The Impact of A 360-Degree Nature Film in Virtual Reality on Pain During Arteriovenous Fistula Puncture in Hemodialysis Patients: A Pre- and Post-Test Design

Aidah Alkaissi*, Abeer Kabya, Shahd Khamayseh,  Ameen Shakarnah, Roaa Zeineddin, Basel Foqha, Mohammad Dweikat

Department of Nursing and Midwifery, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.

*Correspondent Author: An-Najah National University, PO. Box 7. Nablus, West Bank, Palestine. e-mail: [email protected]

Abstract

Background: Hemodialysis patients, who undergo about 312 needle insertions a year, suffer greatly during arteriovenous fistula punctures, which causes pain that is especially noticeable and negatively affects their quality of life. By distracting users with immersive virtual reality (VR), this discomfort can be lessened without the need of pharmaceuticals.

Aim: to evaluate how patients undergoing arteriovenous fistula cannulation during hemodialysis perceive pain in response to a 360-degree nature film that is viewed through virtual reality headsets.

Methods: To assess the pain-relieving potential of VR technology, a pre-test-post-test clinical investigation was carried out with 100 hemodialysis patients chosen by convenient sampling. During arteriovenous fistula cannulation, patients were placed in a virtual natural setting using the Oculus Quest 2 headset. In order to calm patients and visually block them from the cannulation process, the 360-degree VR film included a relaxing natural scene and tranquil background music. This helped to lessen procedure-related pain. The Numerical Analog Scale and demographic surveys were used to gather information in order to evaluate the efficacy of virtual reality in the treatment of pain.

Results: There was a statistically significant difference in the mean pain score between the first and second sessions (Mean = 4.79 vs. 2.65, p = 0.000). In the second session (n = 24, 24%), the proportion of patients experiencing moderate pain dropped significantly (p = 0.027) from the first session (n = 53, 53%). In both sessions, there was a somewhat positive association observed between age and pain (Kendall's tau = 0.221, p = 0.016 in the first session, and 0.273, p = 0.004 in the second). In the initial session, a moderate connection (Eta = 0.317) was also seen between occupation and pain. There were no significant correlations between pain and the variables of dialysis, fistula type, or the etiology of nephropathy in both sessions, p-values were above 0.05.

Conclusion: hemodialysis patients who used VR reported feeling less pain, which supports the technology's incorporation into routine hemodialysis care procedures. This emphasizes how VR can improve hemodialysis patient care by encouraging a patient-centered approach to pain treatment.

Keywords: Hemodialysis, cannulation, pain, arteriovenous fistula, virtual reality, and 360-degree video

Conference Title

https://www.facebook.com/events/british-university-in-egypt/recontextualisation-of-nursing-educationresearch-and-practice-international-conf/359464033916925/

Conference Country

Egypt

Conference Date

Nov. 5, 2024 - Nov. 6, 2024

Conference Sponsor

by my self

Additional Info

Conference Website