A Randomized Controlled Trial on the Use of Virtual Reality for Needle-Related Procedures in Children and Adolescents in the Emergency Department
| Autor: | Jacqueline A. Ellis, Marie-Pier Vézina, Jessica Tardif, Stéphanie Dumoulin, Alain Hajjar, Kim L. Lavoie, Priscilla Charbonneau, Stéphane Bouchard |
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| Rok vydání: | 2019 |
| Předmět: |
Male
030506 rehabilitation medicine.medical_specialty Health (social science) Adolescent Visual analogue scale Medical procedure law.invention 03 medical and health sciences 0302 clinical medicine Patient satisfaction Randomized controlled trial Phlebotomy law Distraction medicine Humans Pain Management 030212 general & internal medicine Child Ontario Analysis of Variance business.industry Rehabilitation Gold standard Public Health Environmental and Occupational Health Virtual Reality Emergency department Fear Computer Science Applications Distress Physical therapy Female 0305 other medical science business Emergency Service Hospital |
| Zdroj: | Games for health journal. 8(4) |
| ISSN: | 2161-7856 |
| Popis: | Objective: A large number of children report fear and distress when undergoing blood work and intravenous placement. In pediatric departments, Child Life interventions are considered to be the gold standard in nonmedical pain management techniques. Virtual reality (VR) has also been identified as an effective tool for pain distraction in children undergoing painful medical procedures. The aim of this study was to document the efficacy of VR as a mode of distraction during a medical procedure compared with two comparison conditions: watching television (TV, minimal control condition) and distraction provided by the Child Life (CL, gold standard control condition) program. Materials and Methods: A total of 59 children aged 8-17 years (35% female) were recruited through the emergency department (ED) of the Children's Hospital of Eastern Ontario and randomly assigned to one of the three conditions. The key outcome measures were visual analog scale ratings of pain intensity and fear of pain, administrated before and right after the procedure. Patient satisfaction was also measured after the intervention. Results: A significant reduction in fear of pain and pain intensity was reported in all three conditions. A larger and statistically significant reduction in fear of pain was observed among children who used VR distraction compared with the CL and TV conditions, but this effect was not observed for pain intensity. The children's satisfaction with the VR procedure was significantly higher than for TV and comparable to CL. Discussion: The advantages of using VR in the ED to manage pain in children are discussed. |
| Databáze: | OpenAIRE |
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