McEvoy Anne O, Vincent Olivia B, Vazifedan Turaj, Chang Todd P, Clingenpeel Joel M, Kapoor Rupa
Department of Pediatrics, Eastern Virginia Medical School, Norfolk, VA.
Department of Pediatrics, University of California San Diego School of Medicine, La Jolla, Rady Children's Hospital-San Diego, San Diego, CA.
Pediatr Emerg Care. 2025 Mar 1;41(3):208-212. doi: 10.1097/PEC.0000000000003319. Epub 2024 Dec 6.
We conducted an unblinded, randomized control trial to determine if immersive virtual reality (VR) goggles decrease pain and fear scores in children undergoing laceration repair in the pediatric emergency department (PED) compared to the standard of care. Secondary outcomes included duration of procedure, physical holding, anxiolytic usage, and desire to use VR goggles again.
Ninety-one patients aged 6-17 years in a PED with simple lacerations sutured by PED staff completed surveys. Eligible patients were randomized to receive either VR or standard of care. Guardians and providers also completed surveys. Self-reported pain scores were assessed by the Wong-Baker Faces Pain Scale and fear scores by Children's Fear Scale.
There were significant reductions in pain and fear scores for VR goggles compared to standard of care. Patients rated their mean pain score as 3.7 in controls and 2.3 in the VR group, and mean fear score of 3.0 and 2.2. The likelihood of physical holding was significantly lower among those who used VR goggles (adjusted odds ratio = 0.34, 95% confidence interval [0.13-0.92], P = 0.033). The likelihood of receiving anxiolytics was lower among the 12- to 17-year-olds (adjusted odds ratio = 0.27, 95% confidence interval [0.11-0.69], P = 0.006). There was no significant difference in the procedure duration ( P = 0.06). A total of 97.9% of parents, 93.6% of patients, and 95.7% of providers would use VR again.
Virtual reality goggles are an effective tool for distraction for simple laceration repairs. Their use leads to decreased pain and fear. Children who used VR goggles did not require to be held as often for sutures. There was no significant difference in anxiolytics or duration of procedure.
我们开展了一项非盲法随机对照试验，以确定沉浸式虚拟现实（VR）护目镜与标准护理相比，是否能降低儿科急诊科（PED）中接受裂伤修复的儿童的疼痛和恐惧评分。次要结局包括手术持续时间、身体约束、抗焦虑药物使用情况以及再次使用VR护目镜的意愿。
91名年龄在6至17岁、在PED由工作人员缝合简单裂伤的患者完成了调查。符合条件的患者被随机分配接受VR或标准护理。监护人及医护人员也完成了调查。自我报告的疼痛评分采用面部表情疼痛量表（Wong-Baker Faces Pain Scale）评估，恐惧评分采用儿童恐惧量表（Children's Fear Scale）评估。
与标准护理相比，VR护目镜组的疼痛和恐惧评分显著降低。患者对对照组平均疼痛评分为3.7，VR组为2.3，平均恐惧评分为3.0和2.2。使用VR护目镜的患者接受身体约束的可能性显著更低（调整后的优势比=0.34，95%置信区间[0.13-0.92]，P=0.033）。12至17岁患者接受抗焦虑药物治疗的可能性更低（调整后的优势比=0.27，95%置信区间[0.11-0.69]，P=0.006）。手术持续时间无显著差异（P=0.06）。共有97.9%的家长、93.6%的患者和95.7%的医护人员会再次使用VR。
虚拟现实护目镜是一种有效的分散注意力工具，可用于简单的裂伤修复。使用它可减轻疼痛和恐惧。使用VR护目镜的儿童在缝合时不需要频繁被约束。在抗焦虑药物使用或手术持续时间方面无显著差异。
