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Palyatif Bakım Hastalarının Yakınlarında Sanal Gerçeklik Gözlüğü Kullanımının Anksiyete, Depresyon ve Bakım Yükü Üzerine Etkisi

Year 2025, Issue: 11, 1 - 9, 14.04.2025

Pınar Usta Aslı Kurtgöz

https://doi.org/10.58252/artukluhealth.1630347
Cited By: 1

Abstract

Giriş: Bu araştırma, palyatif bakım hastalarının yakınlarında sanal gerçeklik gözlüğü kullanımının anksiyete, depresyon ve bakım yükü üzerine etkisini incelemek amacıyla yürütülmüştür.
Yöntem: Araştırma, ön test-son test kontrol gruplu yarı deneysel bir tasarımla, Mayıs 2023- Ocak 2024 tarihleri arasında bir eğitim ve araştırma hastanesinde yürütülmüştür. Çalışmaya palyatif bakım ünitesinde yatan hastasına refakat eden 42 hasta yakını (Kontrol grubu=21, müdahale grubu=21 kişi) dahil edilmiştir. Veriler; tanıtıcı bilgi formu, Beck Depresyon Ölçeği, Beck Anksiyete Ölçeği ve Zarit Bakım Verme Yükü Ölçeği kullanılarak toplanmıştır. Müdahale grubundaki katılımcılara; bir haftaya yayılmış, toplam 10 oturumda sanal gerçeklik gözlüğüyle rahatlatıcı müzik eşliğinde videolar izletilmiştir.
Bulgular: Müdahale grubunun; Beck Depresyon (p=0.025; Z=-2.247) ve Beck Anksiyete (p=0.017; Z=-2.392) ölçeklerinin son test puanlarının ön test puanlarına göre anlamlı düzeyde düştüğü saptanmıştır. Zarit Bakım Verme Yükü Ölçeği puanlarının düştüğü ancak bu düşüşün anlamlı olmadığı tespit edilmiştir (p=0.139; t=1.542). Kontrol grubunun, tüm ölçeklerden almış olduğu ön test ve son test puanları arasında anlamlı bir fark olmadığı belirlenmiştir (p>0.05). Gruplar arası karşılaştırmada ise müdahale ve kontrol grubunun Beck Depresyon Ölçeği (p=0.155; t=-1.450), Beck Anksiyete Ölçeği (p=0.351; U=183.50) ve Zarit Bakım Verme Yükü Ölçeği (p=0.928; t=0.090) son test puanları arasında istatistiksel olarak anlamlı bir fark olmadığı belirlenmiştir.
Sonuç: Sanal gerçeklik gözlüğü kullanımının; hasta yakınlarının depresyon ve anksiyete düzeylerinin düşmesine yardımcı olduğu belirlenmiştir. Ancak bakım yükü üzerinde, anlamlı bir etkisinin olmadığı tespit edilmiştir.

Keywords

Anksiyete Bakım verici yükü Depresyon Palyatif bakım Sanal gerçeklik

Ethical Statement

Çalışmaya başlamadan önce Amasya Üniversitesi Girişimsel Olmayan Klinik Araştırmalar Etik Kurulundan etik kurul izni (Tarih: 06.04.2023, Sayı no: 2023/55) ve ilgili hastanenin bağlı olduğu Amasya İl Sağlık Müdürlüğünden kurum izni (Tarih: 09.05.2023, Sayı no: E-91196320-773.99-215136652) alınmıştır. Bununla birlikte veri toplama araçları uygulanmadan önce katılımcılara çalışmanın amacı ve süreci hakkında bilgi verilmiş olup, sözlü bilgilendirilmiş onamları alınmıştır. Bu çalışmanın hazırlanma sürecinde bilimsel ve etik ilkelere uyulduğu ve yararlanılan tüm çalışmaların kaynakçada belirtildiği beyan olunur.

Supporting Institution

Bu araştırma, TÜBİTAK 2209-A Üniversite Öğrencileri Araştırma Projeleri Destekleme Programı kapsamında finansal destek alınmıştır (No: 1919B012217269).

Project Number

1919B012217269

Thanks

Çalışmaya katılım gösteren hasta yakınları teşekkür ederiz.

References

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  • İnci, F. ve Erdem, M. (2008). Bakım Verme Yükü Ölçeği’nin Türkçe’ye uyarlanması geçerlilik ve güvenilirliği. Journal of Anatolia Nursing and Health Sciences, 11(4), 85-95.
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  • Karakaya, C. ve Işıkhan, V. (2020). Palyatif bakım hastalarına bakım veren aile üyelerinde yaşam kalitesinin değerlendirilmesi. Toplum ve Sosyal Hizmet, 31(4), 1437-1458.
  • Kılıç, D., Tosun Taşar, P. ve Cengiz, M. (2024). The effect of mindfulness-based compassionate living training for informal caregivers of palliative inpatients on burnout and caregiving burden: a randomized controlled trial. Health Education Research, 39(4), 313–322. https://doi.org/10.1093/her/cyae005
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The Effect of Using Virtual Reality Goggle on Anxiety, Depression and Caregiving Burden in Relatives of Palliative Care Patients

