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Virtual reality exposure therapy to decrease anxiety before surgical invasive procedures in hemodialysis patients: an
Tahereh Hosseini1, Manijeh Hooshmandja2, Morteza Noaparast3
1Department of E-Learning in Medical Education, Center of Excellence for E-learning in Medical Education, School of Medicine, Tehran University of Medical Sciences, Dolatshahi Alley, Naderi St, Keshavarz Blvd, 14166-14741, Tehran, Iran.
Virtual reality (VR) effectively reduced anxiety in hemodialysis patients before surgery. This innovative approach significantly lowered state and trait anxiety in the experimental group compared to the control group.
Area of Science:
- Medical Technology
- Psychology
- Nephrology
Background:
- Hemodialysis patients experience significant anxiety and depression due to physiological and psychological stressors.
- Pre-surgical anxiety can have lasting negative impacts on the well-being of patients undergoing medical procedures.
- Virtual reality (VR) offers a novel approach to mitigate anxiety in clinical settings.
Purpose of the Study:
- To evaluate the efficacy of virtual reality (VR) in reducing pre-surgical anxiety among hemodialysis patients.
- To compare anxiety levels in hemodialysis patients undergoing routine training versus VR-enhanced training before surgery.
Main Methods:
- A quasi-experimental study involving 30 hemodialysis patients, divided into experimental (VR) and control groups.
- The experimental group received routine training plus immersive VR content simulating surgical procedures.
- Anxiety levels were measured using a validated inventory before and after the intervention.
Main Results:
- No significant difference in pre-intervention anxiety scores between the experimental and control groups.
- Post-intervention, the experimental group showed significantly lower state and trait anxiety scores (P < 0.01).
- Virtual reality intervention demonstrated a significant anxiolytic effect in hemodialysis patients.
Conclusions:
- Virtual reality application is effective in decreasing anxiety for maintenance hemodialysis patients prior to invasive surgical procedures.
- VR is a recommended tool to manage and reduce anxiety in patients undergoing hemodialysis.
- Addressing anxiety is crucial due to its severe impact on the quality of life for hemodialysis patients.
Related Concept Videos
Hemodialysis I: Introduction
Hemodialysis II: Procedure and Complications
Hemodialysis III: Nursing Management

