Virtual reality in pain relief during chronic wound dressing change

Abstract

Objective: To assess the effect of virtual reality in pain relief during chronic wound dressing change. Method: This is an experimental study carried out with 17 participants, in a stomatherapy clinic in Ceará, Brazil, from June to December 2019, using the virtual reality glasses Oculus Go®. Sociodemographic and clinical information, as well as of lifestyle, and characteristics of the lesions were collected. A faces scale and a visual analogue scale were used for pain assessment, behavioral aspects assessment, satisfaction, and discomfort with Oculus Go®. The Chi-square, McNemar, and Wilcoxon tests were used. The study was approved under opinion No. 2.649.144/2019. Results: There was a reduction in pain during dressing change with Oculus Go®. Participants with Oculus Go® manifested less pain during (p < 0.001) and after (p < 0.001) dressing change; and had lower heart rate before (p = 0.044) and after (p = 0.001) the procedure. There were significant differences between groups in systolic (p = 0.012) and diastolic (p = 0.004) blood pressure values after dressing. Virtual reality did not cause any discomfort and participants were satisfied. Conclusion: Virtual reality showed positive effects in pain relief during chronic wound dressing change.

Clinical efficacy and patients’ perception of virtual reality during wound care in adults: A systematic review with meta‐analysis of randomised clinical trials

“…Once duplicates were removed and 1375 titles and abstracts were screened, 52 articles were deemed suitable for full-text review. Fourteen studies [17][18][19][28][29][30][31][32][33][34][35][36][37][38] finally met the eligibility criteria. including 12 randomised trials (3 with a parallel-group design [28][29][30] and 9 with a crossover design [17][18][19][31][32][33][34][35]38 ) and 2 non-randomised trials (1 mixed quantitative-qualitative 36 and 1 qualitative 37 ).…”

“…Most studies were conducted in Western countries, including the US (N = 6 17,18,31,33,34,36 ), UK (N = 2 19,37 ) and Netherlands (N = 2 35,38 ). Only four studies [28][29][30]32 originated from non-western countries and one of these recruited Chinese-speaking people from China and Canada. 28 Most studies (N = 10 [17][18][19]28,29,[33][34][35]37,38 ) were conducted in an inpatient WC setting, three in an outpatient setting 30,32,36 and one in both settings.…”

“…Only four studies [28][29][30]32 originated from non-western countries and one of these recruited Chinese-speaking people from China and Canada. 28 Most studies (N = 10 [17][18][19]28,29,[33][34][35]37,38 ) were conducted in an inpatient WC setting, three in an outpatient setting 30,32,36 and one in both settings. 31 A total of 525 subjects were recruited, with 340 subjects being studied in parallel-group trials (range: 60-182), 170 subjects in crossover trials (range: 4-48) and 15 subjects in non-randomised trials.…”

“…Burn-related wounds were the most commonly studied, reported in 11 publications, [17][18][19]29,31,[33][34][35][36][37][38] followed by non-burn-related wounds due to surgery, 28 injuries, 30 neuropathy 32 and necrotizing fasciitis or large decubitus ulcers 34 (Table 1). One of eight studies reported chronic ulcers (>6 weeks), 32 while seven included acute wounds (<2.5 weeks). [28][29][30]33,35,37,38 Burn-related wound size varied from <3% to 21% of total body surface area.…”

Tecnologias Educacionais Disponíveis Para Orientação E Manejo Da Dor

“…A utilização da realidade virtual durante o curativo de queimadura em criança mostrou-se eficaz na redução da dor, bem como favoreceu a colaboração do paciente na realização do procedimento (15) . Estudo experimental também demostrou efetividade da realidade virtual no alívio da dor na troca de curativo de feridas crônicas (26) .…”