The Effect of Virtual Reality on Anxiety and Pain in Pre-Anesthesia

DOI: https://doi.org/10.33650/jkp.v14i1.13518
Authors

(1) * Aura Jonathan Anbiya Putra Amatris   (Universitas Muhammadiyah Purwokerto, Purwokerto)  
        Indonesia
(2)  Supriyadi Supriyadi   (Universitas Muhammadiyah Purwokerto, Purwokerto)  
        Indonesia
(3)  Wahyu Riyaningrum   (Universitas Muhammadiyah Purwokerto, Purwokerto)  
        Indonesia
(4)  Marta Tania Gabriel Ching Cing   (Universitas Muhammadiyah Purwokerto, Purwokerto)  
        Indonesia
(*) Corresponding Author

Abstract


Patients undergoing surgery often experience pre-anesthesia anxiety and pain, which can affect their physical and psychological readiness as well as the smoothness of the anesthesia process. This condition is still commonly found in regional hospitals, so there is a need for non-pharmacological interventions that are easy to implement, effective, and safe. This study aims to evaluate the effect of Virtual Reality (VR) therapy on anxiety and pain levels in pre-anesthesia patients at Dr. R. Goeteng Taroenadibrata Hospital in Purbalingga. The research design used was a quantitative quasi-experimental study with a pretest-posttest approach and a control group. The sample consisted of 50 pre-anesthesia patients divided into two groups: an intervention group and a control group, each with 25 respondents. Anxiety levels were measured using the Amsterdam Preoperative Anxiety and Information Scale (APAIS), while pain was measured using the Visual Analogue Scale (VAS). Data analysis was performed using the Wilcoxon test to see the differences before and after the intervention in each group, as well as the Mann–Whitney test to compare the differences between groups with a significance level of p < 0.05.  The results showed a significant decrease in anxiety and pain levels in the intervention group after VR therapy, as well as a significant difference between the intervention and control groups. This study concluded that VR therapy is effective in reducing anxiety and pain in pre-anesthesia patients and can be implemented in regional hospitals.

Keywords

Virtual Reality, Pre-Anesthesia Anxiety, Pain, Visual Analogue Scale (VAS)



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References


Affadhia, R., Cahyanur, R., & Wahdini, R. (2022). Faktor-faktor yang memengaruhi persepsi nyeri pada pasien. Jurnal Keperawatan Profesional, 12(2), 45–52.

Ahmadpour, N., Randall, H., Choksi, H., Gao, A., Vaughan, C., & Poronnik, P. (2019). Virtual reality interventions for acute and chronic pain management. Journal of Medical Internet Research, 21(7), e13147. https://doi.org/10.2196/13147

Almutairi, T., Alqurashi, A., Alturki, N., & Alshammari, F. (2021). Effectiveness of virtual reality in reducing preoperative anxiety: A randomized controlled trial. Journal of PeriAnesthesia Nursing, 36(5), 456–462. https://doi.org/10.1016/j.jopan.2021.03.007

Boy, A. (2020). Psychological factors influencing pain perception in surgical patients. Pain Management Nursing, 21(4), 356–362. https://doi.org/10.1016/j.pmn.2020.01.004

Chirico, A., Lucidi, F., De Laurentiis, M., Milanese, C., Napoli, A., & Giordano, A. (2020). Virtual reality in health system: Beyond entertainment. Healthcare, 8(3), 240. https://doi.org/10.3390/healthcare8030240

Eijlers, R., Utens, E. M. W. J., Staals, L. M., de Nijs, P. F. A., Berghmans, J. M., Wijnen, R. M. H., ... & Legerstee, J. S. (2019). Systematic review and meta-analysis of virtual reality in reducing pain and anxiety in medical procedures. Anesthesia & Analgesia, 129(5), 1344–1353. https://doi.org/10.1213/ANE.0000000000004164

Garrett, B., Taverner, T., Masinde, W., Gromala, D., Shaw, C., & Negraeff, M. (2014). A rapid evidence assessment of immersive virtual reality as a clinical tool. Journal of Advanced Nursing, 70(3), 479–501. https://doi.org/10.1111/jan.12223

Gül, Ş., & Öztürk, Z. (2021). The effects of virtual reality on anxiety and physiological parameters in surgical patients. Complementary Therapies in Clinical Practice, 42, 101290. https://doi.org/10.1016/j.ctcp.2020.101290

Harini, S., Damayanti, D., & Susanto, T. (2024). Pendekatan nonfarmakologis dalam manajemen nyeri perioperatif. Jurnal Keperawatan Profesional, 14(2), 88–97.

