Effects of a Virtual Reality Game or Autogenic Relaxation on Pruritus, Anxiety and Dermatologic Quality of Life in Haemodialysis Patients: A Randomized Controlled Trial

IF 2 4区医学 Q2 NURSING

International Journal of Nursing Practice Pub Date : 2025-10-10 DOI:10.1111/ijn.70071

Nese Altınok Ersoy, Imatullah Akyar, Tolga Yıldırım, Şiyar Erdoğmuş

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Abstract

Aim

This study aimed to determine the effects of a virtual reality game or autogenic relaxation on pruritus, anxiety and dermatological quality of life in patients undergoing haemodialysis.

Background

Pruritus is a prevalent and disturbing symptom in patients with chronic kidney disease that causes a scratching behaviour with a vicious itch-scratch cycle.

Design

This is a randomized controlled study.

Methods

The study was conducted with 47 participants at two haemodialysis centres between December 2021 and February 2022. The participants in the intervention group were informed about virtual reality games (n: 15) or autogenic relaxation (n: 16). Data collection was performed face-to-face with the 5-D Itch Scale, State and Trait Anxiety Inventory and Dermatology Quality of Life Index in the first and third haemodialysis sessions in the first week and in the last sessions of the fifth and seventh weeks.

Results

Scores of both intervention groups for the 5-D Itch Scale and State–Trait Anxiety scores decreased significantly in the fifth and seventh weeks, and Dermatology Quality of Life Index scores decreased significantly in the fifth week compared to the control group.

Conclusion

Both virtual reality games and autogenic relaxation interventions, undertaken 1 day before haemodialysis sessions, reduce pruritus and anxiety symptoms and increase dermatologic quality of life.

Trial Registration

This study was registered in the Clinical Trials protocol registry system (ClinicalTrials.gov identifier: NCT04289038).

Abstract Image

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虚拟现实游戏或自体放松对血液透析患者瘙痒、焦虑和皮肤生活质量的影响：一项随机对照试验。

目的：本研究旨在确定虚拟现实游戏或自体放松对血液透析患者瘙痒、焦虑和皮肤病学生活质量的影响。背景：瘙痒症是慢性肾脏疾病患者的一种普遍和令人不安的症状，它引起搔抓行为，并伴有恶性痒-抓循环。设计：这是一项随机对照研究。方法：该研究于2021年12月至2022年2月在两个血液透析中心对47名参与者进行了研究。干预组的参与者被告知虚拟现实游戏（n: 15）或自我放松（n: 16）。在第一周的第一次和第三次血液透析以及第5周和第7周的最后一次血液透析期间，采用5-D瘙痒量表、状态和特质焦虑量表和皮肤病生活质量指数面对面收集数据。结果：两组患者5-D瘙痒量表评分和状态-特质焦虑评分在第5周和第7周均较对照组显著下降，皮肤病生活质量指数评分在第5周均较对照组显著下降。结论：在血液透析前1天进行虚拟现实游戏和自体放松干预，可减轻瘙痒和焦虑症状，提高皮肤生活质量。试验注册：本研究在临床试验方案注册系统（ClinicalTrials.gov识别码：NCT04289038）中注册。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Nursing Practice NURSING-

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

3 months

期刊介绍： International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work that advances the international understanding and development of nursing, both as a profession and as an academic discipline. The Journal focuses on research papers and professional discussion papers that have a sound scientific, theoretical or philosophical base. Preference is given to high-quality papers written in a way that renders them accessible to a wide audience without compromising quality. The primary criteria for acceptance are excellence, relevance and clarity. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.