Year 2025, Issue: 11, 1 - 9, 14.04.2025

Pınar Usta Aslı Kurtgöz

https://doi.org/10.58252/artukluhealth.1630347
Cited By: 1

Abstract

Introduction: This study was conducted to examine the effect of using virtual reality goggles on anxiety, depression and caregiving burden in relatives of palliative care patients.
Methods: The study was conducted in a training and research hospital between May 2023 and January 2024 using a quasi-experimental design with a pretest-posttest with control group. The study involved 42 patient relatives (21 control group, 21 intervention group) who accompanied their patients in the palliative care unit. Data were collected using a descriptive information form, Beck Depression Scale, Beck Anxiety Scale and Zarit Burden Interview. Participants in the intervention group were shown videos accompanied by relaxing music using virtual reality goggles in a total of 10 sessions for a week.
Results: Beck Depression (p=0.025; Z=-2.247) and Beck Anxiety (p=0.017; Z=-2.392) scales posttest scores of the intervention group decreased significantly compared to the pre-test scores. Zarit Burden Interview scores decreased, but this decrease was not significant (p=0.139; t=1.542). It was found that there was no significant difference between the pre-test and post-test scores of the control group on all scales (p>0.05). In the intergroup comparison, it was found that there was no statistically significant difference between the Beck Depression Scale (p=0.155; t=-1.450), Beck Anxiety Scale (p=0.351; U=183.50) and Zarit Burden Interview (p=0.928; t=0.090) posttest scores of the intervention and control groups.
Conclusion: It was determined that the use of virtual reality goggles helped to decrease the depression and anxiety levels of patient relatives. However, it was found that it did not have a significant effect on the burden of care.

Keywords

Anxiety Caregiver burden Depression Palliative care Virtual reality

Ethical Statement

Before starting the study, ethics committee permission (Date: 06.04.2023, Numbered: 2023/55) was obtained from Amasya University Non-Interventional Clinical Research Ethics Committee and institutional permission (Date: 09.05.2023, Numbered: E-91196320-773.99-215136652) was obtained from Amasya Provincial Health Directorate to which the relevant hospital is affiliated. In addition, before the data collection tools were applied, the participants were informed about the purpose and process of the study, and their verbal informed consent was obtained. It is declared that scientific and ethical principles were complied with during the preparation of this study and all the studies used in this study were cited in the bibliography.

Supporting Institution

This research has received financial support from TÜBİTAK 2209-A Research Projects Support Programme for University Students (No: 1919B012217269).

Project Number

1919B012217269

Thanks

We would like to express our gratitude to the relatives of patients who participated in this study.

