Use of Virtual Reality Technology in Pain and Anxiety Management of Cancer Patients

Year 2021, Volume: 4 Issue: 2, 44 - 51, 06.09.2021

Sebile Özdağ Bahar Vardar İnkaya

https://doi.org/10.51536/tusbad.901503

Cited By: 3

Abstract

Cancer is an important public health problem with a high mortality and morbidity rate. Cancer patients experience various symptoms due to both their illness and the side effects of treatment. These symptoms are generally like pain, anxiety, fatigue, if not treated, they negatively affect the quality of life of the person. These symptoms that reduce the quality of life can also cause serious decisions such as disruption in cancer treatment or discontinuation of treatment, and the incomplete cures results to accelerate the spread of cancer and increase mortality. Pharmacological and non-pharmacological methods are used in the treatment of cancer pain and anxiety. Since pharmacological methods have possible side effects such as drug tolerance and addiction, it is important to investigate the use of non-pharmacological methods. Virtual reality technology is a noninvasive intervention method that creates a virtual environment by means of the screens attached to the head of the person, disconnecting him/her from the outside world and allowing the person to focus on the image. The purpose of this review is to examine existing studies on pain and anxiety in cancer patients using virtual reality technology and to guide new ones.

Keywords

Nursing, Oncology, Virtual Reality

Kanser Hastalarının Ağrı ve Kaygı Yönetiminde Sanal Gerçeklik Teknolojisi Kullanımı

Abstract

Kanser mortalite ve morbidite oranı yüksek seyreden önemli bir halk sağlığı sorunudur. Kanser hastaları gerek hastalıkları gerekse tedavinin yan etkilerinden dolayı çeşitli semptomlar yaşarlar. Bu semptomlar genellikle ağrı, kaygı, yorgunluk gibi bulgular olup, tedavi edilmezlerse kişinin yaşam kalitesini olumsuz yönde etkilemektedirler. Kişinin yaşam kalitesini azaltan bu semptomlar kanser tedavisinde aksamalara ya da tedaviden vazgeçmeye kadar oldukça önemli kararlar alınmasına sebep olabilmekte, kürlerin tamamlanamaması da kanserin yayılımını hızlandırarak mortaliteyi artırmaktadır. Kanser ağrısının ve kaygısının tedavisinde farmakolojik ve farmakolojik olmayan yöntemler kullanılmaktadır. Farmakolojik yöntemlerin ilaca tolerans, bağımlılık gibi olası yan etkilerinin olmasından dolayı farmakolojik olmayan yöntemlerin kullanımının araştırılması önemlidir. Sanal gerçeklik teknolojisi kişinin başına takılan ekranlar sayesinde sanal bir ortam yaratarak dış dünya ile bağlantısını koparıp, görüntüye odaklanmasını sağlayarak kişinin dikkatini başka yöne çekebilen bir invaziv olmayan müdahale yöntemidir. Bu derlemenin amacı sanal gerçeklik teknolojisi kullanılarak kanser hastalarında ağrı ve kaygı üzerine yapılmış olan çalışmaları incelemek ve yeni çalışmalara yol gösterici olmaktır.

