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IRCT20180429039463N3 IRCT 2022-03-28 Torbate-Heidaria University of Medical Sciences The effect of virtual reality on pain The effect of virtual reality on pain caused by needle insertion into venous arterial fistula in hemodialysis patients 2022-03-06 anticipated 30 Complete https://irct.ir/trial/62248 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: Dividing people into two groups randomly will be used by the random permutation block method. In this way, using blocks with two treatments and a table of random numbers, individuals were assigned to two groups of control and intervention. Then, the personal information questionnaire in both intervention and control groups is completed through interviews. This questionnaire includes information about personal characteristics and medical records (age, sex, type of disease, etc.), Blinding description: In this study, participants and outcome assessors did not know whether participants were in the control or intervention group. N/A Chronic renal failure. Intervention 1: Intervention group: In the intervention group, the pain measurement will be measured with virtual reality in such a way that the pain measurement questionnaire is filled by the patient and then the distraction technique will be used once by the Shineken 4 virtual reality headset. First, the patient will be explained about the intervention method, then a list of 5 360-degree videos with nature content and at least 5 minutes will be provided to the patient to be selected to play a video. After selecting the desired video, the smartphone is placed inside the headset and the selected video is played through the virtual reality application. Prior to headset placement, VAS pain intensity and pain quality will be measured and recorded in a short, modified form of the McGill Questionnaire. From 5 minutes before the needle enters the venous arterial fistula, the headset is placed for the patient and the video will be played. At the end of the fifth minute, the nurse inserted the needle into the venous arterial fistula according to the standard method, and after the needle was fixed to the fistula, the video player stopped and the glasses were removed from the patient's eye. The severity of pain is measured and recorded immediately and 15 minutes after insertion of the needle into the fistula and the quality of pain 15 minutes after insertion of the needle into the fistula. Intervention 2: Control group: In the control group, without the patient realizing that routine care was performed and no other intervention was performed, the pain intensity and quality of pain will be measured at the same time intervals as the intervention group using the mentioned scales. Yes - There is a plan to make this available What will be shared: Information about the main consequence after being unidentified will be shared When: Start the access period 6 months after Publish results To whom: Everyone Conditions: The results obtained in this study can be used without restriction by researchers. Where to obtain: Referring to Torbat Heidarieh Nursing and Midwifery Faculty How to obtain: After sending the email to the person responsible for the response process begins. Comments:
public Mohammad Namazinia
Torbat Heydariyeh University of Medical Sciences Building., Razi St., Ferdawsi St
Torbat Heydariyeh Iran (Islamic Republic of) 95169-33787 +98 51 5222 6013 mnamazi99@gmail.com Torbate-Heidaria University of Medical Sciences scientific Mohammad Namazinia
Torbat Heydariyeh University of Medical Sciences Building., Razi St., Ferdawsi St
Torbat Heydariyeh Iran (Islamic Republic of) 95169-33787 +98 51 5222 6013 mnamazi99@gmail.com Torbate-Heidaria University of Medical Sciences Iran (Islamic Republic of) Have informed consent to participate in all study sessions. Hemodialysis sessions should be three times a week. Have vascular access to venous arterial fistulas. The minimum time for hemodialysis through a fistula is 6 months. Be 18-70 years old. Be aware of time, place and person. Fluency in verbal communication in Persian. Absence of underlying disease (neuropathy, Guillain-Barre, MS, etc.) that affects pain and pain perception. No fever more than 37.5 degrees oral Do not take oral or topical analgesics or sedatives less than 6 hours before hemodialysis Do not take psychotropic drugs in the 24 hours before hemodialysis Absence of skin disorders at the injection site Absence of vision problems and impaired myopia (30 cm or less) 18 years 70 years Both Reluctance to continue cooperation Take painkillers or sedatives in more than two consecutive sessions Taking psychotropic drugs in the previous 24 hours Try to get a vein or needle more than twice in each vascular pathway Fistula failure Absence of the patient in two or more consecutive sessions Existence of hearing problems N18 chronic renal failure N/A N/A Intervention group: In the intervention group, the pain measurement will be measured with virtual reality in such a way that the pain measurement questionnaire is filled by the patient and then the distraction technique will be used once by the Shineken 4 virtual reality headset. First, the patient will be explained about the intervention method, then a list of 5 360-degree videos with nature content and at least 5 minutes will be provided to the patient to be selected to play a video. After selecting the desired video, the smartphone is placed inside the headset and the selected video is played through the virtual reality application. Prior to headset placement, VAS pain intensity and pain quality will be measured and recorded in a short, modified form of the McGill Questionnaire. From 5 minutes before the needle enters the venous arterial fistula, the headset is placed for the patient and the video will be played. At the end of the fifth minute, the nurse inserted the needle into the venous arterial fistula according to the standard method, and after the needle was fixed to the fistula, the video player stopped and the glasses were removed from the patient's eye. The severity of pain is measured and recorded immediately and 15 minutes after insertion of the needle into the fistula and the quality of pain 15 minutes after insertion of the needle into the fistula. Control group: In the control group, without the patient realizing that routine care was performed and no other intervention was performed, the pain intensity and quality of pain will be measured at the same time intervals as the intervention group using the mentioned scales. Pain. Timepoint: Pain intensity is measured and recorded immediately, 15 minutes after the needle is inserted into the fistula, and pain quality is recorded and recorded 15 minutes after the needle is inserted into the fistula. Method of measurement: Pain intensity scale (VAS) and pain quality will be measured and recorded with a short, modified form of the McGill Questionnaire. Torbate-Heidaria University of Medical Sciences Approved 2021-12-27 Research Ethics Committee of Torbat Heydariyeh University of Medical Sciences Torbat Heydariyeh University of Medical Sciences, Razi St., Torbat Heydariyeh, Iran Torbat Heydariyeh Razavi Khorasan Iran (Islamic Republic of)