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Effects of virtual reality and acupressure interventions on pain, anxiety, vital signs and comfort in catheter extraction processes for patients undergoing coronary angiography: A randomized controlled trial.
- Source :
- International Journal of Nursing Practice (John Wiley & Sons, Inc.); Dec2023, Vol. 29 Issue 6, p1-12, 12p
- Publication Year :
- 2023
-
Abstract
- Background: Pain and anxiety management in patients undergoing medical and surgical procedures is an important competence area for nurses. Aim: This study aimed to determine and compare the effects of virtual reality and acupressure interventions on pain, anxiety, vital signs and comfort levels in the process of femoral catheter extraction for patients undergoing coronary angiography. Methods: The study was a single‐blind, three‐group, randomized controlled trial conducted in the cardiology clinics of a university hospital in 2021. A total of 153 patients (51 virtual reality, 51 acupressure, 51 control) participated in the study. Data were collected using a Visual Analogue Scale, the State–Trait Anxiety Inventory, a vital signs follow‐up form and the Perianesthesia Comfort Scale. Results: Both intervention groups had significantly lower pain and anxiety scores, as well as higher comfort scores, compared to the control group (p < 0.001). The virtual reality group had lower systolic blood pressure, respiratory rate and pulse rate than the control group (p < 0.05). The acupressure group had lower systolic and diastolic blood pressure and respiratory rate than the control group (p < 0.05). Conclusions: While neither intervention group was found to be superior to the other, both interventions improved vital signs and comfort levels by reducing pain and anxiety. Summary statement: What is already known about this topic? Uncontrolled pain and anxiety during medical and surgical procedures may increase the risk of complications and have negative effects on the pulmonary and cardiovascular systems, leading to changes in vital signs and compromising patients' hemodynamics.Virtual reality has demonstrated its potential to restore cognitive attention capacities, enabling patients to remain engaged and mentally focused during procedures, and thus reducing pain and anxiety.Acupressure, as a non‐pharmacological intervention, involves applying pressure to specific points on the body to alleviate pain and anxiety. It constitutes a safe, side‐effect‐free and cost‐effective option for improving patient outcomes.What this paper adds? This paper contributes to the knowledge of virtual reality and acupressure interventions as non‐pharmacological approaches that nurses can safely incorporate within their independent professional roles.The study evaluates the effects of traditional acupressure and technological virtual reality interventions on patients, comparing the two interventions for the first time to the best of our knowledge. Furthermore, to the best of our knowledge, these procedures were applied for the first time in femoral catheter extraction after coronary angiography.The implications of this paper: This study emphasizes the positive impacts of virtual reality and acupressure interventions administered by nurses for patients undergoing medical procedures.Overall, the findings suggest that non‐pharmacological techniques such as virtual reality and acupressure can contribute to a similar degree in improving patient outcomes during medical procedures. [ABSTRACT FROM AUTHOR]
- Subjects :
- PREVENTION of surgical complications
ANXIETY prevention
VITAL signs
STATISTICAL power analysis
SCALE analysis (Psychology)
REPEATED measures design
RESEARCH funding
ACADEMIC medical centers
DATA analysis
T-test (Statistics)
BLIND experiment
STATISTICAL sampling
PILOT projects
KRUSKAL-Wallis Test
CATHETERIZATION
MEDICAL device removal
TREATMENT effectiveness
RANDOMIZED controlled trials
DESCRIPTIVE statistics
MANN Whitney U Test
EXPOSURE therapy
ACUPRESSURE
STATE-Trait Anxiety Inventory
FEMUR
PAIN
ONE-way analysis of variance
STATISTICS
CORONARY angiography
VIRTUAL reality therapy
HUMAN comfort
COMPARATIVE studies
PSYCHOLOGICAL tests
DATA analysis software
Subjects
Details
- Language :
- English
- ISSN :
- 13227114
- Volume :
- 29
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- International Journal of Nursing Practice (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 174181437
- Full Text :
- https://doi.org/10.1111/ijn.13176