Keywords

hemşirelik, onkoloji, sanal gerçeklik

References

• Referans 1. Alptekin S, Gönüllü G, Yücel I, Yarış F. Characteristics and quality of life analysis of caregivers of cancer patients. Med Oncol. 2010; 27(3):607–617.
• Referans 2. Toptaş S. Kanser hastalığı olan bi̇reye bakım veren yakınlarının yaşam kali̇tesi̇ [Yüksek lisans tezi]. Ankara: Hacettepe Üniversitesi; 2013.
• Referans 3. Atlı A. Yeti̇şki̇n kanser hastalarında düşme ri̇ski̇ ile yaşam kali̇tesi̇ ili̇şki̇si̇ [Yüksek lisans tezi]. Ankara: Hacettepe Üniversitesi; 2019.
• Referans 4. Global Cancer Observatory [Internet]. Turkey, 2021. [cited 2021 Jan 23]. Available from: https://gco.iarc.fr/today/data/factsheets/populations/792-turkey-fact-sheets.pdf
• Referans 5. Global Cancer Observatory [Internet]. All cancers, 2020. [cited 2021 Jan 23]. Available from: https://gco.iarc.fr/today/data/factsheets/cancers/39-All-cancers-fact-sheet.pdf
• Referans 6. Global Cancer Observatory [Internet]. Cancer tomorrow, 2020 [cited 2021 Jan 23]. Available from: https://gco.iarc.fr/tomorrow/home
• Referans 7. Türkiye İstatistik Kurumu [Internet]. Ölüm ve ölüm nedeni istatistikleri 2019, 2020 [cited 2021 Jan 23]. Available from: https://data.tuik.gov.tr/Bulten/Index?p=Olum-ve-Olum-Nedeni-Istatistikleri-2019-33710 Referans 8. Wild CP, Weiderpass E, Stewart BW, editors. World cancer report: cancer research for cancer prevention [Internet]. Lyon, France: International Agency for Research on Cancer; 2020 [cited 2020 Dec 21]. Available from: http://publications.iarc.fr/586
• Referans 9. Zeng Y, Zhang JE, Cheng ASK, Cheng H, Wefel JS. Meta-analysis of the efficacy of virtual reality–based interventions in cancer-related symptom management. Integr Cancer Ther. 2019; 18:1-8.
• Referans 10. Beuken-Everdingen MHJ, Rijke JM, Kessels AG, Schouten HC, Kleef M, Patijn J. Prevalence of pain in patients with cancer: a systematic review of the past 40 years. Ann Oncol. 2007; 18(9):1437–1449.
• Referans 11. Chow H, Hon J, Chua W, Chuan A. Effect of virtual reality therapy in reducing pain and anxiety for cancer-related medical procedures: a systematic narrative review. J Pain Symptom Manage. 2021; 61(2):384-394.
• Referans 12. Tunç T, Kutanis RÖ. Doktor ve hemşi̇relerde kaygı nedenleri̇ :bi̇r üni̇versi̇te hastanesi̇ örneği. SDU Visionary Journal. 2015; 6(13):62–71.
• Referans 13. Aynacı B. Aile danışmanlığı merkezi̇ne başvuran ki̇şi̇leri̇n kaygı düzeyleri̇ ile di̇ndarlık durumları ilişkisi [Yüksek lisans tezi]. İstanbul: İstanbul Ticaret Üniversitesi; 2018.
• Referans 14. Çalışkan E, Gürhan N, Tekgündüz AİE. Hematolojik kanserli hastaların anksiyete, depresyon ve distres yaşama durumları. Acta Oncol Turc. 2017; 50(3):207–217. Referans 15. Tünel M, Vural A, Evlice YE, Tamam L. Meme kanserli hastalarda psikiyatrik sorunlar. Arch Med Rev Journal. 2012; 21(3):189-219.
• Referans 16. Ülger E, Alacacıoğlu A, Gülseren AŞ, Zencir G, Demir L, Tarhan MO. Kanserde psikososyal sorunlar ve psikososyal onkolojinin önemi. J Deu Med. 2014; 28(2):85-92.
• Referans 17. Güleç G, Büyükkınacı A. Kanser ve psikiyatrik bozukluklar. Curr Approaches Psychiatry. 2011; 3(2):343–367.
• Referans 18. Gökalp K. Müzik terapisinin yaşlı kanser hastalarının anksiyete ve uyku kalitesi üzerine etkisi [Doktora tezi]. Erzurum: Atatürk Üniversitesi; 2015.
• Referans 19. Karakartal D. Kanser hastalarının yaşadıkları psiko-sosyal sorunların incelenmesi. IJHE. 2018; 4(9):48–62.
• Referans 20. Doğan D. Kanser hastalarına yönelik psikoonkoloji uygulamaları. SSS journal. 2019; 5(35):2669–2690.
• Referans 21. Eker A, Aslan E. Jinekolojik kanser hastalarında psiko-sosyal yaklaşım. HEAD. 2017; 14(4):298–303.
