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The Effect of Virtual Reality Glasses on Vital Signs and State Anxiety Level in Cancer Patients Receiving Chemotherapy for the First Time: A Semi-Experimental Study

Year 2025, Issue: 25, 110 - 125, 29.04.2025
https://doi.org/10.38079/igusabder.1494555

Abstract

Aim: This study was conducted as a non-randomized control group experimental study to determine the effect of virtual reality glasses on vital signs and state anxiety levels in cancer patients.
Method: The sample of the study consisted of 30 patients who were assigned to the intervention and control groups by the stratified sampling method. After the chemotherapy infusion was started, the intervention group was provided with relaxing 3D videos of their choice. Both groups were re-administered the situational anxiety scale with the measurement of vital signs at the end of the chemotherapy infusion.
Results: The mean score of the post-chemotherapy state anxiety scale in the intervention group was 30.60±8.20, while in the control group it was 39.70±8.82, and this difference was statistically significantly higher (p <0.05). Although there was no statistical significance in the saturation values measured before and after chemotherapy in the intervention group, it was determined to be higher after chemotherapy (p>0.05).When the control group was examined, although there was a statistically significant difference in heart rate and saturation values (t=3.962; p=0.000, Z=-2.837; p=0.005) before chemotherapy, it was lower than the values of the intervention group.
Conclusion: As a result, virtual reality glasses had a positive effect on the anxiety levels and vital signs of the patients.

