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Randomized Controlled Trial
. 2021 Jul;35(7):4042-4047.
doi: 10.1007/s00464-021-08407-z. Epub 2021 Mar 8.

Exposure to virtual reality as a tool to reduce peri-operative anxiety in patients undergoing colorectal cancer surgery: a single-center prospective randomized clinical trial

Víctor Turrado  1   2 , Yoelimar Guzmán  1   2 , Julio Jiménez-Lillo  2 , Eduardo Villegas  2 , Francisco B de Lacy  1   2 , Jordi Blanch  3 , José M Balibrea  4   5 , Antonio Lacy  1   2
Affiliations
Randomized Controlled Trial

Exposure to virtual reality as a tool to reduce peri-operative anxiety in patients undergoing colorectal cancer surgery: a single-center prospective randomized clinical trial

Víctor Turrado et al. Surg Endosc. 2021 Jul.

Abstract

Background: More than 60% of patients who undergo surgery for colorectal cancer experience anxiety at some point during the perioperative period. In addition to the obvious impact on the experience of the therapeutic process, the presence of anxiety has also been associated with the appearance of complications. Virtual reality could reduce it by simulating the controlled exposure of the patient to the conscious part of the surgical process.

Methods: Single-center randomized clinical trial (NCT04058600) in which patients who were to undergo surgery for colorectal cancer and who had not previously undergone surgery as adults were exposed, prior to hospital admission, to virtual reality software in which all perioperative phases in which the patient is awake, from admission to discharge, were recreated. The main objective was to determine the presence of pre- and post-exposure anxiety using the validated State-Trait Anxiety Inventory Scale (STAI-S) and Hospital Anxiety and Depression Scale (HADS).

Results: A total of 126 patients were recruited (58 exposed, 68 unexposed). There were no differences between the groups in terms of age, gender, anesthetic risk, type of surgery. or levels of preoperative anxiety or depression. After exposure, all anxiety/depression rating scales decreased significantly.

Conclusions: The use of simulation using virtual reality can reduce perioperative anxiety in patients undergoing surgery for colorectal cancer.

Keywords: Anxiety; Colorectal cancer; Depression; HADS; Perioperative anxiety; STAI-S; Virtual reality.

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References

    1. World Health Organization International agency for research on cancer (2020) Cancer Today. https://gco.iarc.fr/today/data-sources-methods#title-prev . Accessed 30 Nov 2020
    1. Romanik W, Kański A, Soluch P, Szymańska O (2009) Preoperative anxiety assessed by questionnaires and patient declarations. Anestezjol Intens Ter 41:94–99 - PubMed
    1. Thushara Matthias A, Samarasekera D (2012) Preoperative anxiety in surgical patients—experience of a single unit. Acta Anaesthesiol Taiwan 50:3–6 - DOI
    1. Serkan Tulgar S, Boga I, Piroglu MD, Ates NG, Bombaci E, Can T, Selvi O, Tas Z, Kose HC (2017) Preoperative anexiety before spinal anesthesia: does internet-based visual information/multimedia research decrease anxiety and information desire? A prospective multicentered study. Anesth Essays Res 11:390–396 - DOI
    1. Marques Marcolino JA, Mikio Suzuki F, Cunha Alli LA, Lauzi Gozzani J, da Mathias LAST (2007) Measurement of anxiety and depression in preoperative patients. Comparative Study. Rev Bras Anestesiol 57:157–166 - DOI

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