Virtual reality distraction from painful procedures in the paediatric emergency department

Knight, Kathryn; McClenaghan, Ciara Ellen; Singh, Bethany

doi:10.1136/archdischild-2018-315921

Cited by 9 publications

(12 citation statements)

References 3 publications

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“…SnowWorld was the first immersive VR game designed for pain reduction in patients undergoing burn wound care (Hoffman et al, 2008). In other studies ( n = 20), children experienced a VR adventure during their medical procedure, such as going on a rollercoaster ride, swimming underwater, travelling around the world or enjoying nature (Althumairi et al, 2021; Aydın & Özyazıcıoğlu, 2019; Canares et al, 2021; Chad et al, 2018; Chan et al, 2019; Chau et al, 2018; Chen et al, 2020; Clerc et al, 2021; Erdogan & Aytekin Ozdemir, 2021; Gerçeker et al, 2020; Gerçeker et al, 2021; Goldman & Behboudi, 2021; Knight et al, 2019; Litwin et al, 2021; Ran et al, 2021; Sander Wint et al, 2002; Scapin et al, 2017; Semerci et al, 2021; Ustuner Top and Kuzlu Ayyıldız, 2021; Xiang et al, 2021). Finally, some children selected a cartoon or movie to watch in their VR headset during their dental or needle‐related procedure ( n = 15) (Ali et al, 2021; Alshatrat et al, 2021; Asl Aminabadi et al, 2012; Felemban et al, 2021; Gerçeker et al, 2018; Koticha et al, 2019; Lee et al, 2021; Mbazzi et al, 2021; Mohanasundari et al, 2021; Niharika et al, 2018; Nunna et al, 2019; Rao et al, 2019; Shetty et al, 2019; Toledo Del Castillo et al, 2019; Wong et al, 2020).…”

Section: Resultsmentioning

confidence: 99%

“…Overall, several different standard of care procedures were used in the study, with the most common being topical anaesthesia ( n = 7) (Gold et al, 2006, 2021; Nilsson et al, 2009; Osmanliu et al, 2021; Sander Wint et al, 2002; Toledo Del Castillo et al, 2019; Walther‐Larsen et al, 2019), game on a tablet/computer ( n = 6) (Chan et al, 2019; Dunn et al, 2019; Gershon et al, 2003, 2004; Goldman & Behboudi, 2020; Knight et al, 2019), parental presence ( n = 4) (Osmanliu et al, 2021; Sander Wint et al, 2002; Semerci et al, 2021; Ustuner Top and Kuzlu Ayyıldız, 2021), watching television/video ( n = 5) (Gold & Mahrer, 2018; Goldman & Behboudi, 2021; Knight et al, 2019; Litwin et al, 2021; Schlechter et al, 2021), distraction by a child life specialist or nurse ( n = 4) (Chan et al, 2019; Goldman & Behboudi, 2020; Knight et al, 2019; Walther‐Larsen et al, 2019), nonprocedural talk or verbal comforting ( n = 4) (Atzori, Hoffman, et al, 2018; Caruso et al, 2020; Chen et al, 2020; Dumoulin et al, 2019; Gold et al, 2021; Mohanasundari et al, 2021; Wong et al, 2020) and procedural information ( n = 3) (Sander Wint et al, 2002; Semerci et al, 2021; Wong et al, 2020).…”

Section: Resultsmentioning

confidence: 99%

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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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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

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

View full text Add to dashboard Cite

show abstract

“…43 whereas another nonrandomized study showed little to no difference between groups. 89 Sensitivity analyses showed no significant change in effects with the removal of quasi RCTs and crossover trials or industry-funded studies. Small-study bias was not detected.…”

Section: Subgroup and Sensitivity Analysesmentioning

confidence: 99%

Digital Technology Distraction for Acute Pain in Children: A Meta-analysis

Gates¹,

Hartling²,

Shulhan-Kilroy³

et al. 2020

Pediatrics

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“…Virtual reality creates artificial stimuli that include visual imagery and spatialized sound that attempt to modify the virtual environment and create a sense of “presence” in the virtual world 16 . Virtual reality glasses are technological products that are used to watch contents that were prepared as 360 degrees and can show the images bigger and clearer by the special lenses within them.…”

Section: Methodsmentioning

confidence: 99%

Pain management in children during invasive procedures: A randomized clinical trial

Top

Ayyıldız

2021

Nursing Forum

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Aims This study was performed to determine the effect of distraction technique that was applied to 4–6‐year‐old children during blood drawal for decreasing the pain of the child during the procedure. Material and Methods The study was carried out as randomized controlled trial. Data were collected by individual information form, Faces Pain Scale‐Revised (FPS‐R), and a timer. Virtual reality glasses were used for distraction in the study. Results Pain intensity and duration of crying significantly differed between the control and experimental groups. During the procedure, mean score of the children in the experimental group from “faces pain scale” was found to be 3.82 ± 1.20; the control group from “faces pain scale” was found to be 6.96 ± 2.08; and statistically significant differences were detected between both groups (p = 0.0001 and p = 0.001, respectively). When their duration of crying was examined, it was determined that mean crying time among the children in the experimental group was 8.43 ± 12.42 s and it was 33.65 ± 24.02 s among the children in control group; and the difference between groups was found to be statistically significant. Conclusion It was detected that using virtual reality glasses was an effective method in decreasing pain of the children during blood drawal procedure.

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Virtual reality distraction from painful procedures in the paediatric emergency department

Cited by 9 publications

References 3 publications

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

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

Digital Technology Distraction for Acute Pain in Children: A Meta-analysis

Pain management in children during invasive procedures: A randomized clinical trial

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