虚拟现实分心对接受静脉置管的癌症患儿疼痛感知和恐惧的影响。
Effectiveness of Virtual Reality Distraction on Pain Perception and Fear among Children with Cancer Undergoing IV Cannulation.
作者信息
Amali R Jensi, Chavan Seema S
机构信息
Department of Pediatric Nursing, Father Muller College of Nursing, Mangalore, Karnataka, India Department of Pediatric Nursing, Father Muller College of Nursing, Mangalore, Rajiv Gandhi University of Health Science, Karnataka, India.
Associate Professor, College of Nursing, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, India.
出版信息
Indian J Community Med. 2023 Nov-Dec;48(6):909-914. doi: 10.4103/ijcm.ijcm_988_22. Epub 2023 Dec 1.
BACKGROUND
Cancer children are subjected to multiple cannulations during hospitalization. Pain and fear are most common during invasive procedures that are performed, especially IV cannulation, which can lead to worry. Exactly 25% of children are reported to have a fear of needle-related procedures. To examine the impact of virtual reality (VR) distraction on pain perception and fear in children with cancer undergoing IV cannulation.
MATERIALS AND METHODS
Using a quasi-experimental design, 80 cancer children with IV cannulation between ages 7-18 were recruited to the intervention and control group ( = 40 + 40) using the purposive sampling technique. The virtual reality distraction device was used 10 min before the peripheral IV cannulation procedure and remained in place until the procedure was completed in the intervention group, and no device was used in the control group. Wong-Baker Faces Pain Rating Scale and Children's Fear Scale were used to assess the pain and fear of children and their mothers.
RESULT
Pain perception was found to be significantly lower in the VR distraction group among both children and mothers (1.82 ± 0.18, 8.01 ± 3.21) 95% confidence interval (CI) [0.82, 2.16] compared to the control group, respectively ( = 0.001**). Fear was found to be significantly lower in the VR distraction group among both children and mothers (0.81 ± 0.71, 3.01 ± 1.42) 95% CI [0.46, 0.91]. A strong positive correlation was found between children's and mothers' pain perception ( = 0.91, = 0.001**) and fear ( = 0.84, = 0.001**).
CONCLUSION
VR distraction can be used as an effective device in pain and fear management among children undergoing IV cannulation.
背景
癌症患儿在住院期间需多次进行插管。在进行侵入性操作尤其是静脉插管时，疼痛和恐惧最为常见，这可能会导致担忧。据报道，恰好25%的儿童害怕与针头相关的操作。为了研究虚拟现实（VR）分心对接受静脉插管的癌症患儿疼痛感知和恐惧的影响。
材料与方法
采用准实验设计，使用目的抽样技术，招募80名年龄在7 - 18岁、需进行静脉插管的癌症患儿，分为干预组和对照组（每组40名）。在干预组中，在进行外周静脉插管操作前10分钟使用虚拟现实分心设备，并在操作完成前一直保持使用，而对照组不使用任何设备。使用面部表情疼痛评分量表（Wong - Baker Faces Pain Rating Scale）和儿童恐惧量表（Children's Fear Scale）来评估患儿及其母亲的疼痛和恐惧程度。
结果
与对照组相比，VR分心组患儿及其母亲的疼痛感知显著更低（分别为1.82±0.18，8.01±3.21），95%置信区间（CI）为[0.82, 2.16]（P = 0.001**）。VR分心组患儿及其母亲的恐惧也显著更低（分别为0.81±0.71，3.01±1.42），95% CI为[0.46, 0.91]。发现患儿与母亲的疼痛感知之间存在强正相关（r = 0.91，P = 0.001**）以及恐惧之间存在强正相关（r = 0.84，P = 0.001**）。
结论
VR分心可作为一种有效手段，用于接受静脉插管的患儿的疼痛和恐惧管理。
Zotero 插件