Virtual reality distraction decreases pain during daily dressing changes following haemorrhoid surgery

Ding, Jie; He, Yanyan; Chen, Lishan; Zhu, Biqing; Cai, Qiuping; Liu, Guoyan

doi:10.1177/0300060519857862

Cited by 27 publications

(41 citation statements)

References 26 publications

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“…The quality of included RCTs were indicated in Figures 2 and 3. The quality of the included 13 RCTs 12‐24 was high. Most of the studies did not use allocation concealment and had insufficient blinding, which may be related to the difficulty in implementing blinding of virtual reality intervention technology.…”

Section: Resultsmentioning

confidence: 99%

“…After reading the title and abstract, 164 papers that did not meet the inclusion criteria were excluded, and 38 papers remained. After searching the full text and reading the whole article, 25 articles were further excluded, and 13 RCTs 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 were finally included (Figure 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…Of the included 13 RCTs, 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 a total of 1258 patients were involved, 588 patients underwent VR intervention, and 670 patients accepted traditional wound care. The characteristics of included RCTs were presented in Table 1 .…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

The effects of virtual reality technology on reducing pain in wound care: A meta‐analysis and systematic review

Yang

Rosa

et al. 2022

International Wound Journal

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Virtual reality (VR) technology has been widely used in clinical nursing care in recent years. We aimed to systematically evaluate the effect and safety of VR technology on pain control in wound care, to provide evidence and support for clinical wound care. We searched PubMed, EMBASE, Cochrane Library, Web of Science, CINAHL, China Biomedical Literature Database, China National Knowledge Infrastructure (CNKI), Wanfang Data Knowledge Service Platform, and Chinese Science and Technology Journal databases for randomised controlled trials (RCTs) on the application of VR technology in wound care up to December 20, 2021. Two researchers independently assessed the quality of the included RCTs and extracted associated data. RevMan5.3 statistical software was used for data analysis. 13 RCTs involving 1258 adult patients were included, of whom 588 patients underwent VR intervention. VR technology intervention could reduce the VAS score(MD = −1.13, 95%CI:−2.01~−0.26, P < .001), pain cognition score(MD = −3.94, 95%CI:−4.59 ~ −3.30, P < .001), pain emotion score(MD = ‐5.21, 95%CI: −10.46 ~ −0.04, P < .001), pain sensation score (MD = −4.94, 95%CI: −9.46 ~ −0.42, P = .03) and blood pressure(MD = −4.66, 95%CI: −8.63 ~ −0.69, P = .02) during would care. There were no significant differences on the heart rate (MD = −1.85, 95%CI: −5.71 ~ −2.01, P = .45) and VR interestingness (MD = 28.96, 95%CI: −22.10 ~ 80.02, P = .27) of the VR group and control group. No publication biases among the synthesised outcomes were found (all P > .001). VR technology can effectively reduce the pain degree and sensation of patients during wound care, which may be an effective auxiliary non‐drug method used for pain relief during wound care.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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The effects of virtual reality technology on reducing pain in wound care: A meta‐analysis and systematic review

Yang

Rosa

et al. 2022

International Wound Journal

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“…This finding was corroborated by majority of studies reporting a significant reduction in pain with VR delivered through a HMD compared to standard of care. Studies done with adult populations show similar findings, reporting significant pain reductions when an immersive VR headset is used during burn wound care procedures (Konstantatos et al, 2009; Maani et al, 2008; Maani, Hoffman, Morrow, et al, 2011; Maani, Hoffman, Fowler, et al, 2011), post‐burn injury physiotherapy (Carrougher et al, 2009), dental procedures (Alshatrat et al, 2019; Furman et al, 2009; Wiederhold et al, 2014), cystoscopy (Walker et al, 2014), episiotomy repair (JahaniShoorab et al, 2015) and dressing change (Ding et al, 2019; Guo et al, 2015). In contrast, ten studies reported that while immersive VR reduced procedural pain, no significant difference was found compared to other forms of active and passive distraction, or pharmacological interventions (Caruso et al, 2020; Chan et al, 2007; Dumoulin et al, 2019; Gold et al, 2006; Goldman & Behboudi, 2020; Kipping et al, 2012; Nunna et al, 2019; Sander Wint et al, 2002; van Twillert et al, 2007; Walther‐Larsen et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

