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BackgroundPain and anxiety management in patients undergoing medical and surgical procedures is an important competence area for nurses.AimThis study aimed to determine and compare the effects of virtual reality and acupressure interventions on pain, anxiety, vital signs and comfort levels in the process of femoral catheter extraction for patients undergoing coronary angiography.MethodsThe study was a single‐blind, three‐group, randomized controlled trial conducted in the cardiology clinics of a university hospital in 2021. A total of 153 patients (51 virtual reality, 51 acupressure, 51 control) participated in the study. Data were collected using a Visual Analogue Scale, the State–Trait Anxiety Inventory, a vital signs follow‐up form and the Perianesthesia Comfort Scale.ResultsBoth intervention groups had significantly lower pain and anxiety scores, as well as higher comfort scores, compared to the control group (p < 0.001). The virtual reality group had lower systolic blood pressure, respiratory rate and pulse rate than the control group (p < 0.05). The acupressure group had lower systolic and diastolic blood pressure and respiratory rate than the control group (p < 0.05).ConclusionsWhile neither intervention group was found to be superior to the other, both interventions improved vital signs and comfort levels by reducing pain and anxiety.

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Background: Aging is a process that includes biological, physiological, emotional-psychological, and functional dimensions. Pain in the elderly is defined as an unpleasant sensory and emotional experience that occurs with future tissue damage. The resulting pain can cause depression by affecting the daily living activities of elderly individuals. In the elderly, pain can lead to multiple drug use, cognitive decline, gait abnormalities, and accidents. For all these reasons, pain is one of the factors that should be evaluated in elderly individuals. Objective: This study was conducted to determine the pain management status of the elderly living in nursing homes. Method: This descriptive study was conducted in the Nursing Home Elderly Care and Rehabilitation Center Directorate. Elderly Information Form, Mini-Mental Scale, and McGill Pain Scale were used. Results: 82.9% of the elderly had a chronic disease and were using drugs continuously, and the number of drugs used by 42.9% was between 1-3. According to McGill's Pain severity assessment, 34.3% of them experienced mild pain. Between the gender of the elderly and the McGill Melzeck pain severity averages they experienced, the average pain score of the female gender was found to be significantly higher than the pain average of the male gender (t(68)=-1.99, p=0.05). When the behaviors of the elderly against pain were examined, 62.9% reported that they preferred to talk, 72.9% to rest, 52.9% to plan rest periods, and 55.7% to get support from their religious belief Conclusions: In this study, the severity of pain and behaviors of the elderly against pain were evaluated.