Virtual reality and anxiety in primiparous women during episiotomy repair
Abstract
Background: In recent studies, using virtual reality (VR) has been proposed as a nonpharmacological method for anxiety reduction, but until this time, its effects have not been assessed on anxiety during episiotomy repair. This study aimed to determine the effect of audiovisual distraction (VR) on anxiety in primiparous women during episiotomy repair.
Materials and Methods: This clinical trial was conducted on 30 primigravida from May to July 2012 in the maternity unit of the Omolbanin Hospital, Mashhad city, Iran. The samples were divided randomly into two groups with the toss of a coin. Anxiety were evaluated by the numeric 0‑10 anxiety self‑report, in the first and during labor. However, after delivery, anxiety was measured with the Spilberger scale. Mann–Whitney, Chi-square, Fisher tests, and repeated-measures analysis of variance were used to analyze data.
Results: Anxiety scores were not significantly different between the two groups (wearing video‑glass and receiving routine care), but anxiety scores were lower in the intervention group during and after repair (P = 0.000).
Conclusions: VR are safe, appropriate, and nonpharmacologic to decrease and manage the anxiety-associated episiotomy.
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Jantjes L, Strümpher J, Kotzé WJ. The experience of childbirth in first‑time mothers who received narcotic analgesics during the first stage of labor. Curationis 2007;30:82‑90.
Hernandez‑Martínez C, Val VA, Murphy M, Busquets PC, Sans JC. Relation between positive and negative maternal emotional states and obstetrical outcomes. Womens Health 2011;51:124‑35.
Ryding EL, Wirfelt E, Wängborg IB, Sjögren B, Edman G. Personality and fear of childbirth. Acta Obstet Gynecol Scand 2007;86:814‑20.
Toohey J. Depression during pregnancy and postpartum. Clin Obstet Gynecol 2012;55:788‑97.
Hoban E, Liamputtong P. Cambodian migrant women’s postpartum experiences in Victoria, Australia. Midwifery 2013;29:772‑8.
Wiktor H, Lewicka M, Humeniuk E, Gulanowska‑Gedek B, Wiktor K, Kanadys K. Assessment of anxiety in women during puerperium. Ann Acad Med Stetin 2009;55:66‑9 [in Polish].
Ploghaus A, Narain C, Beckmann CF, Clare S, Bantick S, Wise R, et al. Exacerbation of pain by anxiety is associated with activity in a hippocampal network. J Neurosci 2001;21:9896‑903.
Abdi S, Zhou Y. Management of pain after burn injury. Curr Opin Anaesthesiol 2002;15:563‑7.
Trevor A, Katzung B, Masters S, Knuidering‑Hall M. Katzung and Trevor’s Pharmacology Examination and Board Review. 10th ed.. New York: McGraw‑Hill; 2008. pp. 202‑6.
Ahmadi K. Textbook of Obstetrics and Gynecology AOM. Anesthesia in Obstetrics. 2nd ed. Tehran: Teb Novin; 2002. pp. 297‑8 [in Persian].
Sami P. Textbook of Iranian Generic Drug with Nursing Care. 1st ed. Tehran: Boshra Publisher; 2011. pp. 356‑7 [in Persian].
Mortazavi F, Rakhshani MH. The effect of Atropine, Hyoscine and Promethazine on the duration of labor stages and rate of labor progress in multiparous women. J Gorgan Univ Med Sci 2004;6:92‑96.
Morris LD, Louw QA, Crous LC. Feasibility and potential effect of a low‑cost virtual reality system on reducing pain and anxiety in adult burn injury patients during physiotherapy in a developing country. Burns 2010;36:659‑64.
Mahrer NE, Gold JI. The use of virtual reality for pain control: A review. Curr Pain Headache Rep 2009;13:100‑9.
Malloy KM, Milling LS. The effectiveness of virtual reality distraction for pain reduction: A systematic review. Clin Psychol Rev 2010;30:1011‑8.
Opriş D, Pintea S, García‑Palacios A, Botella C, Szamosközi Ş, David D. Virtual reality exposure therapy in anxiety disorders: A quantitative meta‑analysis. Depress Anxiety 2012;29;85‑93.
Meyerbröker K, Emmelkamp PM. Virtual reality exposure therapy in anxiety disorders: A systematic review of process‑and‑outcome studies. Depress Anxiety 2010;27:933‑44.
Garcia‑Palacios A, Hoffman HG, Richards TR, Seibel EJ, Sharar SR. Use of virtual reality distraction to reduce claustrophobia symptoms during a mock magnetic resonance imaging brain scan: A case report. Cyberpsychol Behav 2007;10:485‑8.
van Twillert B, Bremer M, Faber AW. Computer‑generated virtual reality to control pain and anxiety in pediatric and adult burn patients during wound dressing changes. J Burn Care Res 2007;28:694‑702.
Sullivan C, Schneider PE, Musselman RJ, Dummett CO Jr, Gardiner D. The effect of virtual reality during dental treatment on child anxiety and behavior. ASDC J Dent Child 2000;67:193‑6, 160‑1.
Frenay MC, Faymonville ME, Devlieger S, Albert A, Vanderkelen A. Psychological approaches during dressing changes of burned patients: A prospective randomized study comparing hypnosis against stress reducing strategy. Burns 2001;27:793‑9.
Vakilian K, Atarha M, Bekhradi R, Chaman R. Healing advantages of lavender essential oil during episiotomy recovery: A clinical trial. Complement Ther Clin Pract 2011;17:50‑3.
Hornblow AR, Kidson MA.The visual analogue scale for anxiety: A validation study. Aust N Z J Psychiatry. 1976;10:339-41.
Nazari SH, Moradi N, Sadeghi Koupaei MT. Evaluation of The Effects of Psychotherapy on Anxiety Among Mothers of Children With Leukemia. Iran J Child Neurol 2014;8:52-7.
Julian LJ. Measures of anxiety: State‑Trait Anxiety Inventory STAI), Beck Anxiety Inventory (BAI), and Hospital Anxiety and Depression Scale‑Anxiety (HADS‑A). Arthritis Care Res (Hoboken) 2011;63(Suppl 11):S467‑72.
Patterson DR, Jensen MP, Wiechman SA, Sharar SR. Virtual reality hypnosis for pain associated with recovery from physical trauma. Int J Clin Exp Hypn 2010;58:288‑300.
Hoffman HG, Patterson DR, Carrougher GJ. Use of virtual reality for adjunctive treatment of adult burn pain during physical therapy: A controlled study. Clin J Pain 2000;16:244‑50.
Gershon J, Zimand E, Pickering M, Rothbaum BO, Hodges L. A pilot and feasibility study of virtual reality as a distraction for children with cancer. J Am Acad Child Adolesc Psychiatry 2004;43:1243‑9.
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