Virtual Reality for Pediatric Oncology Port-A-Cath Access: A Pilot Effectiveness Study.

Autor: Rygh L; Division of Hematology/Oncology, Department of Pediatrics, University of Mississippi Medical Center, Jackson, MS, USA.; Department of Clinical Psychology, Jackson State University, Jackson, MS, USA., Johal S; Division of Hematology/Oncology, Department of Pediatrics, University of Mississippi Medical Center, Jackson, MS, USA., Johnson H; Division of Hematology/Oncology, Department of Pediatrics, University of Mississippi Medical Center, Jackson, MS, USA.; Department of Biology, Prairie View A&M University, Prairie View, TX, USA., Karlson CW; Division of Hematology/Oncology, Department of Pediatrics, University of Mississippi Medical Center, Jackson, MS, USA.
Jazyk: angličtina
Zdroj: Journal of pediatric hematology/oncology nursing [J Pediatr Hematol Oncol Nurs] 2023 Nov-Dec; Vol. 40 (6), pp. 379-385. Date of Electronic Publication: 2023 Jun 29.
DOI: 10.1177/27527530221147875
Abstrakt: Introduction: Port-a-cath procedures are among the most distressing aspects of pediatric cancer treatment. The current study aimed to examine the usability of virtual reality (VR) interventions for children undergoing chemotherapy port-access procedures. Methods : Families ( N  = 20) of children with cancer, 4-17 years old ( M  = 8.70 years, SD  = 3.71), were recruited. Patients and parents rated patients' dizziness, nausea, pain, and distress, and participants were shown how to use VR prior to the use of the procedure. After port-a-cath access, patients and parents rated pain and distress during the intervention. Semistructured interviews were conducted to examine the usability of the intervention. Result : A significant difference was identified for change in children's pain score for younger children, F (2, 11) = 4.16, p  < .05. A significant decrease in fear scores was observed on child and parent reports. The VR headset was used during the procedure by 87.5% of the participants, while the rest used it before but took it off during the procedure, and 85.7% wished to use it again. No concerns were reported by 84.6% of the nurses and 92.3% reported no interference with their workflow. Discussion : More research is needed to fully understand the benefits of VR interventions during children's chemotherapy port procedures. The findings of this pilot study suggest that the use of commercially available VR intervention may reduce children's fear and pain levels during the port-a-cath procedure, especially for younger children.
Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze: MEDLINE