Effectiveness of virtual reality for pediatric pain distraction during IV placement
Effectiveness of virtual reality for pediatric pain distraction during IV placement
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DOI：
10.1089/cpb.2006.9.207
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发表时间：
2006-04-01
期刊：
影响因子：
--
通讯作者：
Rizzo, A
中科院分区：
文献类型：
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作者：
Gold, JI;Kim, SH;Rizzo, A
这项研究的目的是测试虚拟现实(VR)作为一种疼痛分散在儿童静脉(IV)放置的有效性和适宜性。20名儿童(男12名，女8名)需要静脉置入进行磁共振成像/计算机断层扫描(MRI/CT)扫描，被随机分配到两种情况：(1)通过头盔显示器使用Street Luge(5DT)进行VR分心，或(2)标准护理(表面麻醉剂)不分心。儿童、他们的父母和护士完成了自我报告问卷，评估了许多与健康相关的结果。修订后的面部疼痛量表的反应表明，在控制条件下，情感疼痛增加了四倍；相比之下，在VR条件下没有发现显著差异。预期性焦虑、情感性疼痛、IV疼痛强度和既往程序性疼痛测量之间的显著关联为疼痛感知的多模式评估的复杂交互作用提供了支持。也有足够数量的证据支持Street Luge在静脉注射期间作为儿科疼痛分散工具的有效性：足够的存在水平，没有模拟器疾病，以及显著更多的儿童、父母和护士报告的对疼痛管理的满意度。VR疼痛分心技术得到了所有记者的积极支持，是一种很有前途的工具，可以减少接受急性医疗干预的儿童的疼痛和焦虑。然而，更大样本量和其他常规医疗程序的进一步研究是有必要的。
The objective of this study was to test the efficacy and suitability of virtual reality (VR) as a pain distraction for pediatric intravenous (IV) placement. Twenty children (12 boys, 8 girls) requiring IV placement for a magnetic resonance imaging/computed tomography (MRI/CT) scan were randomly assigned to two conditions: (1) VR distraction using Street Luge (5DT), presented via a head-mounted display, or (2) standard of care (topical anesthetic) with no distraction. Children, their parents, and nurses completed self-report questionnaires that assessed numerous health-related outcomes. Responses from the Faces Pain Scale-Revised indicated a fourfold increase in affective pain within the control condition; by contrast, no significant differences were detected within the VR condition. Significant associations between multiple measures of anticipatory anxiety, affective pain, IV pain intensity, and measures of past procedural pain provided support for the complex interplay of a multimodal assessment of pain perception. There was also a sufficient amount of evidence supporting the efficacy of Street Luge as a pediatric pain distraction tool during IV placement: an adequate level of presence, no simulator sickness, and significantly more child-, parent-, and nurse-reported satisfaction with pain management. VR pain distraction was positively endorsed by all reporters and is a promising tool for decreasing pain, and anxiety in children undergoing acute medical interventions. However, further research with larger sample sizes and other routine medical procedures is warranted.