Journal of East-West Nursing Research (동서간호학연구지)

East-west Nursing Research Institute, Kyung Hee University (경희대학교 동서간호학연구소)
권호 표지
DOI QR코드

DOI QR Code

The Effect of Preoperative Guidance and Operating Room Environment Experience Using Virtual Reality on Satisfaction with Preoperative Information and Anxiety Reduction

가상현실을 이용한 수술 전 안내 및 수술실 환경 체험이 수술 전 정보만족도와 불안 감소에 미치는 효과

  • Oh, In Ohg (Department of Performance Improvement, National Health Insurance Service Ilsan Hospital) ;
  • Baek, Eunjeong (Department of Performance Improvement, National Health Insurance Service Ilsan Hospital) ;
  • Jeong, Jiyun (Department of Performance Improvement, National Health Insurance Service Ilsan Hospital) ;
  • Choi, Eunyoung (Department of Intensive care Nursing, National Health Insuranece Service Ilsan Hospital) ;
  • Kim, Jong-Hee (Department of Outpatient Support, National Health Insurance Service Ilsan Hospital) ;
  • Kim, Chihyang (Office of Nursing, National Health Insuranece Service Ilsan Hospital)
  • 오인옥 (국민건강보험 일산병원 적정진료지원부) ;
  • 백은정 (국민건강보험 일산병원 적정진료지원부) ;
  • 정지윤 (국민건강보험 일산병원 적정진료지원부) ;
  • 최은영 (국민건강보험 일산병원 집중치료간호부) ;
  • 김종희 (국민건강보험 일산병원 외래지원부) ;
  • 김치향 (국민건강보험 일산병원 간호행정부)
  • Received : 2024.04.16
  • Accepted : 2024.05.19
  • Published : 2024.05.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to determine the effect of preoperative guidance and operating room environment experience using virtual reality on increasing satisfaction with information and reducing anxiety in preoperative patients undergoing general anesthesia and local anesthesia. Methods: A non-equivalent control group quasi-experimental design was employed. The participants were 80 surgical patients from 4 wards (40 experimental group and 40 control group) of the general hospital located in Gyeonggi-do. Data collection was conducted from June to November 2023 after completing the control group survey in January 2023. Data were analyzed using Chi-square, t-test, and Mann-Whitney U test using SPSS 23.0 program. Results: Satisfaction with preoperative information was higher in the experimental group than that of the control group. Additionally, anxiety related to surgery in the experimental group was significantly lower than that of the control group. The preoperative state anxiety score in the experimental group was not significantly lower than that of the control group. Conclusions: These results suggest that providing patient education and information using virtual reality technology can not only alleviate patients' anxiety related to surgery, but also have the potential to be used as an effective intervention to improve positive patient experiences.

Keywords

Acknowledgement

이 연구는 국민건강보험 일산병원의 연구비 지원으로 진행됨.

