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评估虚拟现实技术在协助接受临床治疗的儿童应对治疗过程中的应用及可接受性。

Assessing the Use and Acceptability of Virtual Reality to Assist Coping in Children Undergoing Clinical Procedures.

作者信息

Samnakay Sarah, Bell Emily, Evans Daisy, Sommerfield David, Sommerfield Aine, Hauser Neil, von Ungern-Sternberg Britta S

机构信息

Department of Anesthesia and Pain Medicine, Perth Children's Hospital, Perth, Western Australia, Australia.

Perioperative Medicine Team, Perioperative Care Program, Telethon Kids Institute, Perth, Western Australia, Australia.

出版信息

J Spec Pediatr Nurs. 2025 Jan;30(1):e70002. doi: 10.1111/jspn.70002.

DOI:10.1111/jspn.70002
PMID:39722555
Abstract

PURPOSE

Virtual reality is used as a distraction tool during medical procedures that can cause anxiety and pain. We assessed the usefulness, engagement, value and feasibility of virtual reality to help children cope with routine clinical procedures.

DESIGN AND METHODS

Quality improvement study. Children, 4-16 years old, were given the option to use virtual reality during their procedure in oncology, immunology or diabetes clinics, or during an induction of general anesthesia. The emotional state of the child was documented using the children's emotional manifestation scale. We assessed feedback from patients, parents, and clinicians.

RESULTS

Across all clinics, children responded positively to the virtual reality and 80% would choose to use virtual reality again for health-related procedures. Parents and clinicians, respectively, reported that virtual reality helped children tolerate the procedure (82% and 87%), engaged children well (82% and 89%) and was a valuable tool (85% and 98%). Clinicians (90%) endorsed the feasibility of using virtual reality during procedures.

PRACTICE IMPLICATIONS

This project demonstrated that virtual reality can be implemented as a useful, engaging and feasible tool to help children tolerate a variety of routine medical procedures. However, ensuring comfortable fit of virtual reality devices and diversifying the visual content is necessary.

摘要

目的

虚拟现实被用作在可能导致焦虑和疼痛的医疗程序中的一种分散注意力的工具。我们评估了虚拟现实帮助儿童应对常规临床程序的有用性、参与度、价值和可行性。

设计与方法

质量改进研究。4至16岁的儿童在肿瘤学、免疫学或糖尿病诊所进行程序期间,或在全身麻醉诱导期间,可以选择使用虚拟现实。使用儿童情绪表现量表记录儿童的情绪状态。我们评估了患者、家长和临床医生的反馈。

结果

在所有诊所中,儿童对虚拟现实反应积极,80%的儿童会选择在与健康相关的程序中再次使用虚拟现实。家长和临床医生分别报告说,虚拟现实有助于儿童耐受程序(82%和87%),使儿童参与度良好(82%和89%),并且是一种有价值的工具(85%和98%)。临床医生(90%)认可在程序中使用虚拟现实的可行性。

实践意义

该项目表明,虚拟现实可以作为一种有用、吸引人且可行的工具来帮助儿童耐受各种常规医疗程序。然而,确保虚拟现实设备佩戴舒适并使视觉内容多样化是必要的。

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