Pediatric Nursing Department, Dokuz Eylul University Faculty of Nursing, Izmir, Türkiye.
Pediatric Nursing Department, Dokuz Eylul University Faculty of Nursing, Izmir, Türkiye.
Semin Oncol Nurs. 2024 Dec;40(6):151725. doi: 10.1016/j.soncn.2024.151725. Epub 2024 Sep 2.
This randomized controlled trial evaluated the effect of virtual reality (VR) distraction and fatigue training on anxiety and fatigue in children with cancer.
The sample of this parallel design randomized controlled trial consisted of 41 children aged 7 to 16 who were receiving chemotherapy treatment in the pediatric hematology and oncology wards of a university hospital. Data was collected with the Child Anxiety Scale-State, Child Fatigue Scale-24-Hours, and Visual Fatigue Scale in both groups before and during the first three days of chemotherapy treatment. All children admitted to the clinic during chemotherapy received fatigue education. On the first, second, and third days of chemotherapy treatment, children in the study group underwent a 15-minute VR distraction intervention following stratified randomization. Repeated measures analysis of variance was used to compare scale scores by group, time, and group-time interaction.
Of the patients, 63.4% were male, and 39% had neuroblastoma. There was no difference between the groups in terms of diagnosis, age, duration of diagnosis, chemotherapy, or hemoglobin levels. A statistically significant difference was found between the mean scores of the anxiety and fatigue scores in the intervention and control groups in terms of group, time, and group-time interaction.
Applying VR distraction on the first, second, and third days of chemotherapy treatment was found to be useful in lowering anxiety and fatigue levels in addition to fatigue training.
Virtual reality distraction is an effective method for reducing anxiety and fatigue in this population.
本随机对照试验评估了虚拟现实（VR）分散注意力和疲劳训练对癌症患儿焦虑和疲劳的影响。
本平行设计随机对照试验的样本包括 41 名年龄在 7 至 16 岁之间正在大学医院儿科血液肿瘤科接受化疗的儿童。在化疗治疗的前三天，两组均使用儿童焦虑量表-状态、儿童疲劳量表-24 小时和视觉疲劳量表收集数据。所有在化疗期间就诊的儿童均接受疲劳教育。在化疗的第 1、2 和 3 天，根据分层随机化，研究组的儿童接受了 15 分钟的 VR 分散注意力干预。采用重复测量方差分析比较组间、时间和组间时间交互作用的量表评分。
患者中 63.4%为男性，39%患有神经母细胞瘤。两组在诊断、年龄、诊断持续时间、化疗或血红蛋白水平方面无差异。在焦虑和疲劳评分的干预组和对照组的平均评分方面，组间、时间和组间时间交互作用均存在统计学差异。
除疲劳训练外，在化疗的第 1、2 和第 3 天应用 VR 分散注意力对降低焦虑和疲劳水平是有用的。
虚拟现实分散注意力是减轻该人群焦虑和疲劳的有效方法。