References

  • Ahmad Zubaidi, Z.S., Ariffin, F., Oun, C.T.C. and Katiman, D. (2020). Caregiver burden among informal caregivers in the largest specialized palliative care unit in Malaysia: A cross sectional study. BMC Palliat Care, 19(1), 186. https://doi.org/10.1186/s12904-020-00691-1
  • Annerstedt, M., Jönsson, P., Wallergård, M., Johansson, G., Karlson, B., Grahn, P., Hansen, A.M. and Währborg, P. (2013). Inducing physiological stress recovery with sounds of nature in a virtual reality forest-results from a pilot study. Physiology & Behavior, 118, 240–250. https://doi.org/10.1016/j.physbeh.2013.05.023
  • Batool, M., Baig, M.O., Nasir, M. and Shabbir, I. (2022). The effects of virtual reality on burden, quality of life and satisfaction in informal caregivers of stroke survivors. Med Forum, 33(3), 35-39.
  • Baudry, A.S., Vanlemmens, L., Anota, A., Cortot, A., Piessen, G. and Christophe, V. (2019). Profiles of caregivers most at risk of having unmet supportive care needs: Recommendations for healthcare professionals in oncology. Eur J Oncol Nurs, 43, 101669. https://doi.org/10.1016/j.ejon.2019.09.010
  • Beck, A.T., Epstein, N., Brown, G. and Steer, R.A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. J Consult Clin Psychol, 56(6), 893–897. https://doi.org/10.1037//0022-006x.56.6.893
  • Beck, A.T., Ward, C.H., Mendelson, M., Mock, J., and Erbaugh, J. (1961). An inventory for measuring depression. Arch Gen Psychiatry, 4, 561–571. https://doi.org/10.1001/archpsyc.1961.01710120031004
  • Bilgehan, T. ve İnkaya, B. (2021). Palyatif hastalarına bakım veren bireylerin bakım yükü ve etkileyen faktörler. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 24(1), 51-58. https://doi.org/10.17049/ataunihem.748923
  • Chirico, A., Maiorano, P., Indovina, P., Milanese, C., Giordano, G.G., Alivernini, F., Iodice, G., Gallo, L., De Pietro, G., Lucidi, F., Botti, G., De Laurentiis, M. and Giordano, A. (2020). Virtual reality and music therapy as distraction interventions to alleviate anxiety and improve mood states in breast cancer patients during chemotherapy. Journal of Cellular Physiology, 235(6), 5353–5362. https://doi.org/10.1002/jcp.29422
  • Cohen, J. (Ed.). (1988). Statistical power analysis for the behavioral sciences. Lawrence Earlbaum Associates.
  • Duman, Ö. ve Özdelikara, A. (2022). Hasta yakınlarının palyatif bakıma ilişkin görüşlerinin bakım verici yüküne etkisi. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi, 8(1), 32-39. https://doi.org/10.30934/kusbed.945640
  • Duracak, A. ve Özmen, D. (2023). Palyatif bakım hastalarına bakım verenlerin spiritüel iyi oluş ve depresyon düzeylerinin bakım yüklerine etkisi. İzmir Kâtip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 8(2), 387-393.
  • Egici, M.T., Can, M.K., Toprak, D., Öztürk, G.Z., Esen, E.S., Özen, B. ve Sürekci, N. (2019). Palyatif bakım merkezlerinde tedavi gören hastalara bakım veren bireylerin bakım yükleri ve tükenmişlik durumları. JAREN, 5(2), 123-131. https://doi.org/10.5222/jaren.2019.38247
  • Ersoy, S., Özkahraman Koç, Ş. ve Özcan, F. (2023). Care burden of patient relatives in palliative care patients. In P. Karakurt (Ed.), Health sciences research: Nursing & midwifery-III (pp. 2-10). Özgür Publications.
  • Götze, H., Brähler, E., Gansera, L., Schnabel, A., Gottschalk-Fleischer, A. and Köhler, N. (2018). Anxiety, depression and quality of life in family caregivers of palliative cancer patients during home care and after the patient's death. Eur J Cancer Care, 27(2), e12606. https://doi.org/10.1111/ecc.12606
  • Hart, N.H., Crawford-Williams, F., Crichton, M., Yee, J., Smith, T.J., Koczwara, B., Fitch, M.I., Crawford, G.B., Mukhopadhyay, S., Mahony, J., Cheah, C., Townsend, J., Cook, O., Agar, M.R. and Chan, R.J. (2022). Unmet supportive care needs of people with advanced cancer and their caregivers: A systematic scoping review. Crit Rev Oncol Hematol, 176, 103728. https://doi.org/10.1016/j.critrevonc.2022.103728
  • Hisli, N. (1988). Beck Depresyon Envanterinin geçerliliği üzerinde bir çalışma. Psikoloji Dergisi, 6, 118-122.
  • İnci, F. ve Erdem, M. (2008). Bakım Verme Yükü Ölçeği’nin Türkçe’ye uyarlanması geçerlilik ve güvenilirliği. Journal of Anatolia Nursing and Health Sciences, 11(4), 85-95.
  • Johnson, T., Bauler, L., Vos, D., Hifko, A., Garg, P., Ahmed, M. and Raphelson, M. (2020). Virtual reality use for symptom management in palliative care: A pilot study to assess user perceptions. J Palliat Med, 23(9), 1233–1238. https://doi.org/10.1089/jpm.2019.0411
  • Jütten, L.H., Mark, R.E. and Sitskoorn, M.M. (2018). Can the mixed virtual reality simulator ınto d'mentia enhance empathy and understanding and decrease burden in ınformal dementia caregivers?. Dement Geriatr Cogn Dis Extra, 8(3), 453–466. https://doi.org/10.1159/000494660
  • Karabuga Yakar, H., Yılmaz, B., Çelik, E., Özkol, O., Gevher, F., Oruc, Ö. ve Şen, H. (2023). The effect of the meditation based mandala programme on distress, anxiety and depression in the caregivers of cancer patients in palliative care unit. Omega, 87(4), 1361–1374. https://doi.org/10.1177/00302228231181936
  • Karakaya, C. ve Işıkhan, V. (2020). Palyatif bakım hastalarına bakım veren aile üyelerinde yaşam kalitesinin değerlendirilmesi. Toplum ve Sosyal Hizmet, 31(4), 1437-1458.
  • Kılıç, D., Tosun Taşar, P. ve Cengiz, M. (2024). The effect of mindfulness-based compassionate living training for informal caregivers of palliative inpatients on burnout and caregiving burden: a randomized controlled trial. Health Education Research, 39(4), 313–322. https://doi.org/10.1093/her/cyae005
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There are 44 citations in total.

Details

Primary Language Turkish
Subjects Nursing (Other)
Journal Section Research Article
Authors

Pınar Usta 0009-0003-4945-4070

Aslı Kurtgöz 0000-0001-5903-9389

Project Number 1919B012217269
Publication Date April 14, 2025
Submission Date January 31, 2025
Acceptance Date April 2, 2025
Published in Issue Year 2025 Issue: 11

Cite

APA Usta, P., & Kurtgöz, A. (2025). Palyatif Bakım Hastalarının Yakınlarında Sanal Gerçeklik Gözlüğü Kullanımının Anksiyete, Depresyon ve Bakım Yükü Üzerine Etkisi. Artuklu Health(11), 1-9. https://doi.org/10.58252/artukluhealth.1630347

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