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IRCT20190708044147N1 IRCT 2019-08-26 Mashhad University of Medical Sciences Effect of virtual reality application on pain associated with chest tube removal after cardiac surgery Effect of virtual reality application on pain associated with chest tube removal after cardiac surgery 2019-08-01 anticipated 60 Complete https://irct.ir/trial/40915 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: The referred persons are assigned to the intervention and control groups by their entry into binary blocks. The allocation will be done by the PASS software. N/A pain associated with chest tube removal after cardiac surgery. Intervention 1: Intervention group: In the intervention group, the techniques are implemented by the virtual reality headset. First, a description of the method of intervention is given to the patient, then a list of 5 video 360 degrees with nature content and at least 5 minutes is provided to the patient to be selected to play a video. After selecting the video, the smartphone is placed inside the headset and the selected video is played back through the virtual reality app. From the 5 minutes before the breastbone is removed, the headset is placed on the patient and the video is played back. At the end of the fifth minute, the nurse steps out the chest tube according to the standard method, and after the video goes out, the video player stops and the glasses are removed from the patient's eyes. Intervention 2: Control group: Common care includes half-sitting position and deep breathing. Yes - There is a plan to make this available What will be shared: Information on the main outcome measures of pain before and after the intervention, and side effects including pre- and post-intervention anxiety and stress, and pre-intervention fatigue, and information on the location of chest tube placement When: Start of access period 6 months after printing results To whom: Researchers in academic and scientific institutions Conditions: In order to use the method of project implementation in other similar research and to cite the existing plan by researchers and students of academic institutions Where to obtain: Central Library of Mashhad School of Nursing and Midwifery How to obtain: The data request will be sent to the responsible author's email and will be sent as soon as possible by the responsible author of the file. Comments:
public Dalir Zahra
Nursing and Midwifery School, Ebne Sins Street, Daneshgah Street
Mashhad Iran (Islamic Republic of) 9137913199 +98 51 3859 1513 DalirZ@mums.ac.ir Mashhad University of Medical Sciences scientific Dalir Zahra
Nursing and Midwifery School, Daneshgah Street
Mashhad Iran (Islamic Republic of) 9137913199 +98 513859151 DalirZ@mums.ac.ir Mashhad University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) Have Iranian nationality Be Muslim Satisfied to participate in the study Age of more than 18 years and under 70 years Have enough eyesight with or without glasses Ability to speak Persian Minimum reading and writing literacy Awareness is sufficient to determine the severity and quality of the pain Heart disease (CABG) Have a pericardium or mediastinum tube Have not a companion disease that affects pain assessment (delirium, dementia, severe depression) Has not received an injectable soothing medicine from the previous 4 hours Do not have severe visual impairment and hearing loss Do not connect to the ventilator 18 years 70 years Both The patient does not have stable hemodynamic status Rehabilitation N/A Intervention group: In the intervention group, the techniques are implemented by the virtual reality headset. First, a description of the method of intervention is given to the patient, then a list of 5 video 360 degrees with nature content and at least 5 minutes is provided to the patient to be selected to play a video. After selecting the video, the smartphone is placed inside the headset and the selected video is played back through the virtual reality app. From the 5 minutes before the breastbone is removed, the headset is placed on the patient and the video is played back. At the end of the fifth minute, the nurse steps out the chest tube according to the standard method, and after the video goes out, the video player stops and the glasses are removed from the patient's eyes. Control group: Common care includes half-sitting position and deep breathing Pain intensity score at the Visual Analogue Scale. Timepoint: The severity of pain in the three stages (before, immediately and 15 minutes after the removal of the chest tube). Method of measurement: Visual Analogue Scale. Pain quality score in McGill questionnaire. Timepoint: Before and 15 minutes after the chest tube exits. Method of measurement: McGill questionnaire. Mashhad University of Medical Sciences Approved 2019-05-28 Ethics committee of Mashhad University of Medical Sciences School of Nursing and Midwifery, Daneshgah Street, Ebne Sina Street Mashhad Razavi Khorasan Iran (Islamic Republic of)