Athbi, Hassan Abdullah
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Distraction Using Virtual Reality Reduces Pain and Anxiety After PCI: Penggunaan Realitas Virtual untuk Mengalihkan Perhatian Mengurangi Nyeri dan Kecemasan Setelah PCI Shutnan, Ali Hassan Ibrahim; Athbi, Hassan Abdullah
Indonesian Journal on Health Science and Medicine Vol. 2 No. 2 (2025): Oktober
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/ijhsm.v2i2.206

Abstract

Background: Cardiovascular diseases remain the leading cause of death globally, with percutaneous coronary intervention (PCI) being a common treatment modality. However, post-PCI patients frequently experience significant pain and anxiety. Specific Background: Conventional pain management strategies are often pharmacological and may involve adverse effects, prompting exploration of non-invasive alternatives like virtual reality (VR). Knowledge Gap: Although VR has been explored in various medical contexts, its efficacy in post-PCI recovery remains under-researched. Aims: This randomized clinical trial aimed to evaluate the effect of VR-based distraction on pain and anxiety levels in post-PCI patients. Results: A total of 144 patients were divided equally into intervention and control groups. The VR group, exposed to 3D natural scenes with soothing music, showed significantly lower mean pain (29.60 vs. 57.97) and anxiety scores (2.90 vs. 5.15) than the control group (p < 0.001 for both). Novelty: This study provides robust clinical evidence that immersive VR distraction can be an effective adjunct to standard post-PCI care. Implications: Integrating VR into post-PCI protocols may enhance patient comfort, reduce reliance on medication, and improve recovery experiences without added clinical risk.Highlight : Virtual reality effectively reduces pain and anxiety levels after PCI. There was a significant difference between the intervention and control groups. This distraction technique is non-invasive and easy to apply clinically. Keywords : Virtual Reality, Anxiety, Pain, Percutaneous Coronary Intervention, Distraction Technique
Fatigue Levels and it is Impacts on Physical, Cognitive and Psycho-social Wellbeing in Patients with Breast Cancer Undergoing Chemotherapy Athbi, Hassan Abdullah; Rukaya Aqeel Hassan; Ayam Abbas Ali; Baneen Fadhil Khudhr; Hussein Khelf Kitab
Indonesian Journal on Health Science and Medicine Vol. 2 No. 3 (2025): Desember
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/ijhsm.v2i3.301

Abstract

Fatigue is a highly prevalent and debilitating symptom among patients with breast cancer undergoing chemotherapy, profoundly affecting multiple dimensions of health and functioning. Chemotherapy-related fatigue in this population negatively influences physical capacity, cognitive performance, and psychosocial well-being, yet its multidimensional impact within the Iraqi clinical context remains insufficiently examined. Few studies have comprehensively evaluated the combined physical, cognitive, and psychosocial consequences of fatigue among Iraqi breast cancer patients, nor assessed its associations with demographic and clinical characteristics. This study aimed to determine the levels of fatigue and examine its impact on physical, cognitive, and psychosocial domains among patients with breast cancer receiving chemotherapy. A descriptive study of 106 female patients at Imam Al-Hussein Oncology Center revealed that 71.7% experienced severe fatigue and 28.3% moderate fatigue. The overall mean fatigue score was high (MS = 4.0). Fatigue showed severe impact across all domains, with 96.2% of patients classified within the severe-impact category. Physical limitations included muscle weakness, reduced functional ability, and increased need for rest; cognitive impairments involved diminished alertness, reduced attention, and slowed thinking; psychosocial effects included decreased motivation, social withdrawal, and emotional distress. A significant association was found between fatigue level and the three impact dimensions (p = 0.003). This study provides one of the first multidimensional assessments of chemotherapy-related fatigue among Iraqi breast cancer patients. Routine fatigue assessment and multidisciplinary management are essential to mitigate its extensive effects and improve quality of life for patients undergoing chemotherapy. Highlights Severe fatigue was highly prevalent among breast cancer patients undergoing chemotherapy, affecting 71.7% of the sample. Fatigue had a significant negative impact on physical, cognitive, and psychosocial functioning, with 96.2% experiencing severe impairment. A strong association was found between fatigue severity and multidimensional functional decline (p = 0.003).