Pap smear işlemi esnasında uygulanan sanal gerçeklik gözlüğünün anksiyete, ağrı ve hasta memnuniyetine etkisi: randomize kontrollü çalışma
Küçük Resim Yok
Tarih
2024
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Düzce Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Araştırma; pap smear işlemi esnasında uygulanan sanal gerçeklik gözlüğünün anksiyete, ağrı ve hasta memnuniyetine etkisini belirlemek amacıyla randomize kontrollü, deneysel tasarımda yürütülmüştür. Araştırma verileri Aralık 2022-Şubat 2023 tarihlerinde, Düzce Toplum Sağlığı Merkezi Kanser Erken Teşhis Tarama ve Eğitim Merkezi (KETEM)'nde yürütülmüştür. Örneklem sayısı, G*Power programı kullanılarak 30 sanal gerçeklik grubu 30 kontrol grubu olmak üzere 60 kadın olarak belirlenmiştir. Sanal gerçeklik grubuna işlem boyunca sanal gerçeklik gözlüğü takılırken kontrol grubuna rutin bakım uygulanmıştır. Veriler Kişisel Bilgi Formu, Anksiyete Görsel Analog Skalası (VAS-A), Durumluk Anksiyete Ölçeği, Sayısal Ağrı Skalası, Sayısal Hasta Memnuniyetini Değerlendirme Sorusu, Sanal Gerçekliğe İlişkin Düşünceleri Değerlendirme Formu ile toplanmıştır. Veriler, Pearson Ki-Kare, Mann-Whitney U, Wilcoxon, Bağımsız Gruplar T Testleriyle analiz edilmiştir. Katılımcıların tanıtıcı özellikleri arasında anlamlı bir farklılık bulunmamıştır. Sanal gerçeklik grubu ve kontrol gruplarının VAS-A puanları incelendiğinde, işlem öncesinde iki grubun puan ortalamaları benzer bulunmuştur (p>0,05). İşlem sonrasında kontrol grubunun anksiyete ölçeği puan ortalaması 4,90±3,27, sanal gerçeklik grubunun ise 3,06±2,43 olarak ölçülmüştür. Sanal gerçeklik grubunun anksiyete puan ortalaması istatistiksel anlamlı olarak daha düşük bulunmuştur (p<0,05). Gruplar kendi içerisinde incelendiğinde, kontrol grubunun işlem öncesi (5,50±3,08) ve sonrasındaki (4,86±2,66) anksiyete puanında yaşanan düşüş istatistiksel olarak anlamlı bulunmamıştır (p>0,05). Sanal gerçeklik grubunun işlem öncesi (4,90±3,27) ve işlem sonrasındaki (3,06±2,43) anksiyete puanında yaşanan düşüş istatistiksel olarak anlamlı bulunmuştur (p<0,05). İşlem sonucundaki Durumluk Anksiyete Puan ortalamaları sanal gerçeklik grubunda (33,40±12,01) kontrol grubuna (45,26±13,97) göre daha düşük tespit edilmiştir (p<0,001). İşlem sonucunda sanal gerçeklik grubu (2,06±2,22) kontrol grubuna göre (3,93±2,37) anlamlı derece düşük düzeyde ağrı bildirmiştir (p=0,003). Grupların memnuniyet düzeyine bakıldığında sanal gerçeklik grubunun daha yüksek memnuniyete sahip olduğu belirlenmiştir (p=0,001). Sanal gerçeklik grubundaki kadınların %76,6'si bir sonraki pap smear işlemleri esnasında tekrardan sanal gerçeklik gözlüğü kullanmak isteyeceğini, %83,4'ü pap smear yaptıracak olan kadınlara sanal gerçeklik uygulamasını önerebileceğini belirtmiştir. Sonuç olarak sanal gerçeklik uygulamasının ağrı ve anksiyete seviyesini azaltarak memnuniyet seviyesini arttırdığı belirlenmiştir. Anahtar Sözcükler: Ağrı, Anksiyete, Hasta memnuniyeti, Pap smear testi, Sanal gerçeklik
The research aimed to determine the effect of virtual reality (VR) goggles applied during Pap smear procedures on anxiety, pain, and patient satisfaction through a randomized controlled experimental design. The research was conducted at the Düzce Community Health Center Cancer Early Detection Screening and Training Center (KETEM) between December 2022 and February 2023. The sample size was determined using the G*Power program, with 60 women divided into 30 in the virtual reality group and 30 in the control group. VR goggles were worn by the virtual reality group during the procedure, while routine care was applied to the control group. Data were collected using a Personal Information Form, Anxiety Visual Analog Scale (VAS-A), State-Trait Anxiety Inventory, Numerical Pain Scale, Digital Patient Satisfaction Evaluation Question, Virtual Reality Thoughts Evaluation Form. Data were analyzed using Pearson Chi-Square, Mann-Whitney U, Wilcoxon, and Independent Samples T-Tests. There were no statistically significant differences found among the demographic characteristics of the participants. When examining VAS-A scores, the mean scores of the two groups were similar before the procedure (p>0.05). After the procedure, the anxiety of the control group was measured at 4.90±3.27 points, while that of the virtual reality group was 3.06±2.43 points. The mean anxiety score of the virtual reality group was significantly lower (p<0.05). Within-group analysis showed no statistically significant decrease in anxiety scores before (5.50±3.08) and after (4.86±2.66) the procedure in the control group (p>0.05). However, a statistically significant decrease in anxiety scores before (4.90±3.27) and after (3.06±2.43) the procedure was observed in the virtual reality group (p<0.05). The post-procedure State Anxiety Score averages were lower in the virtual reality group (33.40±12.01) compared to the control group (45.26±13.97) (p<0.001). Following the procedure, the virtual reality group (2.06±2.22) reported lower pain scores than the control group (3.93±2.37) (p=0.003). When assessing satisfaction levels, it was determined that the virtual reality group had higher satisfaction compared to the control group (p=0.001). 76.6% of women in the virtual reality group stated they would like to use VR goggles again during their next Pap smear procedures, and 83.4% mentioned they would recommend the use of virtual reality to women undergoing Pap smears. In conclusion, the application of virtual reality was found to reduce pain and anxiety levels while increasing satisfaction levels during Pap smear procedures.
The research aimed to determine the effect of virtual reality (VR) goggles applied during Pap smear procedures on anxiety, pain, and patient satisfaction through a randomized controlled experimental design. The research was conducted at the Düzce Community Health Center Cancer Early Detection Screening and Training Center (KETEM) between December 2022 and February 2023. The sample size was determined using the G*Power program, with 60 women divided into 30 in the virtual reality group and 30 in the control group. VR goggles were worn by the virtual reality group during the procedure, while routine care was applied to the control group. Data were collected using a Personal Information Form, Anxiety Visual Analog Scale (VAS-A), State-Trait Anxiety Inventory, Numerical Pain Scale, Digital Patient Satisfaction Evaluation Question, Virtual Reality Thoughts Evaluation Form. Data were analyzed using Pearson Chi-Square, Mann-Whitney U, Wilcoxon, and Independent Samples T-Tests. There were no statistically significant differences found among the demographic characteristics of the participants. When examining VAS-A scores, the mean scores of the two groups were similar before the procedure (p>0.05). After the procedure, the anxiety of the control group was measured at 4.90±3.27 points, while that of the virtual reality group was 3.06±2.43 points. The mean anxiety score of the virtual reality group was significantly lower (p<0.05). Within-group analysis showed no statistically significant decrease in anxiety scores before (5.50±3.08) and after (4.86±2.66) the procedure in the control group (p>0.05). However, a statistically significant decrease in anxiety scores before (4.90±3.27) and after (3.06±2.43) the procedure was observed in the virtual reality group (p<0.05). The post-procedure State Anxiety Score averages were lower in the virtual reality group (33.40±12.01) compared to the control group (45.26±13.97) (p<0.001). Following the procedure, the virtual reality group (2.06±2.22) reported lower pain scores than the control group (3.93±2.37) (p=0.003). When assessing satisfaction levels, it was determined that the virtual reality group had higher satisfaction compared to the control group (p=0.001). 76.6% of women in the virtual reality group stated they would like to use VR goggles again during their next Pap smear procedures, and 83.4% mentioned they would recommend the use of virtual reality to women undergoing Pap smears. In conclusion, the application of virtual reality was found to reduce pain and anxiety levels while increasing satisfaction levels during Pap smear procedures.
Açıklama
Anahtar Kelimeler
Hemşirelik, Nursing, Kadın Hastalıkları ve Doğum, Anxiety, Pain Pap smear test, Patient satisfaction, Virtual reality
