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Use of Virtual Reality Goggles as a Distraction Technique in Pain Management Following Percutaneous Coronary Intervention

Yıl 2026, Cilt: 7 Sayı: 1 , 76 - 88 , 01.04.2026
https://izlik.org/JA56ZL68DJ

Öz

Pain is one of the symptoms experienced after percutaneous coronary intervention. If left untreated, pain can lead to respiratory and circulatory compromise, suppression of the immune system, disruption of patients' sleep patterns, exacerbation of delirium, prolonged hospital stay, mortality and morbidity, and increased costs to patients. Although the use of common pharmacological interventions for pain is effective in relieving symptoms in the short term, their long-term use can cause serious side effects and high costs to the healthcare system. Therefore, other adjunctive methods are needed to reduce pain after percutaneous coronary intervention. Recently, non-pharmacological interventions have been widely used in symptom management. Studies have shown that virtual reality glasses, one of the non-pharmacological treatments, are effective in pain management. It is stated that the effect of using virtual reality goggles, which is one of the distraction techniques, is related to the gate control theory. It can be said that this analgesic effect is produced by slowing down the pain stimuli reaching the reticular system in the brain. Virtual reality goggles are a non-invasive intervention for pain management and an effective method that causes no pain and no side effects. However, the number of studies on the effects of virtual reality in the management of pain after percutaneous coronary intervention is limited. Nurses should be knowledgeable about virtual reality goggles in the management of pain symptoms, inform the patient, and observe the effects of virtual reality goggles on the patient.

Kaynakça

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Use of Virtual Reality Goggles as a Distraction Technique in Pain Management Following Percutaneous Coronary Intervention

Yıl 2026, Cilt: 7 Sayı: 1 , 76 - 88 , 01.04.2026
https://izlik.org/JA56ZL68DJ

Öz

Perkütan koroner girişim sonrası yaşanan semptomlardan biri de ağrıdır. Tedavi edilmediği takdirde ağrı, solunum ve dolaşım bozukluklarına, bağışıklık sisteminin baskılanmasına, hastaların uyku düzeninin bozulmasına, deliryumun alevlenmesine, hastanede kalış süresinin uzamasına, mortalite ve morbiditeye ve hastalar için maliyetlerin artmasına neden olabilir. Ağrıya yönelik yaygın farmakolojik müdahalelerin kullanımı kısa vadede semptomların giderilmesinde etkili olsa da uzun süreli kullanımları ciddi yan etkilere ve sağlık sistemine yüksek maliyetlere neden olabilmektedir. Bu nedenle perkütan koroner girişim sonrası ağrıyı azaltmak için başka yardımcı yöntemlere ihtiyaç vardır. Son zamanlarda semptom yönetiminde farmakolojik olmayan müdahaleler yaygın olarak kullanılmaktadır. Yapılan çalışmalar, farmakolojik olmayan tedavilerden biri olan sanal gerçeklik gözlüklerinin ağrı kontrolünde etkili olduğunu göstermiştir. Dikkat dağıtma tekniklerinden biri olan sanal gerçeklik gözlüğü kullanımının etkisinin kapı kontrol teorisi ile ilişkili olduğu belirtiliyor. Bu analjezik etkinin beyindeki retiküler sisteme ulaşan ağrı uyarılarının yavaşlatılmasıyla üretildiği söylenebilir. Sanal gerçeklik gözlükleri, ağrı yönetimine yönelik noninvaziv bir müdahale olup, hiçbir acıya ve yan etkiye neden olmayan etkili bir yöntemdir. Ancak perkütan koroner girişim sonrası ağrı tedavisinde sanal gerçekliğin etkisini araştıran çalışma sayısı sınırlıdır. Hemşirelerin ağrı semptomlarının yönetiminde sanal gerçeklik gözlüğü konusunda bilgi sahibi olması, hastayı bilgilendirmesi ve sanal gerçeklik gözlüğünün hasta üzerindeki etkilerini gözlemlemesi gerekmektedir.