Use of virtual reality in managing paediatric procedural pain and anxiety: An integrative literature review

Addab

Hamdy

Thorstad

et al. 2022

Journal of Clinical Nursing

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Aims: This integrative review aimed to identify, analyse and synthesise studies investigating the clinical efficacy of virtual reality (VR) distraction for children undergoing varying painful and anxiety-inducing medical procedures across different hospital settings and to identify implications for research and clinical practice.Background: Virtual reality has been leveraged as a distraction tool in the healthcare setting to help patients manage procedural pain and anxiety. Initial studies in the burn wound care setting using VR as a non-pharmacological analgesia led to the use of VR during other medical procedures.Design: An integrative review of the literature was conducted following the PRISMA guidelines across four electronic databases. Published studies between 2000 and 2020 investigating the clinical efficacy of VR in managing paediatric procedural pain or anxiety were included for review.Results: Reviewed studies collectively included 2,174 patients aged 6 months-18 years used VR during burn wound care, post-burn physiotherapy, dental, needle-related and other procedures. Additionally, ten studies included samples with adults, for which paediatric data could not be isolated (n = 507). Overall, studies supported the efficacy of VR in managing procedural pain and anxiety in the paediatric setting. Conclusion:Virtual reality is redefining pain management by immersing children in a virtual world, reducing pain and anxiety at the hospital. A notable gap was the neglected use of VR in children with chronic conditions receiving orthopaedic procedures as part of their standard care.Relevance to Clinical Practice: Ultimately, VR distraction will reduce the fear associated with medical interventions, preventing increased pain sensitivity, exacerbated anxiety and healthcare avoidance in adulthood. Nurses will play an important role in ensuring the smooth integration of VR in clinical practice by championing the technology and transferring evidence-based methods for VR use.

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“…during intravenous cannulation of cancer patients (Wong et al, 2020), preparation for knee surgery (Robertson et al, 2017), stay on an intensive care unit (Ong et al, 2020), or a dental extraction procedure (Koticha et al, 2019). Physiological stress indicators are commonly used to compare the effects of the virtual distraction to control groups (Ding et al, 2019;Hoxhallari et al, 2019;Rao et al, 2019).…”

Section: Relaxation Applicationsmentioning

confidence: 99%

A Systematic Review of Physiological Measurements, Factors, Methods, and Applications in Virtual Reality

Halbig

Latoschik

2021

Front. Virtual Real.

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Measurements of physiological parameters provide an objective, often non-intrusive, and (at least semi-)automatic evaluation and utilization of user behavior. In addition, specific hardware devices of Virtual Reality (VR) often ship with built-in sensors, i.e. eye-tracking and movements sensors. Hence, the combination of physiological measurements and VR applications seems promising. Several approaches have investigated the applicability and benefits of this combination for various fields of applications. However, the range of possible application fields, coupled with potentially useful and beneficial physiological parameters, types of sensor, target variables and factors, and analysis approaches and techniques is manifold. This article provides a systematic overview and an extensive state-of-the-art review of the usage of physiological measurements in VR. We identified 1,119 works that make use of physiological measurements in VR. Within these, we identified 32 approaches that focus on the classification of characteristics of experience, common in VR applications. The first part of this review categorizes the 1,119 works by field of application, i.e. therapy, training, entertainment, and communication and interaction, as well as by the specific target factors and variables measured by the physiological parameters. An additional category summarizes general VR approaches applicable to all specific fields of application since they target typical VR qualities. In the second part of this review, we analyze the target factors and variables regarding the respective methods used for an automatic analysis and, potentially, classification. For example, we highlight which measurement setups have been proven to be sensitive enough to distinguish different levels of arousal, valence, anxiety, stress, or cognitive workload in the virtual realm. This work may prove useful for all researchers wanting to use physiological data in VR and who want to have a good overview of prior approaches taken, their benefits and potential drawbacks.

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Virtual reality distraction decreases pain during daily dressing changes following haemorrhoid surgery

Cited by 27 publications

References 26 publications

The effects of virtual reality technology on reducing pain in wound care: A meta‐analysis and systematic review

The effects of virtual reality technology on reducing pain in wound care: A meta‐analysis and systematic review

Use of virtual reality in managing paediatric procedural pain and anxiety: An integrative literature review

A Systematic Review of Physiological Measurements, Factors, Methods, and Applications in Virtual Reality

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