Preoperative Virtual Reality to Reduce Pain on Gynaecologic Patients Undergoing Surgery

In the perioperative setting, distraction therapies have been used as a technique to reduce anxiety and pain in the perioperative period. Measures employed in the local restructured hospitals include television, magazines, and newspapers. Tablet-based activity, music and video distraction therapy have also been shown to be useful to reduce preoperative anxiety. The investigators propose a prospective study to implement and evaluate the use of Virtual Reality (VR) in decreasing in anxiety and pain undergoing gynaecological surgery. In the first phase of study, VR will be administered in 110 female adults undergoing day surgery, same-day-admission or in-patient gynecologic surgery in KKH. The VR will be administered using a Samsung Gear VR3 headset fitted with a smartphone. VR images and sound with calming effect will be delivered to the patients for a short duration of up to 25 minutes. This low-intensity activity offers soothing experience to distract the patients from any pain and anxiety. Second phase of study will randomize 110 female adults undergoing gynecologic surgery. Pain and psychological assessment will be conducted after recruitment, and the group assigned to VR group will navigate the VR environment before and after surgery.

Inclusion Criteria: * Healthy participants who are ASA 1 \& 2 (with well-controlled medical problems) * Undergo day surgery or same-day -admission gynecologic surgery * Have no visual impairment Exclusion Criteria: * Patients with significant respiratory disease and obstructive sleep apnea * Patient who are unable to understand questionnaire * Obstetric patients * Patients with motion sickness in 3D environment