Estandarización ortográfica. Respuesta

Giménez, Núria; Pedrazas, David; Redondo, Susana; Quintana, Salvador

doi:10.1016/j.aprim.2017.09.005

Cited by 2 publications

(2 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Furthermore, most of the studies we retrieved (20/21, 95%) had been carried out in hospitals, while only 5% (1/21) had been carried out in primary health care centers. This may have been a result of the health care provision resources available at the sites where these previous studies had been carried out, given that most of this work had been carried out in hospitals, thanks to the teaching function of these centers [60][61][62]. These data indicate that scant research has been carried out for this level of care, which is surprising, considering that needle procedures are frequent in primary care contexts because of the systematic vaccination programs carried out in the pediatric population.…”

Section: Discussionmentioning

confidence: 99%

Effect of Virtual Reality on Pediatric Pain and Fear During Procedures Involving Needles: Systematic Review and Meta-analysis

Lluesma-Vidal¹,

González²,

García-Garcés³

et al. 2022

JMIR Serious Games

View full text Add to dashboard Cite

Background Virtual reality (VR) is used as a distraction measure during painful clinical procedures associated with the use of needles. These procedures include vaccinations, blood draws, or the administration of medications, which can cause children to feel increased levels of pain and fear. Objective The objective of this study was to collect and analyze the current evidence regarding the effectiveness of VR as a tool to distract children from pain and fear during needle procedures as compared to that of standard techniques. Methods A systematic review and meta-analysis was performed. We included randomized clinical trials (RCTs) or quasi-RCTs with participants younger than 21 years who underwent needle procedures in which the main distraction measure used was VR and where the main outcome measure was pain. The databases searched included the PubMed, Web of Science, Scopus, PsycINFO, CINAHL, and Cochrane libraries. In this systematic review, the studies were analyzed by applying the Critical Appraisal Skills Program guide in Spanish and the Jadad scale. In the meta-analysis, the effect size of the studies was analyzed based on the results for pain and fear in children. Results From 665 unique search results, 21 studies were included in this systematic review, most of which reported low methodological quality. The study sample cohorts ranged from a minimum of 15 participants to a maximum of 220 participants. Ten studies were included in the meta-analysis. The global effect of using VR as a distraction measure was a significant reduction in pain (inverse variance [IV] –2.37, 95% CI –3.20 to –1.54; Z=5.58; P<.001) and fear (IV –1.26, 95% CI –1.89 to –0.63; Z=3.92; P<.001) in children in the experimental groups. Conclusions The quality of the studies was mostly low. The main limitations were the impossibility of blinding the participants and health care personnel to the VR intervention. Nonetheless, the use of VR as a distraction measure was effective in reducing pain and fear in children during procedures involving needles.

show abstract

Section: Discussionmentioning

confidence: 99%