The effect of virtual reality on Children's anxiety, fear, and pain levels before circumcision

Büyük, Esra Tural; Odabaşoğlu, Emel; Uzsen, Hatice; Koyun, Merve

doi:10.1016/j.jpurol.2021.04.008

Cited by 31 publications

(36 citation statements)

References 22 publications

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“…The durations considered before the induction of anaesthesia ranged from 20 min (Al‐Nerabieah et al, 2020 ; Clausen et al, 2021 ; Dwairej et al, 2020 ; Forouzandeh et al, 2020 ; Gao et al, 2014 ; Marechal et al, 2017 ; Stewart et al, 2019 ; Ünver et al, 2020 ) to 24 h (Chaurasia et al, 2019 ; Hashimoto et al, 2020 ). Most of the interventions lasted between 5 min (Al‐Nerabieah et al, 2020 ; Buyuk et al, 2021 ; Dehghan et al, 2019 ; Jung et al, 2021 ) and 15 min (Eijlers, Dierckx, et al, 2019 ) (Table 2 ).…”

Section: Resultsmentioning

confidence: 99%

Effect of a game‐based intervention on preoperative pain and anxiety in children: A systematic review and meta‐analysis

Suleiman‐Martos

García‐Lara

Membrive‐Jiménez³

et al. 2022

Journal of Clinical Nursing

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Background Games are increasingly being used as a means of alleviating pain and anxiety in paediatric patients, in the view that this form of distraction is effective, non‐invasive and non‐pharmacological. Aims To determine whether a game‐based intervention (via gamification or virtual reality) during the induction of anaesthesia reduces preoperative pain and anxiety in paediatric patients. Methods A systematic review with meta‐analysis of randomised controlled trials was performed in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta‐Analyses) guidelines and using RevMan software. The review was based on a search of the EMBASE, CINAHL, Medline, SciELO and Scopus databases, conducted in July 2021. No restriction was placed on the year of publication. Results 26 studies were found, with a total study population of 2525 children. Regarding pain reduction, no significant differences were reported. For anxiety during anaesthesia induction, however, a mean difference of −10.62 (95% CI −13.85, −7.39) on the Modified Yale Preoperative Anxiety Scale, in favour of game‐based intervention, was recorded. Conclusions Game‐based interventions alleviate preoperative anxiety during the induction of anaesthesia in children. This innovative and pleasurable approach can be helpful in the care of paediatric surgical patients. Relevance to clinical practice In children, preoperative management is a challenging task for healthcare professionals, and game‐based strategies could enhance results, improving patients’ emotional health and boosting post‐surgery recovery. Distractive games‐based procedures should be considered for incorporation in the pre‐surgery clinical workflow in order to optimise healthcare.

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Section: Resultsmentioning

confidence: 99%

Effect of a game‐based intervention on preoperative pain and anxiety in children: A systematic review and meta‐analysis

Suleiman‐Martos

García‐Lara

Membrive‐Jiménez³

et al. 2022

Journal of Clinical Nursing

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“…Moreover immersive VR proved to be a tool capable of reducing the intensity of perceived pain in dental procedures requiring local anaesthesia, leading to an improvement in children's compliance and a significantly reduced duration of the dental procedure [57,58]. Finally, while in the cast and/or pin removal, mild to moderate traumatic/non-traumatic pain or minor plastic surgery procedures, VR had no effect in alleviating pain [22,24], it was effective in relieving pain in children undergoing circumcision, active dressing changing in chronic lower limb wounds, nasal and gastrointestinal endoscopies [25][26][27]60].…”

Section: Discussionmentioning

confidence: 99%

“…When minor surgical procedures under local anaesthesia (e.g., simple excisions, serial excisions, biopsies, scar revisions, among others) were considered, not only mean pain, but also anxiety scores were similar in both semi-immersive VR and standard of care (64 children aged 6 to 16 years) [24]. Conversely, VR has shown not only to be effective in pain mitigation in children undergoing circumcisions, active dressing changes in chronic lower limb wounds, gastrointestinal and nasal endoscopies [25][26][27]60], but also to be safe and to increase procedural satisfaction for patients, without disrupting procedural efficiency and workflow [26,27] (Table 2). In particular VR technology may be of aid in nasal gastrointestinal endoscopy, as recently the feasibility and tolerance of this last procedure has been tested even in the absence of deep sedation [61,62].…”

Section: Application Of Vr On Other Proceduresmentioning

confidence: 99%

“…In recent years, VR has also been used in the orthopaedic field, e.g. during cast or pin removal [22,23], in plastic surgery [24], in minor surgical procedures [24], including circumcision [25], and during nasal [26] and gastrointestinal endoscopies [27], demonstrating that VR is an easy-to-use tool that can be applied in a large number of different hospital settings. This review discusses the current literature on the use of VR as an acute pain management strategy during different procedures and the future directions of the field.…”

Section: Introductionmentioning

confidence: 99%

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Is Virtual Reality a Game Changer in Pediatrics' Acute Pain Perception?

