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在儿科肿瘤病房中,虚拟现实技术用于缓解儿童和青少年与针头相关的程序性疼痛和痛苦。

The use of Virtual Reality for needle-related procedural pain and distress in children and adolescents in a paediatric oncology unit.

作者信息

Nilsson Stefan, Finnström Berit, Kokinsky Eva, Enskär Karin

机构信息

Department of Paediatric Anaesthesia and Intensive Care Unit, The Queen Silvia Children's Hospital, Sahlgrenska University Hospital, 41685 Göteborg, Sweden.

出版信息

Eur J Oncol Nurs. 2009 Apr;13(2):102-9. doi: 10.1016/j.ejon.2009.01.003. Epub 2009 Feb 20.

Abstract

AIM

It is essential to minimize pain and distress during painful procedures in children. This study examined the effect of using non-immersive Virtual Reality (VR) during a needle-related procedure on reported pain or distress of children and adolescents in a paediatric oncology unit and surveyed their response to the use of VR-equipment during the procedure.

METHOD

Twenty-one children and adolescents were included in an intervention group with non-immersive VR and another 21 children and adolescents in a control group where they underwent either venous punctures or subcutaneous venous port devices. Self-reported pain and distress, heart rate and observational pain scores were collected before, during and after the procedures. Semi-structured qualitative interviews were conducted in conjunction with the completed intervention.

RESULTS

Self-reported and observed pain and distress scores were low and few significant differences of quantitative data between the groups were found. Two themes emerged in the analysis of the interviews; the VR game should correspond to the child and the medical procedure and children enjoyed the VR game and found that it did distract them during the procedure.

CONCLUSION

The interviews showed that non-immersive VR is a positive experience for children undergoing a minor procedure such as venous puncture or a subcutaneous venous port access.

摘要

目的

尽量减少儿童在痛苦治疗过程中的疼痛和痛苦至关重要。本研究考察了在儿科肿瘤病房进行与针头相关的操作时使用非沉浸式虚拟现实(VR)对儿童和青少年报告的疼痛或痛苦的影响,并调查了他们在操作过程中对使用VR设备的反应。

方法

21名儿童和青少年被纳入使用非沉浸式VR的干预组,另有21名儿童和青少年被纳入对照组,他们接受静脉穿刺或皮下静脉端口装置操作。在操作前、操作期间和操作后收集自我报告的疼痛和痛苦、心率以及观察到的疼痛评分。在完成干预的同时进行半结构化定性访谈。

结果

自我报告和观察到的疼痛和痛苦评分较低,两组之间定量数据的显著差异很少。访谈分析中出现了两个主题;VR游戏应与儿童和医疗程序相匹配,儿童喜欢VR游戏,并发现它在操作过程中确实分散了他们的注意力。

结论

访谈表明,对于接受静脉穿刺或皮下静脉端口接入等小手术的儿童来说,非沉浸式VR是一种积极的体验。

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