Das Debashish A, Grimmer Karen A, Sparnon Anthony L, McRae Sarah E, Thomas Bruce H
Centre of Allied Health Evidence, University of South Australia, Adelaide, Australia.
BMC Pediatr. 2005 Mar 3;5(1):1. doi: 10.1186/1471-2431-5-1.
The management of burn injuries is reported as painful, distressing and a cause of anxiety in children and their parents. Child's and parents' pain and anxiety, often contributes to extended time required for burns management procedures, in particular the process of changing dressings. The traditional method of pharmacologic analgesia is often insufficient to cover the burnt child's pain, and it can have deleterious side effects 12. Intervention with Virtual Reality (VR) games is based on distraction or interruption in the way current thoughts, including pain, are processed by the brain. Research on adults supports the hypothesis that virtual reality has a positive influence on burns pain modulation.
This study investigates whether playing a virtual reality game, decreases procedural pain in children aged 5-18 years with acute burn injuries. The paper reports on the findings of a pilot study, a randomised trial, in which seven children acted as their own controls though a series of 11 trials. Outcomes were pain measured using the self-report Faces Scale and findings of interviews with parent/carer and nurses.
The average pain scores (from the Faces Scale) for pharmacological analgesia only was, 4.1 (SD 2.9), while VR coupled with pharmacological analgesia, the average pain score was 1.3 (SD 1.8)
The study provides strong evidence supporting VR based games in providing analgesia with minimal side effects and little impact on the physical hospital environment, as well as its reusability and versatility, suggesting another option in the management of children's acute pain.
据报道，烧伤治疗过程对儿童及其父母来说痛苦、令人苦恼且会引发焦虑。儿童及其父母的疼痛和焦虑往往会导致烧伤治疗程序所需时间延长，尤其是换药过程。传统的药物镇痛方法往往不足以缓解烧伤儿童的疼痛，而且可能会产生有害的副作用。虚拟现实（VR）游戏干预基于对大脑处理当前想法（包括疼痛）方式的干扰或打断。对成年人的研究支持了虚拟现实对烧伤疼痛调节有积极影响这一假设。
本研究调查玩虚拟现实游戏是否能减轻5至18岁急性烧伤儿童的治疗过程中的疼痛。本文报告了一项初步研究的结果，这是一项随机试验，七名儿童在一系列11次试验中作为自身对照。结果通过使用自我报告面部量表测量疼痛以及对家长/照顾者和护士的访谈结果来评估。
仅使用药物镇痛时的平均疼痛评分（来自面部量表）为4.1（标准差2.9），而虚拟现实与药物镇痛相结合时，平均疼痛评分为1.3（标准差1.8）。
该研究提供了强有力的证据，支持基于虚拟现实的游戏在提供镇痛方面副作用最小且对医院物理环境影响较小，以及其可重复使用性和多功能性，为儿童急性疼痛管理提供了另一种选择。