Kaynakça

  • Enç N. Kardiyovasküler hemşirelik. İstanbul: Nobel Tıp Kitapevleri; 2019.
  • Nichols M, Townsend N, Scarborough P, Rayner M. Cardiovascular disease in Europe 2014: epidemiological update. European Heart Journal 2014; 35(42): 2950-2959. https://doi.org/10.1093/eurheartj/ehu299
  • World Health Organization. Cardiovascular diseases (CVDs) fact sheet. Geneva: World Health Organization. 2025. Erişim adresi: https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds) (Erişim Tarihi:01.10.2025).
  • American Heart Association. Heart Disease and Stroke Statistics-2025 Update: A Report From the American Heart Association. Circulation 2025; 151: e1-e57. Erişim adresi: https://www.heart.org/en/news/2026/01/21/what-the-latest-heart-disease-and-stroke-numbers-mean-for-your-health (Erişim Tarihi:11.10.2025).
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  • Shao C, Wang J, Tian J, Tang YD. Coronary artery disease: From mechanism to clinical practice. Adv Exp Med Biol 2020; 1177: 1-36. https://doi.org/10.1007/978-981-15-2517-9_1
  • Montalestcot G. ESC Kararlı koroner arter hastalığı yönetimi kılavuzu. Türk Kardiyoloji Derneği Araştırma 2014; 6: 96-100. https://jag.journalagent.com/tkd/pdfs/TKDA_42_80_73_134.pdf
  • Türen S, Efil S. Akut koroner sendromlar ve hemşirelik yönetimi. Yoğun Bakım Hemşireliği Dergisi. 2014; 18(2): 43-51.
  • Sevinç S. Kardiyovasküler sistem hastalıkları ve hemşirelik yönetimi. Temel İç Hastalıkları Hemşireliği ve Farklı Boyutlarıyla Kronik Hastalıklar. Ovayolu N. ve Ovayolu Ö. (çev.). Adana: Çukurova Nobel Tıp Kitabevi; 2016.
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  • Dorman SH, Obaid DR. Vascular access and closure for cardiovascular intervention. Heart 2019; 105(16): 1279-1288. https://doi.org/10.1136/heartjnl-2018-313049
  • Dubey G, Chitkara K. Risk management of femoral arterial access-related complications in percutaneous oronary ıntervention. In Complications of Percutaneous Coronary Intervention: The Survival Handbookç. London: Springer London, 2016: 261-275.
  • Bayındır SK, Çürük GN, Oguzhan A. Effect of ice bag application to femoral region on pain in patients undergoing percutaneous coronary intervention. Pain Research and Management 2017; 2017: 6594782. https://doi.org/10.1155/2017/6594782
  • Kurt Y, Kaşıkçı M. The effect of the application of cold on hematoma, ecchymosis, and pain at the catheter site in patients undergoing percutaneous coronary ıntervention. International Journal of Nursing Sciences 2019; 6(4): 378-384. https://doi.org/10.1016/j.ijnss.2019.09.005
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  • Spiegel B, Fuller G, Lopez M., Dupuy T, Noah B, Howard A, et al. Virtual reality for management of pain in hospitalized patients: A Randomized Comparative Effectiveness Trial. PloS one 2019; 14(8): e0219115. https://doi.org/10.1371/journal.pone.0219115
  • Kaşıkçı KM. Temel hemşirelik. İstanbul: İstanbul Tıp Kitapevleri; 2021.
  • Mohammadi N, Pooria A, Yarahmadi S, Tarrahi MJ, Najafizadeh H, Abbasi P, et al. Effects of cold application on chest tube removal pain in heart surgery patients. Tanaffos 2018; 17(1): 29-36.
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  • Bakan G. Perkütan koroner girişimlerde kanıta dayalı bakım uygulamaları. Kardiyovasküler Hemşirelik Dergisi 2016; 7(1): 26-34. https://doi.org/10.5543/khd.2016.39358
  • Doğru BV, Çavuşoğlu E. Perkütan koroner girişimler ve kanıta dayalı bakım. Gün, M. (Ed.). Kardiyovasküler Hastalıklar ve Güncel Kanıta Dayalı Bakım Uygulamaları. 1. Baskı. Ankara: Türkiye Klinikleri; 2022: 40-7.
  • Zhang YY, Cui LX, Zhang L, Wang Y. Continuous nursing care improving outcomes of patients after percutaneous coronary intervention. Medicine 2024; 103(48): e40807. https://doi.org/10.1097/md.0000000000040807
  • Güleser GN, Korkut S, Oğuzhan A. Perkütan koroner girişim sonrası femoral kateter çekimine bağlı gelişen ağrının bir komplikasyonu: vazovagal reaksiyon ve hemşirelik bakımı. Kardiyovasküler Hemşirelik Dergisi 2014; 5(7): 41-47. https://doi.org/10.5543/khd.2014.005
  • Çürük GN, Taşcı S, Elmalı F, Oguzhan A, Kalay N. The effect of ice-bag applied to femoral region of individuals with percutaneous coronary intervention on local vascular complications and low back-pain. IOSR Journal of Nursing and Health Science 2017; 6: 136-144. https://doi.org/10.9790/1959-060105136144
