The effect of virtual reality distraction on reducing patients' anxiety before coronary angiography: a randomized clinical trial study

Abstract Background Coronary angiography is used as a qualified method to diagnose coronary heart disease. However, patients undergoing coronary angiography experience a great deal of anxiety. The present study is aimed at investigating the effect of virtual reality on anxiety before coronary angiog...

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Main Authors: Mostafa Keshvari, Mohammad Reza Yeganeh, Ezzat Paryad, Zahra Atrkar Roushan, Moluk Pouralizadeh
Format: Article
Language:English
Published: SpringerOpen 2021-11-01
Series:The Egyptian Heart Journal
Subjects:
Online Access:https://doi.org/10.1186/s43044-021-00224-y
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author Mostafa Keshvari
Mohammad Reza Yeganeh
Ezzat Paryad
Zahra Atrkar Roushan
Moluk Pouralizadeh
author_facet Mostafa Keshvari
Mohammad Reza Yeganeh
Ezzat Paryad
Zahra Atrkar Roushan
Moluk Pouralizadeh
author_sort Mostafa Keshvari
collection DOAJ
description Abstract Background Coronary angiography is used as a qualified method to diagnose coronary heart disease. However, patients undergoing coronary angiography experience a great deal of anxiety. The present study is aimed at investigating the effect of virtual reality on anxiety before coronary angiography. In a randomized controlled trial, 60 candidates for coronary angiography were randomly assigned to two intervention and control groups from April to July 2019. Data were collected by Spielberger’s situational anxiety questionnaire. The participants’ anxiety level and their heart rate, respiratory rate, and blood pressure were measured before and immediately after the intervention. The Intervention group received virtual reality intervention, and the control group was cared for based on the hospital routine. Data were entered into the SPSS version 24.0 software (SPSS Inc.) and analyzed using Chi-square, Paired samples, and independent sample t tests. Results The majority of participants were male (71.25%) and the Mean ± SD age of them in the intervention and control groups was 50.95 ± 4.120 and 52.08 ± 4.002 years, respectively. The mean score of anxiety (p < 0.01), heart rate (p = 0.001), and systolic blood pressure (p = 0.016) after the intervention in the intervention group decreased significantly. Conclusions This study indicated the implementation of a VR distraction protocol in the patients could effectively reduce perioperative anxiety and its indices. It showed that VR is a safe method without any complications related to the device and with good acceptability. Registration code IRCT201 40515017693N3.
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spelling doaj.art-6c019bc136bc44cc938486d88bebbc2e2022-12-21T19:24:17ZengSpringerOpenThe Egyptian Heart Journal2090-911X2021-11-017311810.1186/s43044-021-00224-yThe effect of virtual reality distraction on reducing patients' anxiety before coronary angiography: a randomized clinical trial studyMostafa Keshvari0Mohammad Reza Yeganeh1Ezzat Paryad2Zahra Atrkar Roushan3Moluk Pouralizadeh4Department of Nursing, Shahid Beheshti School of Nursing and Midwifery, Guilan University of Medical SciencesDepartment of Nursing, Shahid Beheshti School of Nursing and Midwifery, Guilan University of Medical SciencesDepartment of Nursing, Shahid Beheshti School of Nursing and Midwifery, Guilan University of Medical SciencesDepartment of Biostatistics, Medical School, Guilan University of Medical SciencesDepartment of Nursing, Shahid Beheshti School of Nursing and Midwifery, Guilan University of Medical SciencesAbstract Background Coronary angiography is used as a qualified method to diagnose coronary heart disease. However, patients undergoing coronary angiography experience a great deal of anxiety. The present study is aimed at investigating the effect of virtual reality on anxiety before coronary angiography. In a randomized controlled trial, 60 candidates for coronary angiography were randomly assigned to two intervention and control groups from April to July 2019. Data were collected by Spielberger’s situational anxiety questionnaire. The participants’ anxiety level and their heart rate, respiratory rate, and blood pressure were measured before and immediately after the intervention. The Intervention group received virtual reality intervention, and the control group was cared for based on the hospital routine. Data were entered into the SPSS version 24.0 software (SPSS Inc.) and analyzed using Chi-square, Paired samples, and independent sample t tests. Results The majority of participants were male (71.25%) and the Mean ± SD age of them in the intervention and control groups was 50.95 ± 4.120 and 52.08 ± 4.002 years, respectively. The mean score of anxiety (p < 0.01), heart rate (p = 0.001), and systolic blood pressure (p = 0.016) after the intervention in the intervention group decreased significantly. Conclusions This study indicated the implementation of a VR distraction protocol in the patients could effectively reduce perioperative anxiety and its indices. It showed that VR is a safe method without any complications related to the device and with good acceptability. Registration code IRCT201 40515017693N3.https://doi.org/10.1186/s43044-021-00224-yVirtual realityAngiographyAnxiety stateVital signsHeart diseases
spellingShingle Mostafa Keshvari
Mohammad Reza Yeganeh
Ezzat Paryad
Zahra Atrkar Roushan
Moluk Pouralizadeh
The effect of virtual reality distraction on reducing patients' anxiety before coronary angiography: a randomized clinical trial study
The Egyptian Heart Journal
Virtual reality
Angiography
Anxiety state
Vital signs
Heart diseases
title The effect of virtual reality distraction on reducing patients' anxiety before coronary angiography: a randomized clinical trial study
title_full The effect of virtual reality distraction on reducing patients' anxiety before coronary angiography: a randomized clinical trial study
title_fullStr The effect of virtual reality distraction on reducing patients' anxiety before coronary angiography: a randomized clinical trial study
title_full_unstemmed The effect of virtual reality distraction on reducing patients' anxiety before coronary angiography: a randomized clinical trial study
title_short The effect of virtual reality distraction on reducing patients' anxiety before coronary angiography: a randomized clinical trial study
title_sort effect of virtual reality distraction on reducing patients anxiety before coronary angiography a randomized clinical trial study
topic Virtual reality
Angiography
Anxiety state
Vital signs
Heart diseases
url https://doi.org/10.1186/s43044-021-00224-y
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