Toledo Del Castillo Blanca, Pérez Torres Jorge Alejandro, Morente Sánchez Lidia, Escobar Castellanos María, Escobar Fernández Laura, González Sánchez María Isabel, Rodríguez Fernández Rosa
Instituto de Investigación Sanitaria Gregorio Marañón (IISGM), Madrid, España; Sección de Hospitalización Pediátrica, Servicio de Pediatría, Hospital General Universitario Gregorio Marañón, Madrid, España.
Sección de Hospitalización Pediátrica, Servicio de Pediatría, Hospital General Universitario Gregorio Marañón, Madrid, España.
An Pediatr (Engl Ed). 2019 Aug;91(2):80-87. doi: 10.1016/j.anpedi.2018.10.019. Epub 2019 Jan 21.
Potentially painful invasive procedures are often performed for diagnostic or therapeutic purposes in hospitalised paediatric patients. Approaches, such as virtual reality (VR), should be sought in order to minimise pain and anxiety during these procedures.
Hospitalised patients between 4 and 15-years-old requiring an invasive procedure were included. Pain and anxiety evaluation scales were given to children, relatives and health workers. A comparison was made with patients in whom VR was used (with or without concomitant use of a prilocaine/ lidocaine 2.5% analgesic cream) and patients in whom neither VR nor analgesic cream were used.
The study included 58 patients, 38 in the VR group and 20 in the control group. Pain scores, as performed by patients, relatives and health workers, significantly decreased in the VR group (control group median 4/5 vs. VR group median 1/5, P<.001). Patient-reported anxiety scales were also lower in the VR group (control group median 4/5 vs. VR group 1/5, P=.001). The number of punctures (R: 0.5, β: 0.6; P=.01) and the lack of analgesic techniques (β: -0.9; P=.02) were associated with higher scores in patient-reported pain scales.
The use of VR can reduce pain and anxiety during invasive procedures in hospitalized children.
在住院儿科患者中，为了诊断或治疗目的常常需要进行有潜在疼痛的侵入性操作。应寻求诸如虚拟现实（VR）等方法，以尽量减少这些操作过程中的疼痛和焦虑。
纳入4至15岁需要进行侵入性操作的住院患者。向儿童、亲属和医护人员发放疼痛和焦虑评估量表。将使用VR的患者（无论是否同时使用2.5%丙胺卡因/利多卡因镇痛乳膏）与既未使用VR也未使用镇痛乳膏的患者进行比较。
该研究纳入了58名患者，VR组38名，对照组20名。患者、亲属和医护人员进行的疼痛评分在VR组显著降低（对照组中位数4/5，VR组中位数1/5，P<.001）。患者报告的焦虑量表在VR组也较低（对照组中位数4/5，VR组1/5，P=.001）。穿刺次数（R：0.5，β：0.6；P=.01）和未采用镇痛技术（β：-0.9；P=.02）与患者报告的疼痛量表得分较高相关。
在住院儿童的侵入性操作中使用VR可以减轻疼痛和焦虑。