References

  • 1. World Health Organization. Cancer. World Health Organization. https://www.euro.who.int /en/health topics/noncommunicable-diseases/cancer. Published July 2022. Accessed 12 July 2022.
  • 2. Türkiye İstatistik Kurumu. Ölüm ve ölüm nedeni istatistikleri 2019. Türkiye İstatistik Kurumu. https://data.tuik.gov.tr/Bulten/Index?p=Olum-ve-Olum-Nedeni-Istatistikleri-2019-33710. Published July 2022. Accessed 23 July 2022.
  • 3. Global Cancer Observatory. Turkey. World Health Organization. https://gco.iarc.fr/today/data/factsheets/populations/792-turkey-fact-sheets.pdf. Published August 2023. Accessed 23 August 2023.
  • 4. Arrieta O, Angulo LP, Valaencia CN, et al. Association of depression and anxiety on quality of life, treatment adherence, and prognosis in patients with advanced non-small cell lung cancer. Annals of Surgical Oncology. 2013;20(6):1941–1948.
  • 5. Li WHC, Chung JOK, Ho EKY, et al. Effectiveness and feasibility of using the computerized interactive virtual space in reducing depressive symptoms of Hong Kong Chinese children hospitalized with cancer. Journal for Specialist Pediatric Nursing. 2011;16(3):190–198. doi: 10.1111/j.1744-6155.2011.00288.x.
  • 6. Caliskan E, Gurhan N, Tekgunduz AIE. Distress, anxiety and depression in patients who have received hematologic cancer diagnosis. Acta Oncologica Turcica. 2017;50(3):207-17.
  • 7. Eker A, Aslan E. Jinekolojik kanser hastalarında psiko-sosyal yaklaşım. Journal of Educational Research in Nursing. 2017;14(4):298–303.
  • 8. Tennant M, Youssefa GJ, McGillivraya J, et al. Exploring the use of immersive virtual reality to enhance psychological well-being in pediatric oncology: A pilot randomized controlled trial. European Journal of Oncology Nursing. 2020;48:101804.
  • 9. Beikmoradi A, Najafi F, Roshanaei G, et al. Acupressure and anxiety in cancer patients. Iran Red Crescent Medical Journal. 2015;17(3):1. doi: 10.5812/ircmj.25919.
  • 10. Clus D, Larsen ME, Lemey C, et al. The use of virtual reality in patients with eating disorders: Systematic review. Journal of Medical Internet Research. 2018;20(4):1–9.
  • 11. Indovina P, Barone D, Gallo L, et al. Virtual reality as a distraction intervention to relieve pain and distress during medical procedures: A comprehensive literature review. The Clinical Journal of Pain. 2018;34(9):858-877. doi: 10.1097/AJP.0000000000000599.
  • 12. Sharar SR, Alamdar A, Hoffer C, et al. Circumplex model of affect: A measure of pleasure and arousal during virtual reality distraction analgesia. Games for Health Journal. 2016;5(3):197–202. doi: 10.1089/g4h.2015.0046.
  • 13. Triberti S, Repetto C, Riva G. Psychological factors influencing the effectiveness of virtual reality-based analgesia: A systematic review. Cyberpsychol Behavior Social Networking. 2014;17(6):335–345. doi: 10.1089/cyber.2014.0054.
  • 14. Wiederhold BK, Gao K, Sulea C, et al. Virtual reality as a distraction technique in chronic pain patients. Cyberpsychol Behavior Social Networking. 2014;17(6):346–352.
  • 15. Matheve T, Bogaerts K, Timmermans A. Virtual reality distraction induces hypoalgesia in patients with chronic low back pain: A randomized controlled trial. Journal of Neuroengineering Rehabilitation. 2020;17(1):55. doi: 10.1186/s12984-020-00688-0.
  • 16. Oner N, Le Compte A. Durumluk Sürekli Kaygı Envanteri El Kitabi. Istanbul: Boğaziçi Üniversitesi Yayınları; 1983.
  • 17. Nguyen TN, Nilson S, Hellström AL, et al. Music therapy to reduce pain and anxiety in children with cancer undergoing lumbar puncture: A randomized clinical trial. Journal of Pediatric Oncology Nursing. 2010;27(3):146-155. doi: 10.1177/1043454209355983.
  • 18. Sahin G, Basak T. The effects of intraoperative progressive muscle relaxation and virtual reality application on anxiety, vital signs, and satisfaction: A randomized controlled trial. Journal of PeriAnesthesia Nursing. 2020;35(3):269-276.
  • 19. Menekli T, Yaprak B, Dogan R. The effect of virtual reality distraction intervention on pain, anxiety, and vital signs of oncology patients undergoing port catheter implantation: A randomized controlled study. Pain Management Nursing. 2022;23(5):585-90.
  • 20. Genc H, Korkmaz M, Akkurt A. The effect of virtual reality glasses and stress balls on pain and vital findings during transrectal prostate biopsy: A randomized controlled trial. Journal of PeriAnesthesia Nursing. 2022;37(3):344-350.
  • 21. Chirico A, Maiorano P, Indovina P, et al. Virtual reality and music therapy as distraction interventions to alleviate anxiety and improve mood states in breast cancer patients during chemotherapy. Journal of Cellular Physiology. 2020;235(6):5353–5362.
  • 22. Scates D, Dickinson JI, Sullivian K, et al. Using nature-inspired virtual reality as a distraction to reduce stress and pain among cancer patients. Environment and Behavior. 2020;52(8):895-918. doi: 10.1177/0013916520916259.
  • 23. Brown DK, Barton JL, Gladwell VF. Viewing nature scenes positively affects recovery of autonomic function following acute-mental stress. Environment Science Technology. 2013;47(11):5562-5569. doi: 10.1021/es305019p.
  • 24. Gerçeker GO, Bektas M, Aydınok M, et al. The effect of virtual reality on pain, fear, and anxiety during access of a port with huber needle in pediatric hematology-oncology patients: Randomized controlled trial. European Journal of Oncology Nursing. 2021;50:101886. doi: 10.1016/j.ejon.2020.101886.
  • 25. Mohammad EB, Ahmad M. Virtual reality as a distraction technique for pain and anxiety among patients with breast cancer: A randomized control trial. Palliative Support Care. 2019;17(1):29–34. doi: 10.1017/S1478951518000639.
  • 26. Espinoza M, Banos RM, Palocios AG, et al. Promotion of emotional wellbeing in oncology inpatients using VR. Annual Review CyberTherapy Telemedicine. 2012;10:53–57.
  • 27. Banos RM, Espinazo M, Palacios AG, et al. A positive psychological intervention using virtual reality for patients with advanced cancer in a hospital setting: A pilot study to assess feasibility. Support Care Cancer. 2013;21(1):263–270.
  • 28. Chan JJI, Yeam JT, Kee HM, et al. The use of preoperative virtual reality to reduce anxiety in women undergoing gynecological surgeries: A prospective cohort study. BMC Anesthesiology. 2020;20:261. doi: 10.1186/s1287.

İlk Kez Kemoterapi Alan Kanser Hastalarında Sanal Gerçeklik Gözlüklerinin Yaşamsal Bulgular ve Durumluk Kaygı Düzeyi Üzerine Etkisi: Yarı Deneysel Bir Çalışma

Year 2025, Issue: 25, 110 - 125, 29.04.2025
https://doi.org/10.38079/igusabder.1494555

