Virtual Reality Analgesia During Venipuncture in Pediatric Patients With Onco-Hematological Diseases
Virtual Reality Analgesia During Venipuncture in Pediatric Patients With Onco-Hematological Diseases
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DOI：
10.3389/fpsyg.2018.02508
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发表时间：
2018-12-20
影响因子：
3.8
通讯作者：
Grotto, Rosapia Lauro
中科院分区：
文献类型：
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作者：
Atzori, Barbara;Hoffman, Hunter G.;Grotto, Rosapia Lauro
目的：评价虚拟现实(VR)作为一种分散注意力的技术在儿童和青少年静脉穿刺术中控制疼痛的效果。方法：采用受试者内设计，15例肿瘤或血液病患者(平均年龄10.92岁，SD=2.64)，分别在两天内接受一次“无VR”和一次“是VR”的静脉穿刺术(治疗顺序随机)。结果：在VR过程中，患者的“思考疼痛”、“疼痛不愉快”和“最严重疼痛”的时间显著减少。患者还报告说，虚拟现实过程中的乐趣明显增加，并且在虚拟现实过程中有一种“进入计算机生成的世界的强烈感觉”。结论：VR可被认为是一种有效的分心技术，可用于儿童和青少年静脉穿刺术中的疼痛控制。此外，虚拟现实可能会比传统的分心技术更能激发积极的情绪。这可以帮助患者以一种无压力的方式应对静脉穿刺术。还需要更多的研究和开发。
Background: Venipuncture is described by children as one of the most painful and frightening medical procedures.Objective: To evaluate the effectiveness of Virtual Reality (VR) as a distraction technique to help control pain in children and adolescents undergoing venipuncture.Methods: Using a within-subjects design, fifteen patients (mean age 10.92, SD = 2.64) suffering from oncological or hematological diseases received one venipuncture with "No VR" and one venipuncture with "Yes VR" on two separate days (treatment order randomized). "Time spent thinking about pain", "Pain Unpleasantness", "Worst pain" the quality of VR experience, fun during the venipuncture and nausea were measured.Results: During VR, patients reported significant reductions in "Time spent thinking about pain," "Pain unpleasantness," and "Worst pain". Patients also reported significantly more fun during VR, and reported a "Strong sense of going inside the computer-generated world" during VR. No side effects were reported.Conclusion: VR can be considered an effective distraction technique for children and adolescents' pain management during venipuncture. Moreover, VR may elicit positive emotions, more than traditional distraction techniques. This could help patients cope with venipuncture in a non-stressful manner. Additional research and development is needed.