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作者信息

Jbebli Elhem, Jbeli Yosra, Ben Farhat Rawia, Rhayem Samar, Ben Ahmed Sarra, Amdouni Rym, Fedhila Ben Ayed Faten, Khemiri Monia

机构信息

Children's Medicine Department A at the Bechir Hamza Children's Hospital, Tunis. Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia.

出版信息

Tunis Med. 2024 Oct 5;102(10):677-681. doi: 10.62438/tunismed.v102i10.4934.

Abstract

INTRODUCTION

Virtual reality is being used more and more in the healthcare field, particularly during treatment. In the context of pain management, the question arises as to the effectiveness of using virtual reality during care in reducing the perception of procedural pain.

AIM

To study the impact of using virtual reality on the perception of procedural pain and on the course of care in pediatric oncology.

METHODS

A quasi-experimental, matched-case-control study conducted at the pediatric oncology unit of the Tunis Children's Hospital over a three-month period. Each child had two nursing care : with and without the use of virtual reality.

RESULTS

Thirty-two children were enrolled. The sex ratio was 0.88. The edia nage was 96 ± 49 months. The care provided was peripheral venous line insertion (53%), blood sampling (32%) and port-a-catheter puncture (15%). The use of virtual reality significantly reduced heart rate (p<0.0001), respiratory rate (p<0.0001) and pain perception (p<0.0001). Workload was reduced, as evidenced by a drop in the duration of nursing care (p<0.0001) and in the number of people needed to carry out care (p<0.0001).

CONCLUSIONS

Virtual reality is a good non-pharmacological alternative for procedural pain control in a pediatric oncology unit.

摘要

引言

虚拟现实在医疗保健领域的应用越来越广泛,尤其是在治疗过程中。在疼痛管理的背景下,出现了在护理过程中使用虚拟现实来减轻程序性疼痛感知的有效性问题。

目的

研究使用虚拟现实对儿科肿瘤程序性疼痛感知和护理过程的影响。

方法

在突尼斯儿童医院儿科肿瘤科进行了一项为期三个月的准实验性配对病例对照研究。每个孩子接受两种护理:使用虚拟现实和不使用虚拟现实。

结果

招募了32名儿童。性别比为0.88。中位年龄为96±49个月。提供的护理包括外周静脉置管(53%)、采血(32%)和经皮中心静脉导管穿刺(15%)。使用虚拟现实显著降低了心率(p<0.0001)、呼吸频率(p<0.0001)和疼痛感知(p<0.0001)。护理工作量减少,护理时间缩短(p<0.0001)以及实施护理所需人数减少(p<0.0001)证明了这一点。

结论

虚拟现实是儿科肿瘤科室控制程序性疼痛的一种良好的非药物替代方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/668d/11574382/dc69bdf51250/capture1.jpg

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