Medical Research Council/Uganda Virus Research Institute & London School of Hygiene and Tropical Medicine Uganda Research Unit, Entebbe, Uganda.
Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium.
Pain Med. 2022 Apr 8;23(4):642-654. doi: 10.1093/pm/pnab206.
This study explored the acceptability and feasibility of the use of low-cost virtual reality (VR) glasses, and the Wong-Baker Faces Pain Scale and Children's Fear Scale scales, for pain and fear reduction in children admitted at the septic ward of CoRSU Rehabilitation Hospital in Uganda.
In total, 79 children aged 4-17 years of age were offered to watch cartoons using VR glasses while undergoing painful dressing procedures. Before and after the procedure, children were asked to index current pain; children and their caregivers were asked to rate anticipated fear. Focus group discussions with 13 children, 10 caregivers and 9 nurses explored acceptability and feasibility. Quantitative data were analyzed using STATA15, NVIVO12 was used for qualitative data analysis.
The VR glasses were accepted by 76 (96%) of the children. Children, caregivers, and nurses mentioned the glasses were helpful in distracting children from the medical procedure and felt the use of the glasses helped reduce child fear and pain. Nurses felt it made their work easier. The Wong-Baker Faces Pain Scale was an acceptable and feasible method to measure pain, while the Children's Fear Scale was more difficult to interpret for our study population as they felt the faces on the scale were hard to read and identify with.
The use of VR glasses may offer an acceptable and effective pain and fear reduction method in resource-constrained settings and should be further explored in a randomized controlled trial.
本研究旨在探讨在乌干达 CoRSU 康复医院的败血症病房中，使用低成本虚拟现实（VR）眼镜和 Wong-Baker 面部疼痛量表及儿童恐惧量表来减轻儿童疼痛和恐惧的可接受性和可行性。
共有 79 名年龄在 4-17 岁的儿童被邀请在接受疼痛性换衣过程中使用 VR 眼镜观看卡通片。在操作前后，儿童被要求评估当前疼痛；儿童及其照顾者被要求评估预期恐惧。通过 13 名儿童、10 名照顾者和 9 名护士的焦点小组讨论，探讨可接受性和可行性。定量数据采用 STATA15 进行分析，采用 NVIVO12 进行定性数据分析。
76 名（96%）儿童接受了 VR 眼镜。儿童、照顾者和护士均表示，眼镜有助于分散儿童对医疗程序的注意力，并且有助于减轻儿童的恐惧和疼痛。护士们觉得这让他们的工作更轻松。Wong-Baker 面部疼痛量表是一种可接受且可行的测量疼痛的方法，而儿童恐惧量表对于我们的研究人群来说更难解释，因为他们觉得量表上的面孔难以阅读和识别。
在资源有限的环境中，使用 VR 眼镜可能是一种可接受且有效的减轻疼痛和恐惧的方法，应在随机对照试验中进一步探讨。
