Preoperative virtual reality experience may improve patient satisfaction and reduce anxiety

Maurice-Szamburski, Axel

doi:10.1136/eb-2017-102780

Cited by 5 publications

(3 citation statements)

References 5 publications

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“…Aromatherapy, massage, music therapy, virtual reality, even acupuncture are relatively safe, effective, and enjoyable options to reduce preoperative anxiety (13,(21)(22)(23). Only a small proportion of our patients indicated some of these methods to reduce anxiety.…”

Section: Discussionmentioning

confidence: 94%

Incidence and features of preoperative anxiety in patients undergoing elective non-cardiac surgery

Kuzminskaitė

Kaklauskaitė

Petkevičiūtė

2019

AML

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The study was conducted at the Centre of Anaesthesiology, Intensive Care and Pain Management of Vilnius University Hospital Santaros Klinikos. Background. Due to its implications on postoperative outcomes and patient satisfaction, anxiety evaluation should be incorporated in the preoperative assessment of the patients. Materials and methods. A series of consecutive patients undergoing elective surgery were included in the study. Preoperative anxiety was evaluated using the Hospital Anxiety and Depression Scale (HADS), the Amsterdam Preoperative Anxiety and Information Scale (APAIS), and the Visual Analogue (Face) Scale (VAFS). Qualitative and quantitative analyses were used to describe features of anxiety. Results. 149 patients were included in the study, of whom 40.9% were scheduled for low, 47.7% for intermediate, and 11.4% for highrisk procedures. Based on HADS, 19 patients (12.6%) were positive for anxiety. VAFS revealed that 10.3% of patients experience medium/high intensity of anxiety. Patients were mostly concerned about the success (29.3%) and complications (11.4%) of the surgery APAIS score analysis revealed significantly higher anxiety (p < 0.01) and a need of information (p < 0.01) about surgery compared to anaesthesia. In contrast to age, education, or previous surgery, anxiety was associated with female sex (p < 0.01), surgical risk (p = 0.02), and subjective health evaluation (p < 0.01). Patients tended to choose a conversation with the doctor (45.6%) or a relative (44.8%) as a measure to relieve anxiety, and 18.4% would choose medication. Praying, music therapy, massage, or even sexual intercourse were among the measures suggested by patients. Conclusions. A significant part of patients experience anxiety before surgery, predominantly about the success of the surgery. According to the patients, conversation is the best option to reduce anxiety.

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Section: Discussionmentioning

confidence: 94%

Incidence and features of preoperative anxiety in patients undergoing elective non-cardiac surgery

Kuzminskaitė

Kaklauskaitė

Petkevičiūtė

2019

AML

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“…Traditionally, pharmacological interventions have been used to manage preoperative anxiety, 15 , 16 but they have drawbacks, such as transient irritation of mucosal membranes, postoperative nausea and vomiting, emergence of delirium, and prolonged length of stay. 17 , 18 Nonpharmacological interventions, such as music therapy, distraction, and education, have also been incorporated into nursing care as preoperative interventions. 19 , 20 , 21 , 22 A Cochrane systematic review 23 of 26 studies has shown that music intervention can significantly decrease anxiety in patients compared with standard care.…”

Section: Introductionmentioning

confidence: 99%

Virtual Reality–Based Intervention to Reduce Preoperative Anxiety in Adults Undergoing Elective Surgery

