Using a Virtual Reality and Communication Intervention to Reduce Pain and Anxiety in Patients Undergoing Lipoma Excision With Local Anesthesia: A Randomized Controlled Trial

BOZDOĞAN YEŞİLOT S., Ciftci H., Yener M. K.

AORN JOURNAL, vol.115, no.5, pp.437-449, 2022 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 115 Issue: 5
  • Publication Date: 2022
  • Doi Number: 10.1002/aorn.13665
  • Journal Name: AORN JOURNAL
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, CINAHL, EMBASE, MEDLINE
  • Page Numbers: pp.437-449
  • Keywords: local anesthesia, virtual reality, communication, State-Trait Anxiety Inventory (STAI), Numeric Pain Rating Scale (NPRS), TIME PERCEPTION, SURGERY, MANAGEMENT, IMPACT
  • Çukurova University Affiliated: Yes


In this randomized controlled trial, we assessed the effects of using a virtual reality (VR) and communication intervention on pain and anxiety in patients undergoing lipoma excision under local anesthesia. We conducted the study at a large hospital in Turkey between March 15 and September 15, 2019, with 100 participants. We used a pretest and posttest design to collect data with a personal information form, the Numeric Pain Rating Scale, and the State-Trait Anxiety Inventory. The intervention group participants watched a video using a VR headset during the procedure and communicated with an investigator; the control group participants only received routine surgical treatment. The intervention had a significant effect on pain during the procedure (P < .001) and a moderate effect on anxiety 60 minutes after the procedure (P = .01). Use of VR and active communication may help reduce pain and anxiety for patients undergoing procedures performed with local anesthesia.