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Background <p>Virtual reality (VR) has shown promise as a nonpharmacological alternative to pharmaceutical pain relievers and anxiety medications in clinical trials by decreasing pain and anxiety in orthopedic surgeries. The aim of the study was to evaluate the impact of VR on these outcomes in individuals undergoing total hip arthroplasty (THA).</p> Methods <p>This randomized, controlled, open-label research included 50 participants planned for THA with spinal anesthesia (SA). Patients were allocated equally to group VR: patients were immersed in a peaceful natural environment with soft music preoperatively and intraoperatively, and group C did not receive VR.</p> Results <p>The STAI-S for anxiety and PSS-10 scores for stress were significantly lower in group VR before SA and immediately postoperatively (<i>P</i> &lt; 0.05). Hemodynamics at 5&#xa0;min, 30&#xa0;min, and 60&#xa0;min, pain scores at 4&#xa0;h and 6&#xa0;h, 24&#xa0;h pethidine consumption, haloperidol dose, and cortisol level at 6&#xa0;h postoperative were decrease in group VR in comparision to group C (<i>P</i> &lt; 0.05). Time to first analgesia request and satisfaction level were higher in group VR in comparision to group C (<i>P</i> &lt; 0.05).</p> Conclusions <p>VR can reduce perioperative anxiety, stress, pain, and opioid requirements, and improve satisfaction in THA patients.</p> Trial registration <p>The trial was registered <a href="https://clinicaltrials.gov/study/NCT06088069?id=NCT06088069&amp;rank=1((ID:NCT06088069">https://clinicaltrials.gov/study/NCT06088069?id=NCT06088069&amp;rank=1((ID:NCT06088069</a>, Principal investigator: (SAAD AHMED MOHARAM, Date of registration: 18-10-2023).</p>

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Effect of virtual reality on perioperative anxiety, stress and pain in total hip arthroplasty: a randomized controlled trial

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年9月9日

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  • Saad Ahmed Moharam,
  • Mohammed Said ElSharkawy,
  • Ahmed Mohamed ELkashef,
  • Mohamed Abdelhamed Romeih,
  • Ahmed Osama Abd Rab El Rasool,
  • Mostafa Mohamed Shaheen

摘要

Background

Virtual reality (VR) has shown promise as a nonpharmacological alternative to pharmaceutical pain relievers and anxiety medications in clinical trials by decreasing pain and anxiety in orthopedic surgeries. The aim of the study was to evaluate the impact of VR on these outcomes in individuals undergoing total hip arthroplasty (THA).

Methods

This randomized, controlled, open-label research included 50 participants planned for THA with spinal anesthesia (SA). Patients were allocated equally to group VR: patients were immersed in a peaceful natural environment with soft music preoperatively and intraoperatively, and group C did not receive VR.

Results

The STAI-S for anxiety and PSS-10 scores for stress were significantly lower in group VR before SA and immediately postoperatively (P < 0.05). Hemodynamics at 5 min, 30 min, and 60 min, pain scores at 4 h and 6 h, 24 h pethidine consumption, haloperidol dose, and cortisol level at 6 h postoperative were decrease in group VR in comparision to group C (P < 0.05). Time to first analgesia request and satisfaction level were higher in group VR in comparision to group C (P < 0.05).

Conclusions

VR can reduce perioperative anxiety, stress, pain, and opioid requirements, and improve satisfaction in THA patients.

Trial registration

The trial was registered https://clinicaltrials.gov/study/NCT06088069?id=NCT06088069&rank=1((ID:NCT06088069, Principal investigator: (SAAD AHMED MOHARAM, Date of registration: 18-10-2023).