Pallidine Caroline, Goldin Deana
J Emerg Nurs. 2025 Mar;51(2):189-194. doi: 10.1016/j.jen.2024.10.008.
Managing pain, stress, and anxiety is a key factor to consider in the well-being of children presenting for emergency care. Procedures including intravenous insertions, injections, and wound care are prevalent in pediatric emergency settings and are commonly perceived as painful in children. Although nonpharmacologic approaches to reduce pain are available, these methods are not always implemented. Some of the most common nonpharmacologic interventions include different forms of distraction. Owing to novel technology, a relatively new form of distraction that can be used in emergency departments is virtual reality. This technology simulates presence within a virtual world and shifts the user's attention away from anxiety and pain perception. Virtual reality as a distraction tool has displayed success in managing pain and anxiety, optimizing care efficiency, and improving patient and family satisfaction. This illustrative case report highlights the clinical problem of undermanaged procedural pain in pediatric emergency settings and the role of virtual reality as an effective nonpharmacologic intervention to improve procedural pain management in a pediatric emergency setting.
对于前来接受急诊护理的儿童而言，管理疼痛、压力和焦虑是考量其健康状况的关键因素。包括静脉穿刺、注射和伤口护理在内的操作在儿科急诊环境中很常见，并且通常被认为会给儿童带来疼痛。尽管有减轻疼痛的非药物方法，但这些方法并不总是得到实施。一些最常见的非药物干预措施包括不同形式的分散注意力。由于新技术的出现，虚拟现实成为一种可在急诊科使用的相对较新的分散注意力的形式。这项技术模拟身处虚拟世界的感觉，并将用户的注意力从焦虑和疼痛感知上转移开。虚拟现实作为一种分散注意力的工具，已在管理疼痛和焦虑方面取得成功，优化了护理效率，并提高了患者及家属的满意度。本病例报告说明了儿科急诊环境中程序性疼痛管理不足的临床问题，以及虚拟现实作为一种有效的非药物干预措施在改善儿科急诊环境中程序性疼痛管理方面的作用。