• Referans 22. Arrieta O, Angulo LP, Nunez Valencia C, Dorantes Gallareta Y, Macedo EO, Martinez Lopez D, et al. Association of depression and anxiety on quality of life, treatment adherence, and prognosis in patients with advanced non-small cell lung cancer. Ann Surg Oncol. 2013; 20(6):1941–1948.
• Referans 23. Li WHC, Chung JOK, Ho EKY, Chiu SY. Effectiveness and feasibility of using the computerized interactive virtual space in reducing depressive symptoms of Hong Kong Chinese children hospitalized with cancer. J Spec Pediatr Nurs. 2011; 16(3):190–198.
• Referans 24. Malekian A, Alizadeh A, Ahmadzadeh GH. Anxiety and depression in cancer patients. J Res Behavior Sci. 2007; 5(2):115-119.
• Referans 25. Beikmoradi A, Najafi F, Roshanaei G, Esmaeil ZP, Khatibian M, Ahmadi A. Acupressure and anxiety in cancer patients. Iran Red Crescent Med J. 2015; 17(3):1-9.
• Referans 26. Daştan NB, Buzlu S. Kanser hastalarında anksiyete ve depresyon yönetimi. Turkiye Klin Psychiatr Nurs. 2018; 4(2):21–28.
• Referans 27. Teunissen SCCM, Graeff A, Voest EE, Haes JCJM. Are anxiety and depressed mood related to physical symptom burden? a study in hospitalized advanced cancer patients. Palliat Med. 2007; 21(4):341–346.
• Referans 28. Spencer R, Nilsson M, Wright A, Pirl W, Prigerson H. Anxiety disorders in advanced cancer patients: correlates and predictors of end-of-life outcomes. Cancer. 2010; 116(7):1810–1819.
• Referans 29. Garfami H, Shafi Abadi A, Sanaee Zaker B. Effectiveness of group logo therapy in reducing mental symptoms of breast cancer patients. Appl Psychol. 2009; 4(13):35-42.
• Referans 30. Ateşci FÇ, Oğuzhanoğlu NK, Baltalarli B, Karadağ F, Özdel O, Karagöz N. Kanser hastalarında psikiyatrik bozukluklar ve ilişkili etmenler. Türk Psikiyatri Derg. 2003; 14(2):145-152.
• Referans 31. Gör A, Gönülay Z. Alternatif tedavi yöntemleri içerisinde kullanılan görsel sanatların kemoterapi alan hastaların kaygı düzeylerine etkisi. AUJAD. 2020; (25): 153-172.
• Referans 32. Schneider SM, Hood LE. Virtual reality: a distraction intervention for chemotherapy. Oncol Nurs Forum. 2007; 34(1):39–46.
• Referans 33. Mohammad EB, Ahmad M. Virtual reality as a distraction technique for pain and anxiety among patients with breast cancer: a randomized control trial. Palliat Support Care. 2019; 17(1):29–34.
• Referans 34. Göl ND, Aşılar RH. Kemoterapi̇ alan kanserli̇ hastalarda depresyon ve yaşam kali̇tesi̇ni̇n beli̇rlenmesi̇. GÜSBD. 2017; 6(1): 29 – 39.
• Referans 35. Alacacıoğlu A, Yavuzşen T, Diriöz M, Yeşil L, Bayrı D,Yılmaz U. Kemoterapi alan kanser hastalarında anksiyete düzeylerindeki değişiklikler. UHOD. 2007; 17(2):87-93.
• Referans 36. Malloy KM, Milling LS. The effectiveness of virtual reality distraction for pain reduction: a systematic review. Clin Psychol Rev. 2010; 30(8):1011–1018.
• Referans 37. Maindet C, Burnod A, Minello C, George B, Allano G, Lemaire A. Strategies of complementary and integrative therapies in cancer-related pain-attaining exhaustive cancer pain management. Support Care Cancer. 2019; 27(8):3119–3132.
• Referans 38. Chirico A, Lucidi F, De Laurentiis M, Milanese C, Napoli A, Giordano A. Virtual reality in health system: beyond entertainment. A mini-review on the efficacy of VR during cancer treatment. J Cell Physiol. 2016; 231(2):275–287.
• Referans 39. Wiederhold BK, Gao K, Sulea C, Wiederhold MD. Virtual reality as a distraction technique in chronic pain patients. Cyberpsychol Behav Soc Netw. 2014; 17(6):346-352.
• Referans 40. Austin P, Lovell M, Siddall P. The efficacy of virtual reality for persistent cancer pain: a call for research. J Pain Symptom Manage. 2019; 58(4):e11–e14.
• Referans 41. Napolitano MA, Hayes S, Russo G, Muresu D, Giordano A, Foster GD. Using avatars to model weight loss behaviors: partipant attitudes and technology develepment. J Diabetes Sci Technol. 2013; 7(4):1057–1065.
