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虚拟现实分心对急诊室儿童静脉穿刺疼痛的影响。

Effect of virtual reality distraction on venipuncture pain in children in the emergency room.

作者信息

Gómez-Neva María Elizabeth, Briñez-Ariza Karol Johanna, Ibañez-Rodriguez Leidy Johana

机构信息

Pontificia Universidad Javeriana, Bogotá, Colombia. E-mail:

Universidad de Ciencias Aplicadas y Ambientales UDCA, Bogotá, Colombia. E-mail:

出版信息

Rev Cuid. 2024 Jul 3;15(2):e3385. doi: 10.15649/cuidarte.3385. eCollection 2024 May-Aug.

Abstract

INTRODUCTION

Virtual reality (VR) as a distraction strategy has been used in healthcare centers; however, the evidence is inconsistent in demonstrating VR's effect on pain control during venipuncture.

OBJECTIVE

To describe the effect of VR on pain during the venipuncture process in children and adolescents in a private institution in Bogotá.

MATERIALS AND METHODS

An unblinded, randomized, experimental study was conducted in the emergency room of a fourth-level care facility. The sample consisted of 46 children and adolescents between the ages of 7 and 14. Twenty- three were randomly assigned to the experimental group with a VR headset and 23 to the control group. The dependent variable 'pain' was measured before, during, and after venipuncture using the visual analog scale (VAS) of pain.

RESULTS

Perceived pain is different before and after the procedure; however, using the VR headset did not show any statistical or clinical differences during the venipuncture procedure.

DISCUSSION

Variables such as vital signs, venipuncture time, and follow-up were important in measuring symptoms such as pain at venipuncture.

CONCLUSION

VR can be used by nurses; however, more research must be done to demonstrate its effect on pain control during venipuncture, considering a greater power of the study, type of pain, and variables such as family support and nurses' time of experience.

摘要

引言

虚拟现实(VR)作为一种分散注意力的策略已在医疗中心使用;然而,关于VR对静脉穿刺过程中疼痛控制效果的证据并不一致。

目的

描述VR对波哥大一家私立机构中儿童和青少年静脉穿刺过程中疼痛的影响。

材料与方法

在一家四级护理机构的急诊室进行了一项非盲、随机、实验性研究。样本包括46名7至14岁的儿童和青少年。23人被随机分配到使用VR头戴设备的实验组,23人被分配到对照组。使用疼痛视觉模拟量表(VAS)在静脉穿刺前、穿刺过程中和穿刺后测量因变量“疼痛”。

结果

穿刺前后的疼痛感知不同;然而,在静脉穿刺过程中使用VR头戴设备并未显示出任何统计学或临床差异。

讨论

生命体征、静脉穿刺时间和随访等变量在测量静脉穿刺时的疼痛等症状方面很重要。

结论

护士可以使用VR;然而,考虑到研究的更大样本量、疼痛类型以及家庭支持和护士经验时间等变量,必须进行更多研究以证明其对静脉穿刺时疼痛控制的效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81c0/11807007/e79bbd00cd6e/2216-0973-cuid-15-02-e3385-gf1.jpg

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