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Influence of Virtual Reality Devices on Pain and Anxiety in Patients Undergoing Cystoscopy Performed under Local Anaesthesia

Background: Bladder cancer is one of the most common malignancies. Its diagnosis is based on transurethral cystoscopy. Virtual reality (VR) is a three-dimensional world generated through the projection of images, the emission of sounds and other stimuli. VR has been proven to be a very effective “di...

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Autores principales: Łuczak, Mateusz, Nowak, Łukasz, Chorbińska, Joanna, Galik, Katarzyna, Kiełb, Paweł, Łaszkiewicz, Jan, Tukiendorf, Andrzej, Kościelska-Kasprzak, Katarzyna, Małkiewicz, Bartosz, Zdrojowy, Romuald, Szydełko, Tomasz, Krajewski, Wojciech
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8619461/
https://www.ncbi.nlm.nih.gov/pubmed/34834565
http://dx.doi.org/10.3390/jpm11111214
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author Łuczak, Mateusz
Nowak, Łukasz
Chorbińska, Joanna
Galik, Katarzyna
Kiełb, Paweł
Łaszkiewicz, Jan
Tukiendorf, Andrzej
Kościelska-Kasprzak, Katarzyna
Małkiewicz, Bartosz
Zdrojowy, Romuald
Szydełko, Tomasz
Krajewski, Wojciech
author_facet Łuczak, Mateusz
Nowak, Łukasz
Chorbińska, Joanna
Galik, Katarzyna
Kiełb, Paweł
Łaszkiewicz, Jan
Tukiendorf, Andrzej
Kościelska-Kasprzak, Katarzyna
Małkiewicz, Bartosz
Zdrojowy, Romuald
Szydełko, Tomasz
Krajewski, Wojciech
author_sort Łuczak, Mateusz
collection PubMed
description Background: Bladder cancer is one of the most common malignancies. Its diagnosis is based on transurethral cystoscopy. Virtual reality (VR) is a three-dimensional world generated through the projection of images, the emission of sounds and other stimuli. VR has been proven to be a very effective “distractor” and, thus, a useful tool in managing pain. The aim of this study was to determine whether the use of VR sets is technically feasible during the cystoscopy and whether the use of VR devices would reduce the degree of ailments associated with the procedure; Methods: The study prospectively included both men and women who qualified for rigid cystoscopy due to both primary and follow-up diagnostics. The study group underwent rigid cystoscopy with the VR set and the control group underwent the procedure without the VR set. Patients enrolled in both groups were subjected to blood pressure, heart rate and saturation measurements before, during and after the procedure. Additionally, the patients were asked to describe the severity of fear, pain sensations and nausea associated with the procedure. Non-verbal pain manifestations were assessed using the adult adjusted Faces, Legs, Activity, Cry and Consolability (FLACC) scale; Results: The study population included 103 patients (74M/29F; mean age 64.4 years). Pain intensity differed significantly between the groups, reaching lower values in the VR group. In all analyzed subgroups the use of the VR set was associated with higher levels of nausea. The mean FLACC score reached higher values for patients without the VR set. Blood pressure as well as heart rate increased during the procedure and decreased afterwards. The increase in systolic blood pressure and pulse rate was statistically higher in the control group; Conclusions: This study confirmed that cystoscopy is associated with considerable preprocedural fear and severe pain. Blood pressure and heart rate rise significantly during the cystoscopy. VR sets can lower pain perception during cystoscopy, but they may cause moderate nausea.
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spelling pubmed-86194612021-11-27 Influence of Virtual Reality Devices on Pain and Anxiety in Patients Undergoing Cystoscopy Performed under Local Anaesthesia Łuczak, Mateusz Nowak, Łukasz Chorbińska, Joanna Galik, Katarzyna Kiełb, Paweł Łaszkiewicz, Jan Tukiendorf, Andrzej Kościelska-Kasprzak, Katarzyna Małkiewicz, Bartosz Zdrojowy, Romuald Szydełko, Tomasz Krajewski, Wojciech J Pers Med Article Background: Bladder cancer is one of the most common malignancies. Its diagnosis is based on transurethral cystoscopy. Virtual reality (VR) is a three-dimensional world generated through the projection of images, the emission of sounds and other stimuli. VR has been proven to be a very effective “distractor” and, thus, a useful tool in managing pain. The aim of this study was to determine whether the use of VR sets is technically feasible during the cystoscopy and whether the use of VR devices would reduce the degree of ailments associated with the procedure; Methods: The study prospectively included both men and women who qualified for rigid cystoscopy due to both primary and follow-up diagnostics. The study group underwent rigid cystoscopy with the VR set and the control group underwent the procedure without the VR set. Patients enrolled in both groups were subjected to blood pressure, heart rate and saturation measurements before, during and after the procedure. Additionally, the patients were asked to describe the severity of fear, pain sensations and nausea associated with the procedure. Non-verbal pain manifestations were assessed using the adult adjusted Faces, Legs, Activity, Cry and Consolability (FLACC) scale; Results: The study population included 103 patients (74M/29F; mean age 64.4 years). Pain intensity differed significantly between the groups, reaching lower values in the VR group. In all analyzed subgroups the use of the VR set was associated with higher levels of nausea. The mean FLACC score reached higher values for patients without the VR set. Blood pressure as well as heart rate increased during the procedure and decreased afterwards. The increase in systolic blood pressure and pulse rate was statistically higher in the control group; Conclusions: This study confirmed that cystoscopy is associated with considerable preprocedural fear and severe pain. Blood pressure and heart rate rise significantly during the cystoscopy. VR sets can lower pain perception during cystoscopy, but they may cause moderate nausea. MDPI 2021-11-16 /pmc/articles/PMC8619461/ /pubmed/34834565 http://dx.doi.org/10.3390/jpm11111214 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Łuczak, Mateusz
Nowak, Łukasz
Chorbińska, Joanna
Galik, Katarzyna
Kiełb, Paweł
Łaszkiewicz, Jan
Tukiendorf, Andrzej
Kościelska-Kasprzak, Katarzyna
Małkiewicz, Bartosz
Zdrojowy, Romuald
Szydełko, Tomasz
Krajewski, Wojciech
Influence of Virtual Reality Devices on Pain and Anxiety in Patients Undergoing Cystoscopy Performed under Local Anaesthesia
title Influence of Virtual Reality Devices on Pain and Anxiety in Patients Undergoing Cystoscopy Performed under Local Anaesthesia
title_full Influence of Virtual Reality Devices on Pain and Anxiety in Patients Undergoing Cystoscopy Performed under Local Anaesthesia
title_fullStr Influence of Virtual Reality Devices on Pain and Anxiety in Patients Undergoing Cystoscopy Performed under Local Anaesthesia
title_full_unstemmed Influence of Virtual Reality Devices on Pain and Anxiety in Patients Undergoing Cystoscopy Performed under Local Anaesthesia
title_short Influence of Virtual Reality Devices on Pain and Anxiety in Patients Undergoing Cystoscopy Performed under Local Anaesthesia
title_sort influence of virtual reality devices on pain and anxiety in patients undergoing cystoscopy performed under local anaesthesia
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8619461/
https://www.ncbi.nlm.nih.gov/pubmed/34834565
http://dx.doi.org/10.3390/jpm11111214
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