Abstract
This study aimed to investigate the effect of preoperative education using virtual reality (VR) on preoperative anxiety and information desire. The participants were randomly assigned to the VR group and control group. The VR group received preoperative education using VR content describing preoperative and postoperative processes and their management, and the control group received preoperative education with traditional verbal education. Preoperative anxiety and information desire were measured using the Amsterdam Preoperative Anxiety and Information Scale (APAIS). Additionally, patient satisfaction was investigated. Preoperative anxiety (APAIS-A) and information desire (APAIS-I) scores were statistically significantly different between the VR group and the control group (p < 0.001). Patient satisfaction was not statistically significant (p = 0.147). Preoperative education using VR effectively reduced preoperative anxiety and information desire.
Trial registration CRIS, KCT0007489. Registered 30 June 2022. http://cris.nih.go.kr/cris/.
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References
Huang KT, Ball C, Francis J, Ratan R, Boumis J, Fordham J. Augmented versus virtual reality in education: an exploratory study examining science knowledge retention when using augmented reality/virtual reality mobile applications. Cyberpsychol Behav Soc Netw. 2019;22(2):105–10. https://doi.org/10.1089/cyber.2018.0150.
Sutherland J, Belec J, Sheikh A, Chepelev L, Althobaity W, Chow BJW, et al. Applying modern virtual and augmented reality technologies to medical images and models. J Digit Imaging. 2019;32(1):38–53. https://doi.org/10.1007/s10278-018-0122-7.
Paro MR, Hersh DS, Bulsara KR. History of virtual reality and augmented reality in neurosurgical training. World Neurosurg. 2022;167:37–43. https://doi.org/10.1016/j.wneu.2022.08.042.
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 Anesthesiol. 2018;18(1):155. https://doi.org/10.1186/s12871-018-0619-0.
Scott A. Managing anxiety in ICU patients: the role of pre-operative information provision. Nurs Crit Care. 2004;9(2):72–9.
Moerman N, van Dam FSAM, Muller MJ, Oosting H. The amsterdam preoperative anxiety and information scale (APAIS). Anesth Analg. 1996;82(3):445–51.
Dang BN, Westbrook RA, Njue SM, Giordano TP. Building trust and rapport early in the new doctor-patient relationship: a longitudinal qualitative study. BMC Med Educ. 2017;17(1):32. https://doi.org/10.1186/s12909-017-0868-5.
Linte CA, Davenport KP, Cleary K, Peters C, Vosburgh KG, Navab N, et al. On mixed reality environments for minimally invasive therapy guidance: systems architecture, successes and challenges in their implementation from laboratory to clinic. Comput Med Imaging Graph. 2013;37(2):83–97. https://doi.org/10.1016/j.compmedimag.2012.12.002.
Chirico A, Lucidi F, De Laurentiis M, Milanese C, Napoli A, Giordano A. Virtual reality in health system: beyond entertainment. a mini-review on the efficacy of VR during cancer treatment. J Cell Physiol. 2016;231(2):275–87. https://doi.org/10.1002/jcp.25117.
Rutkowski S, Czech O, Wrzeciono A, Kiper P, Szczepańska-Gieracha J, Malicka I. Virtual reality as a chemotherapy support in treatment of anxiety and fatigue in patients with cancer: a systematic review and meta-analysis and future research directions. Complement Ther Med. 2021;61:102767. https://doi.org/10.1016/j.ctim.2021.102767.
Wiederhold MD, Gao K, Wiederhold BK. Clinical use of virtual reality distraction system to reduce anxiety and pain in dental procedures. Cyberpsychol Behav Soc Netw. 2014;17(6):359–65. https://doi.org/10.1089/cyber.2014.0203.
Cunningham A, McPolin O, Fallis R, Coyle C, Best P, McKenna G. A systematic review of the use of virtual reality or dental smartphone applications as interventions for management of paediatric dental anxiety. BMC Oral Health. 2021;21:244. https://doi.org/10.1186/s12903-021-01602-3.
Mallari B, Spaeth EK, Goh H, Boyd BS. Virtual reality as an analgesic for acute and chronic pain in adults: a systematic review and meta-analysis. J Pain Res. 2019;12:2053–85. https://doi.org/10.2147/JPR.S200498.
Ryu JH, Oh AY, Yoo HJ, Kim JH, Park JW, Han SH. The effect of an immersive virtual reality tour of the operating theater on emergence delirium in children undergoing general anesthesia: a randomized controlled trial. Paediatr Anaesth. 2019;29(1):98–105. https://doi.org/10.1111/pan.13535.
Han SH, Park JW, Choi SI, Kim JY, Lee H, Yoo HJ, et al. Effect of immersive virtual reality education before chest radiography on anxiety and distress among pediatric patients: a randomized clinical trial. JAMA Pediatr. 2019;173(11):1026–31. https://doi.org/10.1001/jamapediatrics.2019.3000.
Kim MJ, Oh HK, Lee KC, Yang HH, Koo BW, Lee J, et al. Effects of an internet-based informational video on preoperative anxiety in patients with colorectal cancer. Ann Surg Treat Res. 2019;96(6):290–5. https://doi.org/10.4174/astr.2019.96.6.290.
Funding
This work was supported by the research fund of Chungnam National University, supported by the Ministry of Trade, Industry, and Energy (MOTIE), Korea, under the “Regional industry-based organization support program” (reference number P0001940) supervised by the Korea Institute for Advancement of Technology (KIAT), and supported by a grant of the Korea Health Technology R and D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea (Grant number: HI20C2088).
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All authors contributed to the study’s conception and design. Material preparation was performed by: OS and LJ. Data collection and analysis were performed by: KH, OS, PYS and KJ. The first draft of the manuscript: KJ, KH, and LJ. All authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
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This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Institutional Review Board of the C Hospital of participating hospital (IRB No. CNUH 2019-06-008-002).
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Kwon, H., Lee, J., Park, Y.S. et al. Effects of preoperative education using virtual reality on preoperative anxiety and information desire: a randomized clinical trial. J Clin Monit Comput 37, 1401–1407 (2023). https://doi.org/10.1007/s10877-023-00988-5
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DOI: https://doi.org/10.1007/s10877-023-00988-5