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虚拟现实与标准护理治疗对小儿疫苗接种期间疼痛感知的影响:一项随机对照试验的研究方案

The effect of virtual reality versus standard-of-care treatment on pain perception during paediatric vaccination: Study protocol for a randomised controlled trial.

作者信息

García-Garcés Laura, Ruiz-Zaldibar Cayetana, Lluesma-Vidal Marta, Serra-Guillén Isabel, Tomás-Saura Inmaculada, Sánchez-López María Inmaculada

机构信息

Department of Nursing, Faculty of Health Sciencies, Universidad Cardenal Herrera-CEU, CEU Universities, Valencia, Spain.

Department of Nursing, Faculty of Health, University of Camilo José Cela, Madrid, Spain.

出版信息

J Clin Nurs. 2025 Mar;34(3):685-696. doi: 10.1111/jocn.17395. Epub 2024 Aug 6.

Abstract

AIMS AND OBJECTIVES

To study the effects of virtual reality (VR) on pain perception among a paediatric population while being vaccinated. We will also investigate the effects of VR on the fear experienced by children during the vaccination procedure, as well as parental satisfaction levels.

BACKGROUND

Many studies, for example, in the fields of oncology, dermatology or plastic surgery, have described the benefits of using VR to reduce the perception of pain among paediatric populations. These results are encouraging, but their main limitations were the small sample sizes they included or their methodological design.

DESIGN

This will be a randomised clinical trial.

METHODS

SPIRIT guidelines were followed to report this protocol, and we will use the CONSORT and CONSORT-EHEALTH guidelines to report the randomised clinical trial. The sample will comprise 148 children aged 3-14 years who will come for vaccination at the Tres Forques Health Center. The participants will be randomly allocated into intervention group (VR; n = 74) or (the control group standard-of-care; n = 74) at a 1:1 ratio. The intervention group will view experiences with a VR headset as a distraction measure. The study variables will be the level of pain and fear perceived by the child during vaccination, parental satisfaction with the vaccination procedure, and sociodemographic and vaccination variables.

RESULTS

The start of the study is planned for September 2020, and the results will be expected in September 2021.

CONCLUSIONS

This study aims to identify what measures reduce pain and fear in children during vaccination, which in turn, can help to improve the degree of parental satisfaction with these procedures.

RELEVANCE TO CLINICAL PRACTICE

Vaccination is an independent function of the nursing profession. Identifying which distraction measures reduce the perception of pain and fear in the paediatric population will not only improve children's experiences but will also improve the satisfaction of both parents and children, thus increasing the degree of compliance with the vaccination schedule.

摘要

目的和目标

研究虚拟现实(VR)对儿童接种疫苗时疼痛感知的影响。我们还将调查VR对儿童在接种过程中所体验到的恐惧的影响,以及家长的满意度。

背景

许多研究,例如在肿瘤学、皮肤病学或整形外科学领域,都描述了使用VR减少儿童群体疼痛感知的益处。这些结果令人鼓舞,但其主要局限性在于所纳入的样本量较小或方法设计存在问题。

设计

这将是一项随机临床试验。

方法

遵循SPIRIT指南报告本方案,我们将使用CONSORT和CONSORT-EHEALTH指南报告随机临床试验。样本将包括148名3至14岁的儿童,他们将前往Tres Forques健康中心接种疫苗。参与者将以1:1的比例随机分配到干预组(VR;n = 74)或对照组(标准护理;n = 74)。干预组将使用VR头戴式设备观看体验内容作为一种分散注意力的措施。研究变量将包括儿童在接种疫苗期间感知到的疼痛和恐惧程度、家长对接种程序的满意度,以及社会人口统计学和接种相关变量。

结果

研究计划于2020年9月开始,预计2021年9月得出结果。

结论

本研究旨在确定哪些措施可以减轻儿童接种疫苗时的疼痛和恐惧,这反过来有助于提高家长对这些程序的满意度。

与临床实践的相关性

接种疫苗是护理专业的一项独立职能。确定哪些分散注意力的措施可以降低儿童群体的疼痛和恐惧感知,不仅会改善儿童的体验,还会提高家长和儿童的满意度,从而提高对疫苗接种计划的依从程度。

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