Effects Of Virtual Reality Glasses And Stress Ball On Distress And Pain During Arteriovenous Fistula Cannulation

Abstract

Aim: This study was conducted as a pretest-posttest randomized controlled trial to determine the effect of virtual reality goggles and stress ball application on distress and pain levels during arteriovenous fistula cannulation in patients undergoing hemodialysis. Materials and Methods: The research was carried out in three private dialysis centers located in İstanbul between November 2023 and March 2024 with a total of 77 patients, including 31 patients in the stress ball group, 15 in the virtual reality goggles group, and 31 in the control group. Data were collected using the “Patient Information Form, Distress Thermometer, and Visual Analog Scale.” Results: The mean post-procedure distress thermometer scores for the control group, stress ball group, and virtual reality goggles group were 5.37±1.7, 3.48±2.4, and 2.78±1.96, respectively. The post-procedure distress thermometer score of the control group was significantly higher than that of the stress ball and virtual reality groups (p=0.001). The mean post-procedure pain scores for the control group, stress ball group, and virtual reality goggles group were 5.77±2.1, 4.46±2.3, and 3.02±2.36, respectively. The post-procedure pain score of the control group was significantly higher than that of the stress ball and virtual reality groups (p=0.001). Conclusion: The findings demonstrated that the use of stress balls and virtual reality goggles during arteriovenous fistula cannulation effectively reduced pain intensity and distress levels. The use of nonpharmacological interventions such as virtual reality goggles and stress balls should be encouraged during arteriovenous fistula cannulation procedures in hemodialysis units, and healthcare professionals should be informed accordingly.

Ethical Statement

Araştırmanın yürütülmesi için İstanbul Sabahattin Zaim Üniversitesi Etik Kurul Başkanlığı’ndan (22.12.2023 tarih, 2023/08 sayı) onay alınmıştır.

Arteriyovenöz Fistül Kanülasyonu Sırasında Uygulanan Sanal Gerçeklik Gözlüğünün ve Stres Topunun Distress ve Ağrı Üzerine Etkisi

Abstract

Amaç: Bu çalışma, hemodiyaliz uygulanan hastalarda arteriovenöz fistül kanülasyonu işlemi sırasında uygulanan sanal gerçeklik gözlüğü ve stres topunun distres ve ağrı düzeyine etkisi etkisini belirlemek amacıyla ön test son test randomize kontrollü olarak yapılmıştır. Gereç ve Yöntem: Araştırma, İstanbul’da bulunan üç farklı özel diyaliz merkezinde Kasım 2023-Mart 2024 tarihleri arasında 31’i stres topu grubu, 15’i sanal gerçeklik gözlüğü grubu, 31’i kontrol grubu olmak üzere 77 hasta ile tamamlanmıştır. Veriler “Hasta Bilgi Formu, Distres Termometresi ve Visual Analog Skalası” ile toplanmıştır. Bulgular: İşlem sonrası kontrol grubu, stres topu grubu ve sanal gerçeklik gözlüğü grubu distres termometresi ortalaması sırasıyla 5,37±1,7, 3,48±2,4, 2,78±1,96’dır. Kontrol grubunun distres termometresi ortalaması işlem sonrası değerinin, stres topu grubuna ve sanal gerçeklik gözlük grubuna göre yüksek olması istatistiksel açısından anlamlıdır (p=0,001). İşlem sonrası kontrol grubu, stres topu grubu ve sanal gerçeklik gözlük grubu distres ağrı ortalaması sırasıyla 5,77±2,1, 4,46±2,3, 3,02±2,36’dır. Kontrol grubunun ağrı ortalaması işlem sonrası değerinin, stres topu grubuna ve sanal gerçeklik gözlük grubuna göre yüksek olması istatistiksel açısından anlamlıdır (p=0,001). Sonuç: Arteriovenöz fistül kanülasyonu işlemi sırasında uygulanan stres topu ve sanal gerçeklik gözlük uygulamalarının ağrı şiddeti ve stres düzeyini azaltmada etkisi olduğu görülmüştür. Hemodiyaliz ünitelerinde arteriovenöz fistül kanülasyonu işlemi sırasında sanal gerçeklik gözlük ve stres topu gibi non-farmakolojik yöntemlerin kullanımı teşvik edilmeli ve sağlık çalışanları bu konuda bilgilendirilmelidir.

Keywords

• Arteriyovenöz Fistül
• Hemodiyaliz
• Hemşirelik
• Sanal Gerçeklik
• Stres Topu

Supporting Institution

Bu çalışma, Türkiye Bilimsel ve Teknolojik Araştırma Kurumu (TÜBİTAK) 2209-A tarafından [1919B012309056] numaralı proje kapsamında desteklenmiştir.

Ethical Statement

Araştırmanın yürütülmesi için İstanbul Sabahattin Zaim Üniversitesi Etik Kurul Başkanlığı’ndan (22.12.2023 tarih, 2023/08 sayı) onay alınmıştır.

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