Evelina Children's Hospital, Guy's and St Thomas' NHS Trust, UK.
King's College, UK.
Ann R Coll Surg Engl. 2022 Feb;104(2):144-147. doi: 10.1308/rcsann.2021.0144. Epub 2021 Nov 25.
Virtual reality (VR) has been shown to decrease pain and anxiety in clinical areas. The purpose of this study was to assess the feasibility of 'Rescape DR.VR Junior' headset as a distraction method for paediatric orthopaedic patients.
An internal risk assessment by medical engineers to determine its safety deemed the device safe to be used only in the venepuncture and plaster rooms, while further investigation is needed to establish its safety in the operating theatre/anaesthetic room. A total of 32 children (age range: 2-15 years) took the option to use the device while they underwent venepuncture or a cast procedure. Anxiety scores, measured on a Likert scale, were collected pre and postprocedure. Participants were asked if they would use the device again. Subjective feedback was also collated from the supervising clinical staff.
A total of 66% (21) showed a reduction in anxiety scores, 28% (9) had no change in score; all scores being mild, 1-3 on the Likert scale; 6% (2) showed an increase in postprocedure score. All participants stated they would use the device again. One patient declined the device. Health professionals also gave positive subjective feedback and they would all use it again with their paediatric patients. No adverse events were recorded.
The 'Rescape DR.VR Junior' headset has been found to be a safe and feasible distraction method for use in children in the venepuncture and plaster room. Further research is required to assess its safety and effectiveness in other clinical areas, including the paediatric orthopaedic operating theatre.
虚拟现实(VR)已被证明可减轻临床疼痛和焦虑。本研究旨在评估“Rescape DR.VR Junior”耳机作为小儿矫形患者分散注意力方法的可行性。
医学工程师进行内部风险评估,以确定其安全性,认为该设备仅在静脉穿刺和石膏室使用是安全的,而在手术室/麻醉室使用则需要进一步调查以确定其安全性。共有 32 名儿童(年龄 2-15 岁)选择在接受静脉穿刺或石膏固定时使用该设备。在手术前后使用李克特量表收集焦虑评分。参与者被问到是否会再次使用该设备。还从监督临床工作人员那里收集了主观反馈。
共有 66%(21 人)的焦虑评分降低,28%(9 人)的评分无变化;所有评分均为轻度,李克特量表 1-3 分;6%(2 人)的术后评分增加。所有参与者都表示会再次使用该设备。一名患者拒绝使用该设备。卫生专业人员也给予了积极的主观反馈,他们都会在小儿患者中再次使用该设备。未记录到不良事件。
“Rescape DR.VR Junior”耳机已被发现是静脉穿刺和石膏室中儿童使用的一种安全且可行的分散注意力方法。需要进一步研究以评估其在其他临床领域(包括小儿矫形手术室)的安全性和有效性。