Abstract

Amaç: Bu çalışma, kanser hastalarında sanal gerçeklik gözlüklerinin yaşam belirtileri ve durumluk kaygı düzeylerine etkisini belirlemek amacıyla randomize olmayan kontrol gruplu deneysel bir çalışma olarak yapılmıştır.
Yöntem: Araştırmanın örneklemini tabakalı örnekleme yöntemiyle müdahale ve kontrol grubuna atanan 30 hasta oluşturmuştur. Kemoterapi infüzyonu başlatıldıktan sonra müdahale grubuna kendi seçecekleri rahatlatıcı 3 boyutlu videolar sunuldu. Kemoterapi infüzyonu sonunda yaşamsal belirtilerin ölçümü ile her iki gruba da durumsal kaygı ölçeği yeniden uygulandı.
Bulgular: Müdahale grubunda kemoterapi sonrası durumluk kaygı ölçeği puanı ortalaması 30,60±8,20, kontrol grubunda ise 39,70±8,82 olup bu fark istatistiksel olarak anlamlı derecede yüksekti (p<0,05). Müdahale grubunda kemoterapi öncesi ve sonrası ölçülen satürasyon değerlerinde istatistiksel olarak anlamlı fark bulunmazken, kemoterapi sonrası daha yüksek olduğu belirlendi (p>0.05).Kontrol grubu incelendiğinde kemoterapi öncesi kalp hızı ve satürasyon değerlerinde istatistiksel olarak anlamlı fark olmasına rağmen (t=3.962; p=0.000, Z=-2.837; p=0.005), müdahale grubunun değerlerinden düşüktü.
Sonuç: Sonuç olarak sanal gerçeklik gözlüklerinin hastaların kaygı düzeyleri ve yaşamsal belirtileri üzerinde olumlu etkisi olduğu görüldü.

