Use of Virtual Reality to Distract From Pain and Anxiety

Glennon, Catherine; McElroy, Susan F.; Connelly, Lynne M; Lawson, Lisa Mische; Bretches, Abigail M.; Gard, Allyson R.; Newcomer, Lexsie R.

doi:10.1188/18.onf.545-552

Cited by 63 publications

(101 citation statements)

References 25 publications

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“…The characteristics of the included studies are shown in Table 1. Of the 6 studies, 1 was a randomized controlled trial, 17 1 was a case-controlled trial, 13 and the others were mainly a pre-post-test study design with a single arm. 11,12,18,19 In terms of study settings, only 2 studies were conducted at outpatient cancer care centers, while the others were conducted in hospital inpatient settings.…”

Section: Resultsmentioning

confidence: 99%

Meta-Analysis of the Efficacy of Virtual Reality–Based Interventions in Cancer-Related Symptom Management

et al. 2019

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Background. This meta-analysis summarizes the results from recent studies that examined the use of virtual reality (VR)–based interventions on health-related outcomes in patients with cancer, and quantitatively evaluates the efficacy of VR-based interventions. Findings of this meta-analysis can provide direction for future symptom management research. Methods. The search terms included a combination of “virtual reality” OR “virtual environment” OR “head-mounted display” with “oncology” OR “cancer.” Three databases (Medline, PubMed, and CAJ Full-text Database), one search engine (Google Scholar), and the website of ResearchGate, covering the period from December 2013 to May 15, 2019, and including articles published in both English and Chinese, were searched. Data synthesis used the RevMan 5.3 to generate pooled estimates of effect size. Results. A total of 6 empirical studies met the eligibility criteria. VR-based interventions had statistically significant effects on reducing symptoms of anxiety, depression, pain, and cognitive function, whereas statistically significant benefit was observed for fatigue ( Z = 2.76, P = .006). Conclusion. Most recent studies have primarily examined VR-based interventions for symptom management in the acute stages of cancer care. However, the management of late and long-term side effects is central to cancer survivorship care. There is burgeoning empirical support for further research to evaluate the efficacy of VR-based interventions in cancer rehabilitation.

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Section: Resultsmentioning

confidence: 99%

Meta-Analysis of the Efficacy of Virtual Reality–Based Interventions in Cancer-Related Symptom Management

et al. 2019

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“…Current research has demonstrated the application of VR in numerous medical settings. Outpatient settings where researchers have applied VR include periodontal scaling and root planing procedures (N = 50) in a dental hygiene clinic [12], bone marrow aspiration and biopsy procedure (N = 97) in an outpatient cancer center [15], serious hand injury requiring surgical wound care (N =98) in an outpatient surgical center [16] and cystoscopy in ambulatory surgical center (N = 45) [17].…”

Section: Uses Of Vrmentioning

confidence: 99%

Use of Virtual Reality to Reduce Anxiety and Pain of Adults Undergoing Outpatient Procedures

Brown

Foronda

2020

Informatics

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(1) Background: Research has demonstrated that virtual reality (VR) has reduced pain and anxiety for patients undergoing health procedures. The aim of this quality improvement project was to implement and evaluate immersive VR as a non-pharmacological intervention to reduce pain and anxiety in those adults undergoing outpatient procedures under monitored anesthesia care. (2) Methods: This quality improvement project incorporated the Plan-Do-Study-Act (PDSA) model and employed a pre/post-implementation evaluation. Seven patients used VR during outpatient surgeries. Pain and anxiety scores were evaluated. (3) Results: Patients using VR exhibited lower pain and anxiety scores post-procedure compared to pre-procedure. Both patients and providers indicated high satisfaction with the VR experience. (4) Conclusions: This quality improvement project demonstrated the successful translation of research into practice. VR is a novel intervention that can reduce both pain and anxiety to improve the patient’s perioperative experience.

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“…Similar to the non-opioid approaches, VR is a non-pharmacological intervention that can benefit patients' pain with minimal side effects (Spiegel et al, 2019;Chan, Foster, Sambell, & Leong, 2018;Vazquez, Lara, Miller, Wiederhold, & Wiederhold, 2019;Glennon et al, 2018;Mohammad & Ahmad, 2018, Scapin, Echevarria-Guanilo, Junior, Goncalves, Rocha, & Coimbra, 2018. The use of technology to distract the patient from their pain complements traditional pain management methods.…”

Section: Virtual Realitymentioning

confidence: 99%

“…The use of technology to distract the patient from their pain complements traditional pain management methods. VR is a superior tactic compared to other mediums, such as television (Speigel et al, 2019) or music (Glennon et al, 2018). The technology can treat acute pain intraoperatively or during medical procedures, but long-term carryover effects have not been proven (Mallari et al, 2019).…”

Section: Virtual Realitymentioning

confidence: 99%

“…The technology can treat acute pain intraoperatively or during medical procedures, but long-term carryover effects have not been proven (Mallari et al, 2019). However, one study proved VR's immediate pain reduction effects postoperatively (Glennon et al, 2018). Nurses commonly utilize the technology within the literature (Spiegel et al, 2019;Mohammad & Ahmad, 2018;Scapin et al, 2018), since it enhances their workflow, such as during painful dressing changes (Scapin et al, 2018).…”

Section: Virtual Realitymentioning

confidence: 99%

See 1 more Smart Citation

https://doi.org/10.46409/sr.FIKZ6752

Hovland¹

499

581

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The opioid crisis continues to be a public health concern. Traditionally, an opioid-centric approach treats postoperative pain. The following PICOT question guided this project: Will initiating a multimodal analgesic virtual reality quality improvement program (I) compared to current practice (C) decrease opioid requirements (O) in robotic hysterectomy patients (P) during the postoperative period (T)? Several articles promote non-opioid analgesia and non-pharmacological interventions, such as multimodal analgesia and virtual reality (VR) for pain management. This project reviewed pre- and post-implementation data after implementing new evidence-based multimodal analgesia and VR protocols. The project captured a total of 64 patients in the pre-implementation group. A total of 22 patients received both multimodal analgesia and VR in the post-implementation group. There was no statistically significant difference in total opioid consumption converted as morphine milligram equivalents (MME) between the pre-implementation and post-implementation groups. However, there was a statistically significant difference in multimodal analgesia administered in Pre-op between the pre-implementation and post-implementation groups. In conclusion, the execution of the multimodal analgesic VR program allowed for nursing adoption of novel evidence-based practices (EBP) and promoted the use of non-opioid and non-pharmacological interventions. Although the combination of multimodal analgesia and VR did not reduce opioid consumption, the practice of incorporating multimodal analgesia as a standard workflow improved.

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Use of Virtual Reality to Distract From Pain and Anxiety

Abstract: Virtual reality goggles may be a feasible, noninvasive alternative to traditional pharmacologic treatment. The cost of any intervention would need to be considered. Virtual reality should be researched and adapted to benefit patients in appropriate settings.

Cited by 63 publications

References 25 publications

Meta-Analysis of the Efficacy of Virtual Reality–Based Interventions in Cancer-Related Symptom Management

Meta-Analysis of the Efficacy of Virtual Reality–Based Interventions in Cancer-Related Symptom Management

Use of Virtual Reality to Reduce Anxiety and Pain of Adults Undergoing Outpatient Procedures

https://doi.org/10.46409/sr.FIKZ6752

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