Application of a virtual reality prototype for pain relief of pediatric burn in Taiwan
Application of a virtual reality prototype for pain relief of pediatric burn in Taiwan
复制标题
DOI：
10.1111/j.1365-2702.2006.01719.x
复制
发表时间：
2007-04-01
影响因子：
4.2
通讯作者：
Yang, Jiu Yung
中科院分区：
文献类型：
--
作者：
Chan, Engle Angela;Chung, Joanne W. Y.;Yang, Jiu Yung
的目标。本研究探讨虚拟实境在台湾小儿烧伤创面护理过程中减轻疼痛的可用性与有效性。虚拟现实在医疗领域不断取得突出成就，例如，远程呈现手术、精神健康障碍的管理和儿科烧伤的疼痛控制。尽管虚拟现实在北美医疗领域的应用越来越多，但在亚洲还没有研究调查其在儿科烧伤患者中的应用。本描述性研究分为两个阶段：第一阶段：虚拟现实原型的开发。第二阶段：在当地医院的儿科烧伤患者中实施原型，以确定其可用性和有效性。结果。研究结果表明，在换药前、换药期间和换药后三个阶段，有或没有虚拟现实干预的儿童报告的疼痛有显著差异。然而，干预组在换药期间和换药后疼痛较少。添加到现有的临床价值的虚拟现实识别的性质和不同的儿童对疼痛的反应与使用虚拟现实。与临床实践相关。这项研究意义重大，因为它证明了儿童对疼痛的反应是不同的，这是基于在场和分心的性质。此外，考虑到有证据表明，使用虚拟现实干预在换药后体验到焦虑的减少，在儿童出现条件焦虑和预期手术疼痛之前使用虚拟现实干预的时机将是重要的。
Aim. This study examines the usability and effectiveness of virtual reality in reducing pain in wound-care procedures for pediatric burn patients in Taiwan.Background. Virtual reality has continuously gained prominence in the medical arena, for instance, the telepresence for surgery, the management of mental health disorders and pain control of the paediatric burn. Notwithstanding an increased application of virtual reality in the medical arena in North America, there have been no studies investigating its use for paediatric burn patients in Asia.Methods. This descriptive study has two phases: Phase I: the development of a virtual reality prototype. Phase II: the implementation of the prototype to discern its usability and efficacy with paediatric burn patients at a local hospital. Results. The findings suggest that a significant difference is found in the children's reported pain, with or without the virtual reality intervention, over the three phases: before, during and after the dressing change. However, less pain was noted in the intervention group during and after the dressing change.Conclusion. Adding to the existing clinical value of virtual reality identifies the nature of and different children's responses to pain with the use of virtual reality.Relevance to clinical practice. This study is significant since it demonstrates a difference in the child's response to pain based on the nature of presence and distraction. Moreover, given the evidence that a decrease in anxiety was experienced after the dressing change with virtual reality intervention, timing of using the virtual reality intervention before the child develops conditioning anxiety and anticipated pain for the procedure would be of importance.