References

  • 1. World Health Organization. Cancer. World Health Organization. https://www.euro.who.int /en/health topics/noncommunicable-diseases/cancer. Published July 2022. Accessed 12 July 2022.
  • 2. Türkiye İstatistik Kurumu. Ölüm ve ölüm nedeni istatistikleri 2019. Türkiye İstatistik Kurumu. https://data.tuik.gov.tr/Bulten/Index?p=Olum-ve-Olum-Nedeni-Istatistikleri-2019-33710. Published July 2022. Accessed 23 July 2022.
  • 3. Global Cancer Observatory. Turkey. World Health Organization. https://gco.iarc.fr/today/data/factsheets/populations/792-turkey-fact-sheets.pdf. Published August 2023. Accessed 23 August 2023.
  • 4. Arrieta O, Angulo LP, Valaencia CN, et al. Association of depression and anxiety on quality of life, treatment adherence, and prognosis in patients with advanced non-small cell lung cancer. Annals of Surgical Oncology. 2013;20(6):1941–1948.
  • 5. Li WHC, Chung JOK, Ho EKY, et al. Effectiveness and feasibility of using the computerized interactive virtual space in reducing depressive symptoms of Hong Kong Chinese children hospitalized with cancer. Journal for Specialist Pediatric Nursing. 2011;16(3):190–198. doi: 10.1111/j.1744-6155.2011.00288.x.
  • 6. Caliskan E, Gurhan N, Tekgunduz AIE. Distress, anxiety and depression in patients who have received hematologic cancer diagnosis. Acta Oncologica Turcica. 2017;50(3):207-17.
  • 7. Eker A, Aslan E. Jinekolojik kanser hastalarında psiko-sosyal yaklaşım. Journal of Educational Research in Nursing. 2017;14(4):298–303.
  • 8. Tennant M, Youssefa GJ, McGillivraya J, et al. Exploring the use of immersive virtual reality to enhance psychological well-being in pediatric oncology: A pilot randomized controlled trial. European Journal of Oncology Nursing. 2020;48:101804.
  • 9. Beikmoradi A, Najafi F, Roshanaei G, et al. Acupressure and anxiety in cancer patients. Iran Red Crescent Medical Journal. 2015;17(3):1. doi: 10.5812/ircmj.25919.
  • 10. Clus D, Larsen ME, Lemey C, et al. The use of virtual reality in patients with eating disorders: Systematic review. Journal of Medical Internet Research. 2018;20(4):1–9.
  • 11. Indovina P, Barone D, Gallo L, et al. Virtual reality as a distraction intervention to relieve pain and distress during medical procedures: A comprehensive literature review. The Clinical Journal of Pain. 2018;34(9):858-877. doi: 10.1097/AJP.0000000000000599.
  • 12. Sharar SR, Alamdar A, Hoffer C, et al. Circumplex model of affect: A measure of pleasure and arousal during virtual reality distraction analgesia. Games for Health Journal. 2016;5(3):197–202. doi: 10.1089/g4h.2015.0046.
  • 13. Triberti S, Repetto C, Riva G. Psychological factors influencing the effectiveness of virtual reality-based analgesia: A systematic review. Cyberpsychol Behavior Social Networking. 2014;17(6):335–345. doi: 10.1089/cyber.2014.0054.
  • 14. Wiederhold BK, Gao K, Sulea C, et al. Virtual reality as a distraction technique in chronic pain patients. Cyberpsychol Behavior Social Networking. 2014;17(6):346–352.
  • 15. Matheve T, Bogaerts K, Timmermans A. Virtual reality distraction induces hypoalgesia in patients with chronic low back pain: A randomized controlled trial. Journal of Neuroengineering Rehabilitation. 2020;17(1):55. doi: 10.1186/s12984-020-00688-0.
  • 16. Oner N, Le Compte A. Durumluk Sürekli Kaygı Envanteri El Kitabi. Istanbul: Boğaziçi Üniversitesi Yayınları; 1983.
  • 17. Nguyen TN, Nilson S, Hellström AL, et al. Music therapy to reduce pain and anxiety in children with cancer undergoing lumbar puncture: A randomized clinical trial. Journal of Pediatric Oncology Nursing. 2010;27(3):146-155. doi: 10.1177/1043454209355983.
  • 18. Sahin G, Basak T. The effects of intraoperative progressive muscle relaxation and virtual reality application on anxiety, vital signs, and satisfaction: A randomized controlled trial. Journal of PeriAnesthesia Nursing. 2020;35(3):269-276.
  • 19. Menekli T, Yaprak B, Dogan R. The effect of virtual reality distraction intervention on pain, anxiety, and vital signs of oncology patients undergoing port catheter implantation: A randomized controlled study. Pain Management Nursing. 2022;23(5):585-90.
  • 20. Genc H, Korkmaz M, Akkurt A. The effect of virtual reality glasses and stress balls on pain and vital findings during transrectal prostate biopsy: A randomized controlled trial. Journal of PeriAnesthesia Nursing. 2022;37(3):344-350.
  • 21. Chirico A, Maiorano P, Indovina P, et al. Virtual reality and music therapy as distraction interventions to alleviate anxiety and improve mood states in breast cancer patients during chemotherapy. Journal of Cellular Physiology. 2020;235(6):5353–5362.
  • 22. Scates D, Dickinson JI, Sullivian K, et al. Using nature-inspired virtual reality as a distraction to reduce stress and pain among cancer patients. Environment and Behavior. 2020;52(8):895-918. doi: 10.1177/0013916520916259.
  • 23. Brown DK, Barton JL, Gladwell VF. Viewing nature scenes positively affects recovery of autonomic function following acute-mental stress. Environment Science Technology. 2013;47(11):5562-5569. doi: 10.1021/es305019p.
  • 24. Gerçeker GO, Bektas M, Aydınok M, et al. The effect of virtual reality on pain, fear, and anxiety during access of a port with huber needle in pediatric hematology-oncology patients: Randomized controlled trial. European Journal of Oncology Nursing. 2021;50:101886. doi: 10.1016/j.ejon.2020.101886.
  • 25. Mohammad EB, Ahmad M. Virtual reality as a distraction technique for pain and anxiety among patients with breast cancer: A randomized control trial. Palliative Support Care. 2019;17(1):29–34. doi: 10.1017/S1478951518000639.
  • 26. Espinoza M, Banos RM, Palocios AG, et al. Promotion of emotional wellbeing in oncology inpatients using VR. Annual Review CyberTherapy Telemedicine. 2012;10:53–57.
  • 27. Banos RM, Espinazo M, Palacios AG, et al. A positive psychological intervention using virtual reality for patients with advanced cancer in a hospital setting: A pilot study to assess feasibility. Support Care Cancer. 2013;21(1):263–270.
  • 28. Chan JJI, Yeam JT, Kee HM, et al. The use of preoperative virtual reality to reduce anxiety in women undergoing gynecological surgeries: A prospective cohort study. BMC Anesthesiology. 2020;20:261. doi: 10.1186/s1287.
There are 28 citations in total.

Details

Primary Language English
Subjects ​Internal Diseases Nursing​
Journal Section Articles
Authors

Sebile Özdağ 0000-0001-7124-3681

Bahar Vardar İnkaya 0000-0002-9151-6795

Early Pub Date April 29, 2025
Publication Date April 29, 2025
Submission Date June 2, 2024
Acceptance Date April 7, 2025
Published in Issue Year 2025 Issue: 25

Cite

JAMA Özdağ S, Vardar İnkaya B. The Effect of Virtual Reality Glasses on Vital Signs and State Anxiety Level in Cancer Patients Receiving Chemotherapy for the First Time: A Semi-Experimental Study. IGUSABDER. 2025;:110–125.

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