The Effect of Virtual Reality On Pain and Anxiety Management During Pelvic Examination: A Randomized Controlled Trial

IF 2.1 4区 医学 Q2 NURSING
Gülay Kurt CM, Msc, Neslihan Keser Ozcan PhD, CN
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Abstract

Introduction

It is important for health care professionals to address women's pain and anxiety during pelvic examinations. This study aimed to evaluate the impact of virtual reality (VR) on pain and anxiety management during pelvic examinations.

Methods

The study was a randomized controlled clinical trial reported in according to the Consolidated Standards of Reporting Trials 2010 Guidelines. The research was conducted with 128 women (64 intervention, 64 control) who received care at a tertiary hospital outpatient clinic between November 2021 and February 2022. The intervention group received VR application via virtual glasses during pelvic examination, while the control group received routine care. Anxiety was measured using the State-Trait Anxiety Inventory before and after the pelvic examination, and the Visual Analog Scale was used to assess pain after the pelvic examination. The study was registered at ClinicalTrials.gov (NCT05545488).

Results

The mean anxiety scores of the women in the intervention and control groups were similar pretest (59.00 and 57.77). The mean anxiety score decreased after the pelvic examination to 36.53 in the intervention group and 47.55 in the control group. Results indicated a significant main effect for group assignment (F9.56; η2 = .071; P = .002), a significant main effect for time (F384.14; η2 = .753; P < .001), and a significant interaction between group and time (F53.95; η2 = .300; P < .001). Pain scores after the pelvic examination were lower in the intervention group (4.25) than in the control group (6.41; P < .001).

Conclusion

VR was effective in the management of pain and anxiety during pelvic examination. Future studies should compare the effectiveness of VR with other methods in reducing pain and anxiety during a pelvic examination.

Abstract Image

虚拟现实对盆腔检查时疼痛和焦虑管理的影响:随机对照试验
介绍:对于医护人员来说,解决妇女在盆腔检查过程中的疼痛和焦虑问题非常重要。本研究旨在评估虚拟现实(VR)对盆腔检查期间疼痛和焦虑管理的影响:该研究是一项随机对照临床试验,根据《2010 年试验报告综合标准指南》进行报告。研究对象为 2021 年 11 月至 2022 年 2 月期间在一家三甲医院门诊接受治疗的 128 名妇女(64 名干预组,64 名对照组)。干预组在盆腔检查时通过虚拟眼镜接受 VR 应用,而对照组则接受常规护理。盆腔检查前后使用国家-特质焦虑量表测量焦虑程度,盆腔检查后使用视觉模拟量表评估疼痛程度。该研究已在ClinicalTrials.gov(NCT05545488)上注册:结果:干预组和对照组妇女在检查前的平均焦虑评分相似(分别为 59.00 分和 57.77 分)。盆腔检查后,干预组的平均焦虑评分降至 36.53 分,对照组降至 47.55 分。结果显示,组别分配具有显著的主效应(F9.56;η2 = .071;P = .002),时间具有显著的主效应(F384.14;η2 = .753;P < .001),组别与时间之间具有显著的交互作用(F53.95;η2 = .300;P < .001)。干预组盆腔检查后的疼痛评分(4.25)低于对照组(6.41;P <.001):VR能有效缓解盆腔检查时的疼痛和焦虑。今后的研究应比较 VR 与其他方法在减轻盆腔检查时的疼痛和焦虑方面的效果。
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来源期刊
CiteScore
3.60
自引率
7.40%
发文量
103
审稿时长
6-12 weeks
期刊介绍: The Journal of Midwifery & Women''s Health (JMWH) is a bimonthly, peer-reviewed journal dedicated to the publication of original research and review articles that focus on midwifery and women''s health. JMWH provides a forum for interdisciplinary exchange across a broad range of women''s health issues. Manuscripts that address midwifery, women''s health, education, evidence-based practice, public health, policy, and research are welcomed
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