Mantegazza¹,

Silvera²,

Brevini³

et al. 2022

Int. J. Pediatr. Child Health

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Purpose of review: Virtual reality (VR) is a promising tool that is becoming increasingly popular for the prevention and treatment of procedural pain in children. This review aims to investigate the current literature on the use and effectiveness of VR in paediatric procedural pain management, focusing on needle-related procedures, burn wound care, dental procedures among others; limitations and future perspectives on the use of VR will also be highlighted. Recent findings: in addition to the most researched fields of application (e.g. needle procedures), VR has also started to be used in new areas, such as nasal and gastrointestinal endoscopies as well as minor surgeries. From the latest evidence, VR seems to be effective in many procedures, especially compared to no distraction; however, there is conflicting data in the literature due to numerous factors such as differences between technologies, degree of VR-immersion, patients coping styles among others. Summary: there are still no data of absolute certainty on the effectiveness of VR in reducing procedural pain in paediatric patients and data pooling is still difficult. Future research should carry on large randomised-controlled, multicentre studies to better define VR properties and how best to optimise VR software and user experience for maximum pain reduction.

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“…A TERV, portanto, pode se representar como um portal para a imaginação, sendo um espaço no qual os pacientes podem descompactar suas próprias memórias, imaginações e experiências e criar sua própria realidade. Ao fazê-lo, pode-se modificar a realidade para a qual foram tratados, superar medos, traumas ou condições relacionadas ao estresse e outras condições (Buyuk et al, 2021;Felnhofer et al, 2019;Gerardi et al, 2010). Os pacientes trazem suas próprias memórias e transformam um mundo de fantasia gerado por computador em um lugar que eles reconhecem, do passado ou presente, que despertam uma conexão com sua própria história.…”

Section: Realidade Virtual Imersiva Nos Campos Da Saúde E Reabilitaçãounclassified

Realidade virtual imersiva nos Cuidados Paliativos: perspectivas para a Reabilitação Total

Filho

Tritany

2022

Cad. Bras. Ter. Ocup.

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Resumo Introdução A Realidade Virtual se apresenta como ferramenta promissora para aprimoramento de tecnologias em saúde e potencialização de intervenções para a melhora da funcionalidade e qualidade de vida de pacientes e familiares que enfrentam doenças e/ou condições progressivas ameaçadoras da vida. Objetivo Este ensaio discute o papel promissor da Realidade Virtual Imersiva na reabilitação em Cuidados Paliativos e propõe o conceito de Reabilitação Total como possibilidade para ampliação da concepção de reabilitação atual. Método Apresentamos reflexões baseadas na teoria de Dor Total, própria dos Cuidados Paliativos, e a inserção das Novas Tecnologias na saúde, especialmente no âmbito da reabilitação, por meio de documentos baseados na linha reflexiva que os autores pretendem submeter à apreciação e ao debate público. Resultados É importante e promissor o papel da Realidade Virtual Imersiva em intervenções de saúde, bem como a proposta conceitual de ampliação do conceito e compreensão de Reabilitação, cunhando o termo Reabilitação Total. Além disso, fomentou-se o processo reflexivo de debate sobre as possibilidades terapêuticas e suas inovações. Conclusão A partir da Reabilitação Total, inovações relativas ao cuidado em saúde, sejam tecnológicas e/ou das práticas clínicas, podem ser aprimoradas e disponibilizadas através de intervenções em ambientes físicos e/ou virtuais, tendo como premissas para os processos de reabilitação a funcionalidade global e dignidade da pessoa humana, com ações que envolvam as dimensões física, social, psicológica e espiritual, tal como apresentado pelo conceito de Dor Total.

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The effect of virtual reality on Children's anxiety, fear, and pain levels before circumcision

Cited by 31 publications

References 22 publications

Effect of a game‐based intervention on preoperative pain and anxiety in children: A systematic review and meta‐analysis

Effect of a game‐based intervention on preoperative pain and anxiety in children: A systematic review and meta‐analysis

Is Virtual Reality a Game Changer in Pediatrics' Acute Pain Perception?

Realidade virtual imersiva nos Cuidados Paliativos: perspectivas para a Reabilitação Total

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