References

  1. Abate SM, Chekol YA, Basu B. Global prevalence and determinants of preoperative anxiety among surgical patients: A systematic review and meta-analysis. International Journal of Surgery Open. 2020;25:6-16. https://doi.org/10.1016/j.ijso.2020.05.010
  2. Mulugeta H, Ayana M, Sintayehu M, Dessie G, Zewdu T. Preoperative anxiety and associated factors among adult surgical patients in Debre Markos and Felege Hiwot referral hospitals, northwest Ethiopia. BMC Anesthesiology. 2018;18(1):1-9. https://doi.org/10.1186/s12871-018-0619-0
  3. Eberhart L, Aust H, Schuster M, Sturm T, Gehling M, Euteneuer F, et al. Preoperative anxiety in adults-a cross-sectional study on specific fears and risk factors. BMC Psychiatry. 2020;20(1):1-14. https://doi.org/10.1186/s12888-020-02552-w
  4. Ip HYV, Abrishami A, Peng PW, Wong J, Chung F. Predictors of postoperative pain and analgesic consumption: A qualitative systematic review. The Journal of the American Society of Anesthesiologists. 2009; 111(3):657-77. https://doi.org/10.1097/ALN.0b013e3181aae87a
  5. Kain ZN, Caldwell-Andrews AA, Krivutza DM, Weinberg ME, Gaal D, Wang S, et al. Interactive music therapy as a treatment for preoperative anxiety in children: A randomized controlled trial. Anesthesia and Analgesia. 2004;98(5):1260-6. https://doi.org/10.1213/01.ANE.0000111205.82346.C1
  6. Zemla A, Nowicka-Sauer K, Jarmoszewicz K, Wera K, Batkiewicz S, Pietrzykowska M. Measures of preoperative anxiety. Anaesthesiology Intensive Therapy. 2019;51(1):66-72. https://doi.org/10.5603/AIT.2019.0013
  7. Kil HK, Kim WO, Chung WY, Kim GH, Seo H, Hong J. Preoperative anxiety and pain sensitivity are independent predictors of propofol and sevoflurane requirements in general anaesthesia. British Journal of Anaesthesia. 2012;108(1):119-25. https://doi.org/10.1093/bja/aer305
  8. Yilmaz Inal F, Yilmaz Camgoz Y, Daskaya H, Kocoglu H. The effect of preoperative anxiety and pain sensitivity on preoperative hemodynamics, propofol consumption, and postoperative recovery and pain in endoscopic ultrasonography. Pain and Therapy. 2021;10:1283-93. https://doi.org/10.1007/s40122-021-00292-7
  9. Ali A, Altun D, Oguz BH, Ilhan M, Demircan F, Koltka K. The effect of preoperative anxiety on postoperative analgesia and anesthesia recovery in patients undergoing laparascopic cholecystectomy. Journal of Anesthesia. 2014;28:222-7. https://doi.org/10.1007/s00540-013-1712-7
  10. Ma J, Li C, Zhang W, Zhou L, Shu S, Wang S, et al. Preoperative anxiety predicted the incidence of postoperative delirium in patients undergoing total hip arthroplasty: A prospective cohort study. BMC Anesthesiology. 2021;21:1-8. https://doi.org/10.1186/s12871-021-01271-3
  11. Schaal NK, Hepp P, Heil M, Wolf OT, Hagenbeck C, Fleisch M, et al. Perioperative anxiety and length of hospital stay after caesarean section - A cohort study. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2020;248:252-6. https://doi.org/10.1016/j.ejogrb.2020.03.045
  12. Ali A, Lindstrand A, Sundberg M, Flivik G. Preoperative anxiety and depression correlate with dissatisfaction after total knee arthroplasty: A prospective longitudinal cohort study of 186 patients, with 4-year follow-up. The Journal of Arthroplasty. 2017;32(3):767-70. https://doi.org/10.1016/j.arth.2016.08.033
  13. Friedrich S, Reis S, Meybohm P, Kranke P. Preoperative anxiety. Current Opinion in Anaesthesiology. 2022;35(6):674-8. https://doi.org/10.1097/ACO.0000000000001186
  14. Guo P. Preoperative education interventions to reduce anxiety and improve recovery among cardiac surgery patients: A review of randomised controlled trials. Journal of Clinical Nursing. 2015;24(1-2):34-46. https://doi.org/10.1111/jocn.12618
  15. Furtjes S, Voss C, Ruckert F, Peschel SKV, Kische H, Ollmann TM, et al. Self-efficacy, stress, and symptoms of depression and anxiety in adolescents: An epidemiological cohort study with ecological momentary assessment. Journal of Mood and Anxiety Disorders. 2023;4:100039. https://doi.org/10.1016/j.xjmad.2023.100039