• Referans 42. Chirico A, Maiorano P, Indovina P, Milanese C, Giordano GG, Alivernini F, et al. Virtual reality and music therapy as distraction interventions to alleviate anxiety and improve mood states in breast cancer patients during chemotherapy. J Cell Physiol. 2020; 235(6):5353–5362.
• Referans 43. Oyama H, Ohsuga M, Tatsuno Y, Katsumata N. Evaluation of the psycho-oncological effectiveness of the bedside wellness system. Cyberpsychology Behav. 1999; 2(1):81-84.
• Referans 44. Sander Wint S, Eshelman D, Steele J, Guzzetta CE. Effects of distraction using virtual reality glasses during lumbar punctures in adolescents with cancer. Oncol Nurs Forum. 2002; 29(1):E8-E15.
• Referans 45. Tsuda K, Sudo K, Goto G, Takai M, Itokawa T, Isshiki T, et al. A feasibility study of virtual reality exercise in elderly patients with hematologic malignancies receiving chemotherapy. Intern Med. 2016; 55(4):347–352.
• Referans 46. Feyzioğlu Ö, Dinçer S, Akan A, Algun ZC. Is Xbox 360 kinect-based virtual reality training as effective as standard physiotherapy in patients undergoing breast cancer surgery?. Support Care Cancer. 2020; 28(9):4295–4303.
• Referans 47. Atzori B, Hoffman HG, Vagnoli L, Patterson DR, Alhalabi W, Messeri A, et al. Virtual reality analgesia during venipuncture in pediatric patients with onco-hematological diseases. Front Psychol. 2018; 9:1–7.
• Referans 48. Gershon J, Zimand E, Pickering M, Rothbaum BO, Hodges L. A pilot and feasibility study of virtual reality as a distraction for children with cancer. J Am Acad Child Adolesc Psychiatry. 2004; 43(10):1243–1249.
• Referans 49. Wolitzky K, Fivush R, Zimand E, Hodges L, Rothbaum BO. Effectiveness of virtual reality distraction during a painful medical procedure in pediatric oncology patients. Psychol Heal. 2005; 20(6):817–824.
• Referans 50. Banos RM, Espinoza M, Garcia-Palacios A, Cervera JM, Esquerdo G, Barrajon E, 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.
• Referans 51. Karaman D. Meme biyopsisi sırasında sanal gerçeklik uygulamasının ağrı ve anksiyete üzerine etkisi [Yüksek lisans tezi]. Zonguldak:Bülent Ecevit Üniversitesi; 2016.
• Referans 52. Glennon C, McElroy SF, Connelly LM, Lawson LM, Bretches AM, Gard AR, et al. Use of virtual reality to distract from pain and anxiety. Oncol Nurs Forum. 2018; 45(4):545–552.
• Referans 53. Nilsson S, Finnström B, Kokinsky E, Enskar K. The use of virtual reality for needle-related procedural pain and distress in children and adolescents in a paediatric oncology unit. Eur J Oncol Nurs. 2009; 13(2):102-109.
• Referans 54. Espinoza M, Banos RM, Garcia-Palacios A, Cervera JM, Esquerdo G, Barrajon E, et al. Promotion of emotional wellbeing in oncology inpatients using VR. Stud Health Technol Inform. 2012; 181:53–57.
• Referans 55. Marquess M, Johnston SP, Williams NL, Giordano C, Leiby BE, Hurwitz MD, et al. A pilot study to determine if the use of a virtual reality education module reduces anxiety and increases comprehension in patients receiving radiation therapy. J Radiat Oncol. 2017; 6(3):317–322.
• Referans 56. Schneider SM, Ellis M, Coombs WT, Shonkwiler EL, Folsom LC. Virtual reality intervention for older women with breast cancer. Cyberpsychol Behav. 2003; 6(3):301-307.
• Referans 57. Schneider SM, Workman ML. Effects of virtual reality on symptom distress in children receiving chemotherapy. Cyberpsychology Behav. 1999; 2(2):125–134.
• Referans 58. Schneider SM, Prince Paul M, Allen MJ, Silverman P, Talaba D. Virtual reality as a distraction intervention for women receiving chemotherapy. Oncol Nurs Forum. 2004; 31(1):81-88.