In this study, the researcher will examine the effects of preoperative mobilization training (video viewing with VR glasses and brochure methods) given to patients undergoing surgery in the lumbar region on pain, anxiety, fear of movement, fear of falling, and mobility levels in the postoperative period, using specific scales.
The patient must be over 18 years of age
Participate in the study voluntarily,
Be undergoing lumbar surgery for the first time
Be undergoing lumbar stabilization surgery
Having a neurological (such as dementia/Alzheimer's) or psychiatric (such as schizophrenia) medical diagnosis that affects cognitive status.
Having a chronic pain disorder.
Parallel
The group that will receive mobilization training using virtual reality glasses and brochures
Other interventionA group of 30 patients who will receive training on mobilization by watching videos and brochures using virtual reality glasses during the preoperative period (Intervention group).
Tampa Kinesiophobia Scale (TKS)
The TSK is a 17-question scale developed to determine the level of injury/re-injury and fear-avoidance processes associated with activities. The scale is scored using a four-point Likert scale: "1 = Strongly Disagree," "2 = Disagree," "3 = Agree," and "4 = Strongly Agree." The minimum score on the scale is 17, while the maximum score is 68.
Patient Mobility Scale-HHO
The Patient Mobility Scale consists of eight items and four subscales: turning from side to side in bed, sitting at the edge of the bed, standing at the edge of the bed, and walking in the patient's room. The level of pain and difficulty experienced is assessed using a 15-cm visual analog with verbal statements listed below the scale. The numerical value of the degree of pain and difficulty is determined by measuring the distance between the patient's mark on the scale and "0" using a calibrated ruler (no pain, some pain, moderate pain, a lot of pain, the worst pain I can imagine/very easy, easy, a little difficult, difficult, very difficult). The lowest and highest scores for each item range from 0 to 15, and the total scale score ranges from 0 to 120.
Observer Mobility Scale-GHÖ
The Observer Mobility Scale provides global observations of four subscales: turning from side to side in bed, sitting at the edge of the bed, standing up at the edge of the bed, and walking in the patient's room. Each subscale is scored from 1 to 5, with a score of 1 indicating that the patient independently performs the movement without verbal prompting or physical assistance, and a score of 5 indicating that the patient is unable to perform the movement despite verbal prompting or physical assistance. The lowest possible score on the scale is 4, and the highest is 20.
Visual Anolog Skala-VAS
This scale is a 10-cm ruler, with a minimum value of 0 on one end and a maximum value of 10 on the other. The patient is explained that there are two extremes, and that they are free to mark any point between them that matches the intensity of their pain. The distance between the onset of "no pain" and the point marked by the patient is measured in centimeters and recorded.
State and Trait Anxiety Scale
State Anxiety Scale (items 1-20): * Determines an individual's current anxiety level. * Contains 10 direct and 10 reversed statements. * Direct and reversed statements are scored differently. * Calculation: (Total direct statements - Total reverse statements) + 50. Trait Anxiety Scale (items 21-40): * Measures an individual's general tendency to anxiety. * Contains 13 direct and 7 reversed statements. * Calculation: (Total direct statements - Total reverse statements) + 35. * Score Range: Both scales yield scores between 20-80. * 0-19: No anxiety * 20-39: Mild anxiety 40-59: Moderate anxiety 60-79: Severe anxiety (60 and above requires professional help).
Likert-Type Fear of Falling Scale
The Likert-type scale includes the question, "Are you afraid of falling?" and the answers, "I am very afraid, I am moderately afraid, I am slightly afraid, and I am not afraid at all." The scale consists of a minimum of one (1) and a maximum of four (4) points (12). The scale will be used in this study to determine the level of fear of falling in patients.
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