  16. Hounsome J, Lee A, Greenhalgh J, Lewis SR, Schofield-Robinson OJ, Coldwell CH, et al. A systematic review of information format and timing before scheduled adult surgery for peri-operative anxiety. Anaesthesia. 2017;72(10):1265-72. https://doi.org/10.1111/anae.14018
  17. Rizzo MG, Costello JP, Luxenburg D, Cohen JL, Alberti N, Kaplan LD. Augmented reality for perioperative anxiety in patients undergoing surgery: A randomized clinical trial. JAMA Network Open. 2023;6(8):e2329310.
  18. Chun HS. Application of virtual reality in the medical field. Electronics and Telecommunications Trends. 2019;34(2):19-28. https://doi.org/10.22648/ETRI.2019.J.340203
  19. Ryu JH, Park SJ, Park JW, Kim JW, Yoo HJ, Kim TW, et al. Randomized clinical trial of immersive virtual reality tour of the operating theatre in children before anaesthesia. Journal of British Surgery. 2017;104(12): 1628-33. https://doi.org/10.1002/bjs.10684
  20. Eijlers R, Utens EM, Staals LM, de Nijs PF, Berghmans JM, Wijnen RM, et al. Systematic review and meta-analysis of virtual reality in pediatrics: Effects on pain and anxiety. Anesthesia and Analgesia. 2019; 129(5):1344-53. https://doi.org/10.1213/ANE.0000000000004165
  21. Vogt L, Klasen M, Rossaint R, Goeretz U, Ebus P, Sopka S. Virtual reality tour to reduce perioperative anxiety in an operating setting before anesthesia: Randomized clinical trial. Journal of Medical Internet Research. 2021;23(9):e28018. https://doi.org/10.2196/28018
  22. Carl E, Stein AT, Levihn-Coon A, Pogue JR, Rothbaum B, Emmelkamp P, et al. Virtual reality exposure therapy for anxiety and related disorders: A meta-analysis of randomized controlled trials. Journal of Anxiety Disorders. 2019;61:27-36. https://doi.org/10.1016/j.janxdis.2018.08.003
  23. Julian LJ. Measures of anxiety. Arthritis Care and Research. 2011;63(S11): 467-72. https://doi.org/10.1002/acr.20561
  24. Krohne HW, Schmukle SC, de Bruin J. The inventory "State-Trait Operation Anxiety" (STOA): Construction and empirical findings. Psychotherapie, Psychosomatik, Medizinische Psychologie. 2005;55(3-4):209-20. https://doi.org/10.1055/s-2004-834604
  25. Lin S, Huang H, Lin S, Huang Y, Wang K, Shi H. The effect of an anaesthetic patient information video on perioperative anxiety: A randomised study. European Journal of Anaesthesiology. 2016;33(2):134-9. https://doi.org/10.1097/EJA.0000000000000307
  26. Lee HI, Park JS. The effect of pre-operative information though audiovisual media in self-care knowledge, self-efficacy, and state anxiety of patients before bariatric surgery. Korean Journal of Adult Nursing. 2020;32(4): 421-31. https://doi.org/10.7475/kjan.2020.32.4.421
  27. Abbasnia F, Aghebati N, Miri HH, Etezadpour M. Effects of patient education and distraction approaches using virtual reality on pre-operative anxiety and post-operative pain in patients undergoing laparoscopic cholecystectomy. Pain Management Nursing. 2023;24(3):280-8. https://doi.org/10.1016/j.pmn.2022.12.006
  28. Bekelis K, Calnan D, Simmons N, MacKenzie TA, Kakoulides G. Effect of an immersive preoperative virtual reality experience on patient reported outcomes. Annals of Surgery. 2017;256(6);1068-73. https://doi.org/10.1097/SLA.0000000000002094
  29. Kwon H, Lee J, Park YS, Oh S, Kim J. Effects of preoperative education using virtual reality on preoperative anxiety and information desire: A randomized clinical trial. Journal of Clinical Monitoring and Computing. 2023:37;1401-7. https://doi.org/10.1007/s10877-023-00988-5
  30. Urlings J, Sezer S, Ter Laan M, Bartels R, Maal T, Boogaarts J, et al. The role and effectiveness of augmented reality in patient education: A systematic review of the literature. Patient Education and Counseling. 2022;105(7):1917-27. https://doi.org/10.1016/j.pec.2022.03.005