Faculty of Nursing, University of Montreal: 2375, Chemin de la Côte-Ste-Catherine, Montreal (Quebec) H3T 1A8, Canada; CHU Sainte-Justine Research Center: 3175 Chemin de la Côte-Sainte-Catherine, Montreal (Quebec) H3T 1C5, Canada.
Department in Creation and New Media, Université du Québec en Abitibi-Témiscamingue, Campus Rouyn-Noranda: 445, boul. de l'Université, Rouyn-Noranda (Quebec) J9X 5E4, Canada.
Burns. 2020 Nov;46(7):1571-1584. doi: 10.1016/j.burns.2020.04.006. Epub 2020 May 7.
The aim of this study was to examine the effect of a water-friendly Projector-Based Hybrid Virtual Reality (VR) dome environment combined with standard pharmacological treatment on pain in young children undergoing burn wound care in hydrotherapy.
This study was a prospective, within-subject crossover trial of 38 children aged 6 months to 7 years old (mean age=1.8 years old). Each hydrotherapy procedure was divided into two equivalent wound care segments (No hybrid VR during one segment vs. Hybrid VR during the other segment, treatment order was randomized). Pain was measured using the 0-10 FLACC (Face, Legs, Activity, Cry Consolability scale) and the 0-10 NRS-obs (Numerical Rating Scale-obs).
Projector-Based Hybrid VR significantly reduced procedural pain levels measured by the FLACC (p=0.026) and significantly increased patients' comfort levels (p=0.002). Patients' pain levels rated by the nurses using the NRS-obs were non-significant between both groups (p=0.135). No side effects were reported.
Projector-Based Hybrid VR helped in reducing the pain related to hydrotherapy procedures in young children with burn wound injuries. This is the first study using virtual reality distraction with young children, and our findings are especially important because a large percentage of pediatric burn patients are very young. Additional research and development are recommended.
ClinicalTrials.gov, NCT02986464, registered on June 12, 2016.
本研究旨在探讨将基于投影仪的混合虚拟现实（VR）穹顶环境与标准药物治疗相结合，对接受水疗的烧伤患儿在进行伤口护理时的疼痛的影响。
这是一项针对 38 名 6 个月至 7 岁（平均年龄 1.8 岁）儿童的前瞻性、自身对照交叉试验。每次水疗过程分为两个相等的伤口护理阶段（一个阶段不使用混合 VR，另一个阶段使用混合 VR，治疗顺序随机）。疼痛通过 0-10FLACC（面部、腿部、活动、哭泣可安抚性量表）和 0-10NRS-obs（数字评分量表-观察）进行测量。
基于投影仪的混合 VR 显著降低了 FLACC 测量的手术疼痛程度（p=0.026），并显著提高了患者的舒适度（p=0.002）。护士使用 NRS-obs 对两组患者的疼痛评分无显著差异（p=0.135）。未报告不良反应。
基于投影仪的混合 VR 有助于减轻烧伤伤口患儿水疗过程中的相关疼痛。这是第一项针对幼儿使用虚拟现实分散注意力的研究，我们的研究结果尤为重要，因为很大一部分儿科烧伤患者非常年幼。建议进一步研究和开发。
ClinicalTrials.gov，NCT02986464，于 2016 年 6 月 12 日注册。
