Virtual Reality as a distraction therapy during cystoscopy: a clinical trial

Detalhes bibliográficos
Autor(a) principal: GOERGEN,DIEGO INÁCIO
Data de Publicação: 2022
Outros Autores: FREITAS,DANIEL MELECCHI DE OLIVEIRA
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista do Colégio Brasileiro de Cirurgiões
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100213
Resumo: ABSTRACT Objectives: to investigate whether virtual reality (VR) experience is associated with decreased pain sensation among patients who undergo rigid cystoscopy under local anesthesia. Methods: we performed a prospective, randomized, controlled study of 159 patients who were aleatorily enrolled into two groups: VR and control. VR experience intervention consisted of using a headset with a smartphone adapted to a virtual reality glasses where an app-video was played during the procedure. Main outcomes analyzed were pain, discomfort, heart rate variability, difficulty and duration of the cystoscopy. Statistical analyses were performed using a Student’s t test, Mann-Whitney test and Chi-square test. A P<0.05 was considered to be statistically significant. Results: among 159 patients studied (VR group=80 patients; control group=79 patients), the mean age was 63,6 years and 107 (67,3%) were male. There was no statistically significant difference in baseline characteristics between the 2 groups. VR was significantly associated to decreased heart rate variability (6,29 vs 11,09 bpm, P<0,001) and lower duration of the procedure (5,33 vs 8,65 min, P<0,001). Also, when cystoscopies due to double-J extraction were excluded, VR experience was associated with reduced pain on the visual analog score of pain (3,26 vs 4,33 cm, P=0,023). Conclusions: the use of VR as a distraction therapy while performing outpatient cystoscopies is safe, has no side effects, is associated with less pain and discomfort, and reduces length of procedure.
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spelling Virtual Reality as a distraction therapy during cystoscopy: a clinical trialVirtual RealityCystoscopyPainAmbulatory Surgical ProceduresABSTRACT Objectives: to investigate whether virtual reality (VR) experience is associated with decreased pain sensation among patients who undergo rigid cystoscopy under local anesthesia. Methods: we performed a prospective, randomized, controlled study of 159 patients who were aleatorily enrolled into two groups: VR and control. VR experience intervention consisted of using a headset with a smartphone adapted to a virtual reality glasses where an app-video was played during the procedure. Main outcomes analyzed were pain, discomfort, heart rate variability, difficulty and duration of the cystoscopy. Statistical analyses were performed using a Student’s t test, Mann-Whitney test and Chi-square test. A P<0.05 was considered to be statistically significant. Results: among 159 patients studied (VR group=80 patients; control group=79 patients), the mean age was 63,6 years and 107 (67,3%) were male. There was no statistically significant difference in baseline characteristics between the 2 groups. VR was significantly associated to decreased heart rate variability (6,29 vs 11,09 bpm, P<0,001) and lower duration of the procedure (5,33 vs 8,65 min, P<0,001). Also, when cystoscopies due to double-J extraction were excluded, VR experience was associated with reduced pain on the visual analog score of pain (3,26 vs 4,33 cm, P=0,023). Conclusions: the use of VR as a distraction therapy while performing outpatient cystoscopies is safe, has no side effects, is associated with less pain and discomfort, and reduces length of procedure.Colégio Brasileiro de Cirurgiões2022-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100213Revista do Colégio Brasileiro de Cirurgiões v.49 2022reponame:Revista do Colégio Brasileiro de Cirurgiõesinstname:Colégio Brasileiro de Cirurgiões (CBC)instacron:CBC10.1590/0100-6991e-20223138-eninfo:eu-repo/semantics/openAccessGOERGEN,DIEGO INÁCIOFREITAS,DANIEL MELECCHI DE OLIVEIRAeng2022-05-09T00:00:00Zoai:scielo:S0100-69912022000100213Revistahttp://www.scielo.br/rcbcONGhttps://old.scielo.br/oai/scielo-oai.php||revistacbc@cbc.org.br1809-45460100-6991opendoar:2022-05-09T00:00Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)false
dc.title.none.fl_str_mv Virtual Reality as a distraction therapy during cystoscopy: a clinical trial
title Virtual Reality as a distraction therapy during cystoscopy: a clinical trial
spellingShingle Virtual Reality as a distraction therapy during cystoscopy: a clinical trial
GOERGEN,DIEGO INÁCIO
Virtual Reality
Cystoscopy
Pain
Ambulatory Surgical Procedures
title_short Virtual Reality as a distraction therapy during cystoscopy: a clinical trial
title_full Virtual Reality as a distraction therapy during cystoscopy: a clinical trial
title_fullStr Virtual Reality as a distraction therapy during cystoscopy: a clinical trial
title_full_unstemmed Virtual Reality as a distraction therapy during cystoscopy: a clinical trial
title_sort Virtual Reality as a distraction therapy during cystoscopy: a clinical trial
author GOERGEN,DIEGO INÁCIO
author_facet GOERGEN,DIEGO INÁCIO
FREITAS,DANIEL MELECCHI DE OLIVEIRA
author_role author
author2 FREITAS,DANIEL MELECCHI DE OLIVEIRA
author2_role author
dc.contributor.author.fl_str_mv GOERGEN,DIEGO INÁCIO
FREITAS,DANIEL MELECCHI DE OLIVEIRA
dc.subject.por.fl_str_mv Virtual Reality
Cystoscopy
Pain
Ambulatory Surgical Procedures
topic Virtual Reality
Cystoscopy
Pain
Ambulatory Surgical Procedures
description ABSTRACT Objectives: to investigate whether virtual reality (VR) experience is associated with decreased pain sensation among patients who undergo rigid cystoscopy under local anesthesia. Methods: we performed a prospective, randomized, controlled study of 159 patients who were aleatorily enrolled into two groups: VR and control. VR experience intervention consisted of using a headset with a smartphone adapted to a virtual reality glasses where an app-video was played during the procedure. Main outcomes analyzed were pain, discomfort, heart rate variability, difficulty and duration of the cystoscopy. Statistical analyses were performed using a Student’s t test, Mann-Whitney test and Chi-square test. A P<0.05 was considered to be statistically significant. Results: among 159 patients studied (VR group=80 patients; control group=79 patients), the mean age was 63,6 years and 107 (67,3%) were male. There was no statistically significant difference in baseline characteristics between the 2 groups. VR was significantly associated to decreased heart rate variability (6,29 vs 11,09 bpm, P<0,001) and lower duration of the procedure (5,33 vs 8,65 min, P<0,001). Also, when cystoscopies due to double-J extraction were excluded, VR experience was associated with reduced pain on the visual analog score of pain (3,26 vs 4,33 cm, P=0,023). Conclusions: the use of VR as a distraction therapy while performing outpatient cystoscopies is safe, has no side effects, is associated with less pain and discomfort, and reduces length of procedure.
publishDate 2022
dc.date.none.fl_str_mv 2022-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 10.1590/0100-6991e-20223138-en
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dc.publisher.none.fl_str_mv Colégio Brasileiro de Cirurgiões
publisher.none.fl_str_mv Colégio Brasileiro de Cirurgiões
dc.source.none.fl_str_mv Revista do Colégio Brasileiro de Cirurgiões v.49 2022
reponame:Revista do Colégio Brasileiro de Cirurgiões
instname:Colégio Brasileiro de Cirurgiões (CBC)
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