Hoffman, H. G., Chambers, G. T., Meyer, W. J., Arceneaux, L. L., Russell, W. J., Seibel, E. J., ... & Patterson, D. R. (2011). Virtual reality as an adjunctive non-pharmacologic analgesic for acute pain. Pain Medicine, 12(6), 939–948. https://doi.org/10.1111/j.1526-4637.2011.01081.x

Huang, Q., Wang, Y., Li, J., & Wang, L. (2022). Immersive virtual reality for reducing preoperative anxiety and pain: A systematic review. Journal of Clinical Anesthesia, 77, 110610. https://doi.org/10.1016/j.jclinane.2022.110610

Indovina, P., Barone, D., Gallo, L., Chirico, A., De Pietro, G., & Giordano, A. (2018). Virtual reality as a distraction intervention to relieve pain and anxiety in clinical settings. Journal of Medical Internet Research, 20(2), e38. https://doi.org/10.2196/jmir.8439

Li, A., Montaño, Z., Chen, V. J., & Gold, J. I. (2020). Virtual reality and pain management: Current trends and future directions. Pain Management, 10(3), 169–178. https://doi.org/10.2217/pmt-2019-0058

Malloy, K. M., & Milling, L. S. (2019). The effectiveness of virtual reality distraction for pain management: A meta-analysis. Psychology of Consciousness: Theory, Research, and Practice, 6(2), 125–137. https://doi.org/10.1037/cns0000187

Morris, L. D., Louw, Q. A., & Grimmer-Somers, K. (2009). The effectiveness of virtual reality on reducing pain and anxiety. Clinical Journal of Pain, 25(9), 815–826. https://doi.org/10.1097/AJP.0b013e3181a23f19

Rahmadi, A., & Nasution, R. (2024). Kecemasan pra-anestesi dan implikasinya terhadap kesiapan pasien operasi. Jurnal Keperawatan Profesional, 14(1), 23–31.

Riva, G., Baños, R. M., Botella, C., Mantovani, F., & Gaggioli, A. (2019). Transforming experience: The potential of virtual reality in health care. Frontiers in Psychology, 10, 117. https://doi.org/10.3389/fpsyg.2019.00117

Shahrbanian, S., Ma, X., Korner-Bitensky, N., Simmonds, M. J., & Ahmed, S. (2012). Use of virtual reality in pain management: A systematic review. Journal of Rehabilitation Research and Development, 49(6), 933–944. https://doi.org/10.1682/JRRD.2011.03.0059

Triberti, S., Repetto, C., & Riva, G. (2018). Psychological factors influencing the effectiveness of virtual reality-based analgesia. Cyberpsychology, Behavior, and Social Networking, 21(1), 14–20. https://doi.org/10.1089/cyber.2017.0294

Villemure, C., & Bushnell, M. C. (2019). Cognitive modulation of pain: How emotions influence pain perception. Nature Reviews Neuroscience, 20(9), 502–514. https://doi.org/10.1038/s41583-019-0187-2

Wiech, K., & Tracey, I. (2015). The influence of negative emotions on pain: Behavioral effects and neural mechanisms. Pain, 156(1), 1–10. https://doi.org/10.1097/01.j.pain.0000460342.00000.00

Yilmaz, M. (2020). Validity and reliability of the Amsterdam Preoperative Anxiety and Information Scale (APAIS). Journal of Clinical Nursing, 29(3–4), 458–466. https://doi.org/10.1111/jocn.15113

Wiederhold, B. K., & Wiederhold, M. D. (2018). Virtual reality therapy for anxiety and pain management. Cyberpsychology, Behavior, and Social Networking, 21(1), 1–3. https://doi.org/10.1089/cyber.2017.29099.bkw


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