  • Kreutz RP, Phookan S, Bahrami H, Sinha AK, Breall JA, Revtyak GE, et al. Femoral artery closure devices vs manual compression during cardiac catheterization and percutaneous coronary intervention. Journal of the Society for Cardiovascular Angiography & Interventions 2022; 1(5): 100370. https://doi.org/10.1016/j.jscai.2022.100370
  • Fathi M, Valiee S, Mahmoodi P. Effect of changing the duration of keeping sandbag over catheter insertion site on the coronary angiography acute complications: A controlled clinical trial. Journal of Vascular Nursing 2017; 35(4): 193-200. https://doi.org/10.1016/j.jvn.2017.05.001
  • Su SF, Chang MY, Wu MS, Liao YC. Safety and efficacy of using vascular closure devices for hemostasis on sheath removal after a transfemoral artery percutaneous coronary intervention. Japan Journal of Nursing Science 2019; 16(2): 172-183. https://doi.org/10.1111/jjns.12221
  • Türen S, Yilmaz RA, Yesiltepe N, Bektas I. Effect of the head of bed elevation on back pain after elective coronary angiography: A randomized controlled trial. Applied Nursing Research 2022; 64: 151571. https://doi.org/10.1016/j.apnr.2022.151571
  • Sarabi HN, Farsi Z, Butler S, Pishgooie AH. Comparison of the effectiveness of position change for patients with pain and vascular complications after transfemoral coronary angiography: a randomized clinical trial. BMC Cardiovascular Disorders 2021; 21(1): 1-10. https://doi.org/10.1186/s12872-021-01922-w
  • Busca E, Airoldi C, Bertoncini F, Buratti G, Casarotto R, Gaboardi S, et al. Bed rest duration and complications after transfemoral cardiac catheterization: a network meta-analysis. European Journal of Cardiovascular Nursing 2023; 22(5): 454-462. https://doi.org/10.1093/eurjcn/zvac098
  • Gupta A, Bhowmik SR, Sethi R. Impact of early ambulation after femoral approach coronary intervention (FACI) on patient’s outcome. IOSR Journal of Nursing and Health Science 2020; 9(5): 50-53. https://doi.org/10.9790/1959-0905045053
  • Hoffman HG, Chambers GT, Meyer III WJ, Arceneaux LL, Russell WJ, Seibel EJ, et al. Virtual Reality As an Adjunctive Non-Pharmacologic Analgesic for Acute Burn Pain During Medical Procedures. Annals of Behavioral Medicine 2011; 41(2): 183-191. https://doi.org/10.1007/s12160-010-9248-7
  • Guo C, Deng H, Yang J. Effect of virtual reality distraction on pain among patients with hand ınjury undergoing dressing change. Journal of Clinical Nursing 2015; 24(1-2): 115-120. https://doi.org/10.1111/jocn.12626
  • Soltani M, Drever SA, Hoffman HG, Sharar SR, Wiechman SA, Jensen MP, et al. Virtual reality analgesia for burn joint flexibility: A Randomized Controlled Trial. Rehabilitation Psychology 2018; 63(4): 487-494. https://doi.org/10.1037/rep0000239
  • Austin PD, Siddall PJ, Lovell MR. Feasibility and acceptability of virtual reality for cancer pain in people receiving palliative care: A randomised cross-over study. Supportive Care in Cancer 2022; 30(5): 3995-4005. https://doi.org/10.1007/s00520-022-06824-x.
  • Çakır SK, Evirgen S. The effect of virtual reality on pain and anxiety during colonoscopy: A Randomized Controlled Trial. The Turkish Journal of Gastroenterology 2021; 32(5): 451-457. https://doi.org/10.5152/tjg.2021.191081
  • Karaman D, Erol F, Yılmaz D, Dikmen Y. Investigation of the effect of the virtual reality application on experimental pain severity in healthy. Revista da Associação Médica Brasileira 2019; 65(3): 446-451. https://doi.org/10.1590/1806-9282.65.3.446
  • Özveren H, Faydalı S, Özdemir S. Hemşirelerin ağrının farmakolojik olmayan yöntemlerle kontrolüne ilişkin bilgi ve uygulamaları. Turkish Journal of Clinics and Laboratory 2016; 7(4): 99-105. https://doi.org/10.18663/tjcl.286714
  • Çelik S, Baş BK, Korkmaz ZN, Karaşahin H, Yıldırım S. Hemşirelerin ağrı yönetimi hakkındaki bilgi ve davranışlarının belirlenmesi. Bakırköy Tıp Dergisi 2018; 14(1): 17-23. https://doi.org/10.5350/BTDMJB.20160905103604
  • Lin ZW, Huang ST, Xu N, Cao H, Chen LW, Chen Q. Effect of music therapy on the chronic pain and midterm quality of life of patients after mechanical valve replacement. Annals of Thoracic and Cardiovascular Surgery 2020; 26(4): 196-201. https://doi.org/10.5761/atcs.oa.20-00022
