Oxidative stress responses of virtual reality use in refugee children undergoing elective surgery: A randomized controlled trial


DEMİR E., Duzguner V., ATICI A., YENGİL E.

Journal of Pediatric Nursing, cilt.75, ss.80-88, 2024 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 75
  • Basım Tarihi: 2024
  • Doi Numarası: 10.1016/j.pedn.2023.11.004
  • Dergi Adı: Journal of Pediatric Nursing
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, ASSIA, CINAHL, MEDLINE, DIALNET
  • Sayfa Sayıları: ss.80-88
  • Anahtar Kelimeler: Oxidative stress, Pre-operative period, Refugee children, Virtual reality
  • Hatay Mustafa Kemal Üniversitesi Adresli: Evet

Özet

Background: With the Virtual Reality (VR) technique, 3D movies can be made for refugee children for pre-operative stress. The study aims to reveal the oxidative responses of the VR technique in pre-operative anxiety in elective surgery in children aged 5–12 years. Methods: The Study was designed according to the CONSORT checklist with a randomized controlled parallel design. The whole sample (n = 23), VR experimental group (n = 12), and control group (n = 11) were determined according to the total count method prospectively in 6 months. Oxidative stress parameters (Cortisol, Malondialdehyde, Nitric oxide, Glutathione) were measured in blood samples from the first hospitalization (beginning) and before the intervention (pre-operative) in the experimental and control groups. Findings: MDA, NO, and cortisol levels (p < 0.05), which indicate the stress level, are high in all groups. In pre-operative measurements, oxidative parameters were lower in the VR experimental group than in the control group. At the same time, the anti-stress antioxidant factor Glutathione was higher in the VR experimental group in pre-operative measurements. Discussion: The application of 3D film as a VR technique reduces stress parameters in pre-operative stress, and its antioxidant system activating effect has been determined. Application to practice: It can be applied to refugee child groups for pre-operative stress by shooting 3D movies in different languages.