Effectiveness of Virtual Reality Gaming on Pain Reduction in Children during PIV/PICC Placement
- PDF / 224,897 Bytes
- 5 Pages / 595.276 x 790.866 pts Page_size
- 67 Downloads / 130 Views
Effectiveness of Virtual Reality Gaming on Pain Reduction in Children during PIV/PICC Placement Joyce Wong 1 & Asad Ghiasuddin 2
&
Heather Tamaye 1 & Andrea Siu 3
Received: 26 August 2019 / Revised: 19 April 2020 / Accepted: 8 June 2020 # Springer Nature Switzerland AG 2020
Abstract This pilot trial examined the use of virtual reality (VR) gaming to improve children’s experiences during line placements and dressing changes. Children receiving intravenous line starts and peripherally inserted central catheter dressing changes and placements were eligible for enrollment. Enrolled subjects received either the VR intervention or routine care. Subjects and their caregivers were surveyed using the FACES scale (a pain intensity scale from 0 to 10 designed for children) before and after their line placement or dressing change. Clinical data were collected from the medical record, and study staff collected qualitative data about the subject’s experience immediately prior to and after the intervention. A total of 30 subjects were enrolled. Subjects in the VR group had lower FACES scores postintervention and lower post-intervention scores when compared with the routine care group, although this difference was not statistically significant. VR gaming can be used as a non-invasive technique to reduce pain and distress in children receiving needle procedures. Future research should be done to assess the use of VR gaming to reduce pain and distress for other types of procedures and in other populations. VR gaming should be considered as a technique to reduce pain and distress for pediatric patients. Keywords Pediatrics . Pain . Distress . Distraction techniques . Virtual reality
Introduction Pediatric intravenous (IV) line placements are one of the most common procedures in children’s hospitals and are often Highlights - Needle procedures are associated with pain and distress. - VR gaming reduced pain scores during needle procedures. - VR gaming was enjoyable and tolerable for most children. * Asad Ghiasuddin [email protected] Joyce Wong [email protected] Heather Tamaye [email protected] Andrea Siu [email protected] 1
Kapiolani Medical Center for Women and Children, 1319 Punahou Street, Honolulu, HI 96813, USA
2
John A. Burns School of Medicine, University of Hawaii, Honolulu, HI 96813, USA
3
Hawaii Pacific Health, 1319 Punahou Street, Honolulu, HI 96813, USA
associated with pain and distress (Cummings et al. 1996). Intravenous line starts are consistently mentioned in patient satisfaction surveys as traumatic experiences for families. For children with chronic illness who require multiple rounds of intravenous therapy, IV starts can become synonymous with anxiety, fear, and discomfort. Indeed, even routine vaccinations have recently been reported to predispose some teens to needle phobia (Zimlich 2018). Several strategies to reduce the pain and distress associated with needle procedures have been utilized, including the use of topical numbing agents (eutectic mixture of local anesthetics, cold
Data Loading...