  • Xiao Y, Li L, Xie Y, Xu J, Liu Y. Effects of aroma therapy and music intervention on pain and anxious for breast cancer patients in the perioperative period. Zhong nan da xue xue bao. Yi xue ban= Journal of Central South University. Medical Sciences 2018; 43(6): 656-661. https://doi.org/10.11817/j.issn.1672-7347.2018.06.013
  • Yarahmadi S, Mohammadi N, Ardalan A, Najafizadeh H, Gholami M. The combined effects of cold therapy and music therapy on pain following chest tube removal among patients with cardiac baypas surgery. Complementary Therapies in Clinical Practice 2018; 31: 71-75. https://doi.org/10.1016/j.ctcp.2018.01.006
  • Moura CDC, Chaves EDCL, Chianca TCM, Ruginsk SG, Nogueira DA, Iunes DH. Effects of auricular acupuncture on chronic pain in people with back musculoskeletal disorders: A randomized clinical trial. Revista da Escola de Enfermagem da USP 2019; 53: e03418. https://doi.org/10.1590/s1980-220x2018009003418
  • Ding J, He Y, Chen L, Zhu B, Cai Q, Chen K, et al. Virtual reality distraction decreases pain during daily dressing changes following haemorrhoid surgery. Journal of International Medical Research 2019; 47(9): 4380-4388. https://doi.org/10.1177/0300060519857862
  • Tashjian VC, Mosadeghi S, Howard AR, Lopez M, Dupuy T, Reid M, et al. Virtual reality for management of pain in hospitalized patients: Results of a controlled trial. JMIR Mental Health 2017; 4(1): e9. https://doi.org/10.2196/mental.7387
  • Wang S, Lim SH, Aloweni FBAB. Virtual reality interventions and the outcome measures of adult patients in acute care settings undergoing surgical procedures: An Integrative Review. Journal of Advanced Nursing 2022; 78(3): 645-665. https://doi.org/10.1111/jan.15065
  • Jawed YT, Golovyan D, Lopez D, Khan SH, Wang S, Freund C, et al. Feasibility of a virtual reality intervention in the intensive care unit. Heart Lung 2021; 50(6): 748-753. https://doi.org/10.1016/j.hrtlng.2021.05.007
  • Vega C, Whitney RL, Hannah J, Smith G. Virtual reality for symptom management in patients undergoing hematopoietic stem cell transplantation: A quality improvement initiative. Oncology Nursing Forum 2022; 49(3): 233-241. https://doi.org/10.1188/22.onf.233-241
  • 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? Supportive Care in Cancer 2020; 28(9): 4295-4303. https://doi.org/10.1007/s00520-019-05287-x
  • Pandya PG, Kim TE, Howard SK, Stary E, Leng JC, Hunter OO, Mariano ER. Virtual reality distraction decreases routine intravenous sedation and procedure-related pain during preoperative adductor canal catheter insertion: A retrospective study. Korean Journal of Anesthesiology 2017; 70(4): 439-445. https://doi.org/10.4097/kjae.2017.70.4.439
  • Ioannou A, Papastavrou E, Avraamides MN, Charalambous A. Virtual reality and symptoms management of anxiety, depression, fatigue, and pain: A systematic review. SAGE Open Nursing 2020; 6: 1-13. http://dx.doi.org/10.1177/2377960820936163
  • 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. Journal of Pain and Symptom Management 2021; 61(2): 384-394. https://doi.org/10.1016/j.jpainsymman.2020.08.016
  • Wiederhold BK, Gao K, Kong L, Wiederhold MD. Mobile devices as adjunctive pain management tools. CyberPsychology, Behavior, and Social Networking 2014; 17(6): 385-389. https://doi.org/10.1089/cyber.2014.0202
  • Prabhu VG, Stanley L, Morgan RA. Biofeedback enhanced adaptive virtual reality environment for managing surgical pain and anxiety. International Journal of Semantic Computing 2020; 14(03): 375-393. http://dx.doi.org/10.1142/S1793351X20400152
  • Mladenovic R, Djordjevic F. Effectiveness of virtual reality as a distraction on anxiety and pain during impacted mandibular third molar surgery under local anesthesia. Journal of Stomatology, Oral and Maxillofacial Surgery 2021; 122(4): e15-e20. https://doi.org/10.1016/j.jormas.2021.03.009
  • Overton HN, Hanna MN, Bruhn WE, Hutfless S, Bicket MC, Makary MA. Opioids After Surgery Workgroup. Opioid prescribing guidelines for common surgical procedures: an expert panel consensus. Journal of the American College of Surgeons 2018; 227(4): 411-418. https://doi.org/10.1016/j.jamcollsurg.2018.07.659
  • Kim Y, Kim H, Kim YO. Virtual reality and augmented reality in plastic surgery: A review. Archives of Plastic Surgery 2017; 44(03): 179-187. https://doi.org/10.5999/aps.2017.44.3.179
Toplam 71 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Dahili Hastalıklar Hemşireliği
Bölüm Derleme
Yazarlar

