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Virtual Reality for Pain Management and Patient Satisfaction During Outpatient Hysteroscopy: A Randomised Controlled
Alejandro Olloqui1, Alvaro Tejerizo-Garcia1, Carmen Guillen1
1Hysteroscopy and Minimally Invasive Surgery Unit, Department of Obstetrics and Gynecology, Hospital Universitario 12 de Octubre, Madrid, Spain.
Objective:
To evaluate virtual reality (VR) as a distraction technique to diminish pain perception and improve satisfaction in patients who underwent an outpatient hysteroscopy (OH).
Design:
A prospective, parallel group, 1:1 randomised controlled trial.
Setting:
Spanish University Hospital.
Sample:
A total of 120 patients between 18 and 70 years old underwent an OH.
Method:
A total of 120 patients were randomly allocated to undergo an OH either with standard treatment with vocal-local support (n = 60) or with the use of a VR device (n = 60) between January and June 2022.
Main Outcome Measures:
The primary outcome was worst and average patient-reported pain score (0-10) during the procedure. The secondary outcome was patient satisfaction (1-5) with the OH and with the use of VR.
Results:
Mean duration of the procedure (4.57 vs. 5.63 min, p = 0.11) and procedure performed did not differ among groups. There were no statistically significant differences in worst pain perception (VAS score 4.83 vs. 4.84, p = 0.95) or average pain perception (VAS score 2.91 vs. 3.21, p = 0.41) between the standard care and the VR group. There were no statistically significant differences in patient satisfaction between both groups.
Conclusions:
The use of VR was as effective as the standard care with vocal-local support to improve pain perception and patient satisfaction in patients undergoing OH.
Trial Registration:
ClinicalTrials.gov: NCT06463210.
