Experience of heart failure patients in mobilization with virtual reality: mixed methods study

Abstract

Objective: To compare the effects of up to three sessions of an early mobilization protocol combined with immersive virtual reality (VR) versus early mobilization alone in the experience of patients with acutely decompensated heart failure. Methods: Complex mixed methods study with adult patients admitted to the intensive care unit. The Intervention Group (IG) underwent mobilization combined with immersive virtual reality and the Control Group (CG), isolated mobilization. The tool Net Promoter Score (NPS) and the Likert scale were used to assess patients’ experience. In the qualitative approach, interviews were conducted with open questions. Results: Sixty patients participated in the study, 44 (73.3%) men, mean age 59.7 ± 12.2. The procedure was recommended by 23 (76.7%) in the IG and by 24 (80%) in the CG. The mobilization experience was classified as good or excellent by 28 (93.3%) in the IG and 26 (83.7%) in the CG. Qualitative analyses revealed three categories: “Psychological Effects”, “Physical Performance” and “Innovation”. Conclusion: Combining virtual reality with early mobilization provided a more positive experience for patients. ClinicalTrials.gov with number NCT05596292.