Servet Kalyoncuo 0000-0001-8687-2229

Gönderilme Tarihi 9 Haziran 2024
Kabul Tarihi 21 Şubat 2026
Yayımlanma Tarihi 1 Nisan 2026
IZ https://izlik.org/JA56ZL68DJ
Yayımlandığı Sayı Yıl 2026 Cilt: 7 Sayı: 1

Kaynak Göster

APA Kalyoncuo, S. (2026). Use of Virtual Reality Goggles as a Distraction Technique in Pain Management Following Percutaneous Coronary Intervention. YOBÜ Sağlık Bilimleri Fakültesi Dergisi, 7(1), 76-88. https://izlik.org/JA56ZL68DJ
AMA 1.Kalyoncuo S. Use of Virtual Reality Goggles as a Distraction Technique in Pain Management Following Percutaneous Coronary Intervention. YOBÜ Sağlık Bilimleri Fakültesi Dergisi. 2026;7(1):76-88. https://izlik.org/JA56ZL68DJ
Chicago Kalyoncuo, Servet. 2026. “Use of Virtual Reality Goggles as a Distraction Technique in Pain Management Following Percutaneous Coronary Intervention”. YOBÜ Sağlık Bilimleri Fakültesi Dergisi 7 (1): 76-88. https://izlik.org/JA56ZL68DJ.
EndNote Kalyoncuo S (01 Nisan 2026) Use of Virtual Reality Goggles as a Distraction Technique in Pain Management Following Percutaneous Coronary Intervention. YOBÜ Sağlık Bilimleri Fakültesi Dergisi 7 1 76–88.
IEEE [1]S. Kalyoncuo, “Use of Virtual Reality Goggles as a Distraction Technique in Pain Management Following Percutaneous Coronary Intervention”, YOBÜ Sağlık Bilimleri Fakültesi Dergisi, c. 7, sy 1, ss. 76–88, Nis. 2026, [çevrimiçi]. Erişim adresi: https://izlik.org/JA56ZL68DJ
ISNAD Kalyoncuo, Servet. “Use of Virtual Reality Goggles as a Distraction Technique in Pain Management Following Percutaneous Coronary Intervention”. YOBÜ Sağlık Bilimleri Fakültesi Dergisi 7/1 (01 Nisan 2026): 76-88. https://izlik.org/JA56ZL68DJ.
JAMA 1.Kalyoncuo S. Use of Virtual Reality Goggles as a Distraction Technique in Pain Management Following Percutaneous Coronary Intervention. YOBÜ Sağlık Bilimleri Fakültesi Dergisi. 2026;7:76–88.
MLA Kalyoncuo, Servet. “Use of Virtual Reality Goggles as a Distraction Technique in Pain Management Following Percutaneous Coronary Intervention”. YOBÜ Sağlık Bilimleri Fakültesi Dergisi, c. 7, sy 1, Nisan 2026, ss. 76-88, https://izlik.org/JA56ZL68DJ.
Vancouver 1.Servet Kalyoncuo. Use of Virtual Reality Goggles as a Distraction Technique in Pain Management Following Percutaneous Coronary Intervention. YOBÜ Sağlık Bilimleri Fakültesi Dergisi [Internet]. 01 Nisan 2026;7(1):76-88. Erişim adresi: https://izlik.org/JA56ZL68DJ