Kaygı Envanterinin Türkçe’ye adaptasyon ve standardizasyonu ile ilgili bir çalışma [A study on the adaptation and standardization of the State-Trait Anxiety Inventory]. IX. Milli Psikiyatri ve Nörolojik Bilimler Kongresi Çalışmaları (1975), pp. 457-462
23 C.H. Koo, J.W. Park, J.H. Ryu, et al. The effect of virtual reality on preoperative anxiety: a meta-analysis of randomized controlled trials J Clin Med., 9 (2020), p. 3151
24 J.B. Palmer, D. Lane, D. Mayo, et al. Effects of music therapy on anesthesia requirements and anxiety in women undergoing ambulatory breast surgery for cancer diagnosis and treatment: a randomized controlled trial J Clin Oncol., 33 (2015), pp. 3162-3168
25 G.A. Uğraş, G. Yıldırım, S. Yüksel, et al. The effect of different types of music on patients’ preoperative anxiety: A randomized controlled trial Complement Ther Clin Pract., 31 (2018), pp. 158-163
26 J.Y. Moon, J. Shin, J. Chung, et al. Virtual reality distraction during endoscopic urologic surgery under spinal anesthesia: a randomized controlled trial J Clin Med., 8 (2018), p. 2
27 P.G. Pandya, T.E. Kim, S.K. Howard, et al. Virtual reality distraction decreases routine intravenous sedation and procedure-related pain during preoperative adductor canal catheter insertion: a retrospective study Korean J Anesthesiol., 70 (2017), pp. 439-445, 10.4097/kjae.2017.70.4.439
28 M. Maze, W. Tranquilli Alpha-2 adrenoceptor agonists: Defining the role in clinicalanesthesia Anesthesiology., 74 (1991), pp. 581-605
29 M. Aho, M. Scheinin, A.M. Lehtinen, et al. Intramuscularly administered dexmedetomidine attenuates hemodynamic and stress hormone responses to gynecologic laparoscopy Anesth Analg., 75 (1992), pp. 932-939
30 G. Eren, Z. Cukurova, G. Demir, et al. Comparison of dexmedetomidine and three different doses of midazolam in preoperative sedation J Anaesthesiol Clin Pharmacol., 27 (2011), pp. 367-372
Submitted date:
02/10/2021
Accepted date:
08/28/2021
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