The Effect of Virtual Reality Distraction on Pain Relief During Dressing Changes in Children with Chronic Wounds on Lower Limbs

Hua, Yun; Qiu, Rong; Yao, Wenyan; Zhang, Qin; Chen, Xiaoli

doi:10.1016/j.pmn.2015.03.001

Cited by 146 publications

(132 citation statements)

References 20 publications

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“…There are various reasons that can explain the non‐significant findings. This phenomenon may imply that non‐pharmacological methods as a process for managing pain is complex (Verhoeven et al., ) and the effects of non‐pharmacological pain relief methods for children might be influenced by other factors, such as emotional and psychological factors (Baratta et al., ), child's age, cognitive competence, culture, behavioural factors and skill of coping (Helgadóttir & Wilson, ; Hua, Qiu, Yao, Zhang, & Chen, ; Karakaya & Gözen, ; Wohlheiter & Dahlquist, ). Pain is not only a physiological process but also an affective experience influenced by physical and mental processes (Bernatzky, Presch, Anderson, & Panksepp, ; Renn & Dorsey, ).…”

Section: Discussionmentioning

confidence: 99%

Effects of postoperative pain management educational interventions on the outcomes of parents and their children who underwent an inpatient elective surgery: A randomized controlled trial

Zhu

Chan

Liam

et al. 2018

Journal of Advanced Nursing

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Section: Discussionmentioning

confidence: 99%

Effects of postoperative pain management educational interventions on the outcomes of parents and their children who underwent an inpatient elective surgery: A randomized controlled trial

Zhu

Chan

Liam

et al. 2018

Journal of Advanced Nursing

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“…It can be easily used particularly in paediatric care units because it appeals to various age groups and can be adapted to mobile phones. VR can be used during wound care, preoperative anxiety, chemotherapy, port access, chronic pain treatment, dental and routine medical practices (Arane, Behboudi, & Goldman, 2017;Atzori et al, 2018;Gold, Kim, Kant, Joseph, & Rizzo, 2006;Gupta, Scott, & Dukewich, 2018;Hoffman, Doctor, Patterson, Carrougher, & Furness, 2000;Hoffman et al, 2001Hoffman et al, , 2006Hoffman et al, , 2014Hua, Qiu, Yao, Zhang, & Chen, 2015;Jeffs, 2007;Jeffs et al, 2014;Jin, Choo, Gromala, Shaw, & Squire, 2016;Morris, Louw, & Grimmer-Somers, 2009;Nilsson, Finnström, Kokinsky, & Enskär, 2009;Ryu et al, 2017;Windich-Biermeier, Sjoberg, Dale, Eshelman, & Guzzetta, 2007;Won et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Effects of virtual reality on pain, fear and anxiety during blood draw in children aged 5–12 years old: A randomised controlled study

Gerçeker

Ayar

Özdemir

et al. 2020

Journal of Clinical Nursing

102

108

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Aim and objectives Virtual reality (VR) can be used during painful procedures in children. The aim of this study was to evaluate the effects of two different VR methods on procedure‐related pain, fear and anxiety of children aged 5–12 years old during blood draw. Methods This randomised controlled study used parallel trial design guided by the CONSORT checklist, see Supporting Information. The sample of children (n = 136) was allocated to the VR‐Rollercoaster (n = 45), VR‐Ocean Rift (n = 45) and control group (n = 46) using blocked randomisation. The primary outcome was pain scores after the blood draw and fear and anxiety scores before and after the blood draw. Before the blood draw, fear and anxiety scores were assessed using self‐report and reports from the parents and the researcher using the Child Fear Scale and Children's Anxiety Meter. After the blood draw, level of pain experienced was assessed using the Wong–Baker Faces Pain Rating Scale and the fear and anxiety levels experienced by the children during the blood draw were re‐evaluated. Results Pain scores were found to be lower in the VR‐Rollercoaster group and the VR‐Ocean Rift group. A statistical difference was found between groups according to self‐, parent‐ and researcher‐reported fear and anxiety scores after blood draw. While being in VR‐Rollercoaster and VR‐Ocean Rift group reduced children's fear and anxiety, being in the control group increased fear levels by 20% and anxiety levels by 34.1%. Conclusions VR is an effective method in reducing procedure‐related pain, fear and anxiety in children aged 5–12 years old during blood draw. Relevance to clinical practice Evidence‐based guidelines and protocols should be created for nonpharmacological methods such as VR for procedural pain and anxiety in children.

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“…VR represents an important advance in biofeedback technologies by providing immersive and realistic multisensory experiences that can help alleviate symptomology by allowing patients to learn stress reduction and pain management skills . Previously, VR has been studied in a range of disease states, including obesity , anxiety disorders , acute pain management , oncology , and neurorehabilitation . Concurrent improvements in software and hardware design, as well as associated cost reductions, have made VR promising for more widespread accessibility in health care .…”

Section: Introductionmentioning

confidence: 99%

Virtual Reality–Based Biofeedback and Guided Meditation in Rheumatology: A Pilot Study

Venuturupalli

Chu²,

Vicari³

et al. 2019

ACR Open Rheumatology

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Objective. As technology continues to improve, it plays an increasingly vital role in the practice of medicine. This study aimed to assess the feasibility of the implementation of virtual reality (VR) in a rheumatology clinic as a platform to administer guided meditation and biofeedback as a means of reducing chronic pain.Methods. Twenty participants were recruited from a rheumatology clinic. These participants included adults with physician-diagnosed autoimmune disorders who were on a stable regimen of medication and had a score of at least 5 on the pain Visual Analog Scale (VAS) for a minimum of 4 days during the prior 30 days. VAS, part of most composite outcome measurements in rheumatology, is an instrument used to assess pain that consists of a straight line with the endpoints ranging from "no pain at all" and "pain as bad as it could be." Patients were randomized into two groups that differed in the order in which they experienced the two VR modules. One module consisted of a guided meditation (GM) environment, whereas the other module consisted of a respiratory biofeedback (BFD) environment. Data on pain and anxiety levels were gathered before, during, and after the two modules.Results. The three most common diagnoses among participants were rheumatoid arthiritis (RA), lupus, and fibromyalgia. There was a significant reduction in VAS scores after BFD and GM (P values = 0.01 and 0.04, respectively). There was a significant reduction in Facial Anxiety Scale after the GM compared with the BFD (P values = 0.02 and 0.08, respectively).Conclusion. This novel study demonstrated that VR could be a feasible solution for the management of pain and anxiety in rheumatology patients. Further trials with varying treatment exposures and durations are required to solidify the viability of VR as a treatment option in rheumatology clinics.

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The Effect of Virtual Reality Distraction on Pain Relief During Dressing Changes in Children with Chronic Wounds on Lower Limbs

Cited by 146 publications

References 20 publications

Effects of postoperative pain management educational interventions on the outcomes of parents and their children who underwent an inpatient elective surgery: A randomized controlled trial

Effects of postoperative pain management educational interventions on the outcomes of parents and their children who underwent an inpatient elective surgery: A randomized controlled trial

Effects of virtual reality on pain, fear and anxiety during blood draw in children aged 5–12 years old: A randomised controlled study

Virtual Reality–Based Biofeedback and Guided Meditation in Rheumatology: A Pilot Study

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