Chiu,

Li,

Yap

et al. 2023

JAMA Netw Open

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IMPORTANCEPreoperative anxiety is common among adult patients undergoing elective surgery and is associated with negative outcomes. Virtual reality (VR)–based interventions have been considered simpler, safer, and more effective for reducing anxiety in patients undergoing surgery than conventional care.OBJECTIVETo examine the effectiveness of a VR-based intervention with preoperative education in reducing preoperative anxiety among adult patients undergoing elective surgery.DESIGN, SETTING, AND PARTICIPANTSAn assessor-blinded prospective randomized clinical trial was conducted to recruit adult patients aged 18 years or older who were scheduled for their first elective surgery procedure under general anesthesia within the next 2 to 4 weeks at a preanesthesia assessment clinic in Hong Kong from July to December 2022.INTERVENTIONSParticipants were randomly assigned to either an intervention group (an 8-minute immersive 360° VR video tour in the operating theater via a head-mounted display console) or a control group (standard care).MAIN OUTCOMES AND MEASURESThe primary outcome of preoperative anxiety was measured using the Amsterdam Preoperative Anxiety and Information Scale (range, 6-30; higher scores indicate greater anxiety), and the secondary outcomes (ie, stress, preparedness, and pain) were assessed by Visual Analog Scale at 3 time points: baseline at beginning of clinical session (T0), at the end of the clinical session immediately after the intervention (T1), and before the surgery (T2). Pain, satisfaction levels, and postoperative length of stay were evaluated after the surgery (T3). Simulation sickness was assessed after the intervention by use of the Simulation Sickness Questionnaire. A generalized estimating equations model was applied to compare changes in outcomes over time.RESULTSA total of 74 participants (mean [SD] age, 46.34 [14.52] years; 38 men [51.4%] and 36 women [48.6%]) were recruited and randomized to the control group (37 participants) and intervention group (37 participants). Compared with the control group, the VR-based intervention group showed significantly decreased preoperative anxiety at T1 (β, −5.46; 95% CI, −7.60 to −3.32; P &lt; .001) and T2 (β, −5.57; 95% CI, −7.73 to −3.41; P &lt; .001), lower stress at T1 (β, −10.68; 95% CI, −16.00 to −5.36; P &lt; .001) and T2 (β, −5.16; 95% CI, −9.87 to −0.45; P = .03), and higher preparedness at T1 (β, 6.60; 95% CI, 0.97 to 12.19; P = .02). Satisfaction levels were significantly increased in the intervention group vs the control group (mean [SD] score, 81.35 [9.24] vs 65.28 [8.16]; difference, 16.07; 95% CI, 12.00 to 20.15; P &lt; .001). No significant differences in pain and postoperative length of stay were found.CONCLUSIONS AND RELEVANCEThe findings of this study suggest that a VR-based intervention is a feasible and effective way to reduce preoperative anxiety in adult patients undergoing elective surgery. Given the promising results of this study, further study in the form of large-scale, multicenter, randomized clinical trials with broader implementation is warranted.TRIAL REGISTRATIONChinese Clinical Trial Registry Identifier: ChiCTR2100051690

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“…In the studies conducted, virtual reality was used before (Ganry, Hersant, Sidahmed-Mezi, Dhonneur, & Meningaud, 2018;Maurice-Szamburski, 2018) or during medical procedures (Sikka, Shu, Ritchie, Amdur, & Pourmand, 2018) or in anxiety-producing situations during painful procedures (Wiederhold, Gao, & Wiederhold, 2014;Morris, Louw, & Grimmer-Somers, 2009), and it was seen that virtual reality technology had a positive effect. In addition to pain and anxiety, virtual reality's effect on parameters such as perceived time (Schneider & Hood, 2007;Schneider, Kisby, & Flint, 2011), blood pressure (Mosso Vázquez et al, 2019), heart rate, respiration rate (Gerber et al, 2017) and cortisol levels (Ganry et al, 2018) were also investigated.…”

Section: Introductionmentioning

confidence: 99%

The effect of virtual reality on mothers' anxiety during children's circumcision: A randomized controlled study

Yeşilot

Çiftçi

Özçelik

2021

Int J of Nursing Practice

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Aim: The aim of this study was to evaluate the effect of use of virtual reality headsets on mothers' anxiety, by distracting their attention, during their child's circumcision procedure.Design: This was a randomized controlled intervention study. Methods:The study used a pretest and posttest design and was carried out between April 15, 2019, and June 30, 2019, with 60 participants (n = 30 intervention and n = 30 control group). The data were collected using a personal information form, the State Anxiety Inventory and Faces Anxiety Scales. In the study, the participants in the intervention group watched videos through a virtual reality headset.Results: The socio-demographic characteristics of the intervention group and control group were similar in the pretest, except for the educational level. After the intervention, the intervention group's mean scores on the Faces Anxiety Scale, heart rate and respiration rates were significantly lower than those of the control group, but the difference between the mean State Anxiety Inventory scores was insignificant. Conclusion:Distraction using videos produced by virtual reality headsets is effective in reducing mothers' moderate level anxiety. It is recommended that further studies should be conducted in different ambulatory surgery procedures.

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Preoperative virtual reality experience may improve patient satisfaction and reduce anxiety

Cited by 5 publications

References 5 publications

Incidence and features of preoperative anxiety in patients undergoing elective non-cardiac surgery

Incidence and features of preoperative anxiety in patients undergoing elective non-cardiac surgery

Virtual Reality–Based Intervention to Reduce Preoperative Anxiety in Adults Undergoing Elective Surgery

The effect of virtual reality on mothers' anxiety during children's circumcision: A randomized controlled study

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