Impact of virtual reality on the perception of procedural pain in paediatric oncology
##plugins.themes.academic_pro.article.main##
Abstract
Introduction : Virtual reality is being used more and more in the healthcare field, particularly during treatment. In the context of pain management, the question arises as to the effectiveness of using virtual reality during care in reducing the perception of procedural pain.
Aim: To study the impact of using virtual reality on the perception of procedural pain and on the course of care in pediatric oncology.
Methods : A quasi-experimental, matched-case-control study conducted at the pediatric oncology unit of the Tunis Children’s Hospital over a three-month period. Each child had two nursing care : with and without the use of virtual reality.
Results : Thirty-two children were enrolled. The sex ratio was 0.88. The edia nage was 96 ± 49 months. The care provided was peripheral venous line insertion (53%), blood sampling (32%) and port-a-catheter puncture (15%). The use of virtual reality significantly reduced heart rate (p<0.0001), respiratory rate (p<0.0001) and pain perception (p<0.0001). Workload was reduced, as evidenced by a drop in the duration of nursing care (p<0.0001) and in the number of people needed to carry out care (p<0.0001).
Conclusions : Virtual reality is a good non-pharmacological alternative for procedural pain control in a pediatric oncology unit.
Keywords:
Virtual reality, child, pain, peadiatric oncology##plugins.themes.academic_pro.article.details##
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
- Lagrange F. Réalités virtuelles. Le Pharmacien Hospitalier. 1 nov 2010;45:1.
- Arane K, Behboudi A, Goldman RD. Virtual reality for pain and anxiety management in children. Can Fam Physician Med Fam Can. 2017;63(12):932‑4.
- Bermo MS, Patterson D, Sharar SR, Hoffman H, Lewis DH. Virtual Reality to Relieve Pain in Burn Patients Undergoing Imaging and Treatment. Top Magn Reson Imaging TMRI. 2020;29(4):203‑8.
- Koller D, Goldman RD. Distraction techniques for children undergoing procedures: a critical review of pediatric research. J Pediatr Nurs. déc 2012;27(6):652‑81.
- Treede RD, Rief W, Barke A, Aziz Q, Bennett MI, Benoliel R, et al. Chronic pain as a symptom or a disease: the IASP Classification of Chronic Pain for the International Classification of Diseases (ICD-11). Pain. 2019;160(1):19‑27.
- Ioannou A, Papastavrou E, Avraamides MN, Charalambous A. Virtual Reality and Symptoms Management of Anxiety, Depression, Fatigue, and Pain: A Systematic Review. SAGE Open Nurs. 2020;6:237796082093616.
- Shah LBI, Torres S, Kannusamy P, Chng CML, He HG, Klainin-Yobas P. Efficacy of the Virtual Reality-Based Stress Management Program on Stress-Related Variables in People With Mood Disorders: The Feasibility Study. Arch Psychiatr Nurs. 2015;29(1):6‑13.
- Chan E, Hovenden M, Ramage E, Ling N, Pham JH, Rahim A, et al. Virtual Reality for Pediatric Needle Procedural Pain: Two Randomized Clinical Trials. J Pediatr. 2019;209:160-167.e4.
- Özkan TK, Polat F. The Effect of Virtual Reality and Kaleidoscope on Pain and Anxiety Levels During Venipuncture in Children. J Perianesth Nurs. 2020;35(2):206‑11.
- Semerci R, Akgün Kostak M, Eren T, Avci G. Effects of Virtual Reality on Pain During Venous Port Access in Pediatric Oncology Patients: A Randomized Controlled Study. J Pediatr Oncol Nurs Off J Assoc Pediatr Oncol Nurses. 2021;38(2):142‑51.
- Bulloch B. Assessment of Clinically Significant Changes in Acute Pain in Children. Acad Emerg Med. 2002;9(3):199‑202.
- Rowbotham MC. What is a ‘clinically meaningful’ reduction in pain? Pain. 2001;94(2):131‑2.
- Birnie KA, Kulandaivelu Y, Jibb L, Hroch P, Positano K, Robertson S, et al. Usability Testing of an Interactive Virtual Reality Distraction Intervention to Reduce Procedural Pain in Children and Adolescents With Cancer [Formula: see text]. J Pediatr Oncol Nurs Off J Assoc Pediatr Oncol Nurses. 2018;35(6):406‑16.
- Dumoulin S, Bouchard S, Ellis J, Lavoie KL, Vézina MP, Charbonneau P, et al. A Randomized Controlled Trial on the Use of Virtual Reality for Needle-Related Procedures in Children and Adolescents in the Emergency Department. Games Health J. 2019;8(4):285‑93.
- Gershon J, Zimand E, Lemos R, Rothbaum BO, Hodges L. Use of virtual reality as a distractor for painful procedures in a patient with pediatric cancer: a case study. Cyberpsychology Behav Impact Internet Multimed Virtual Real Behav Soc. 2003;6(6):657‑61.
- Parsons TD, Rizzo AA. Affective outcomes of virtual reality exposure therapy for anxiety and specific phobias: a meta-analysis. J Behav Ther Exp Psychiatry. 2008;39(3):250‑61.
- Gerçeker GÖ, Bektaş M, Aydınok Y, Ören H, Ellidokuz H, Olgun N. The effect of virtual reality on pain, fear, and anxiety during access of a port with huber needle in pediatric hematology-oncology patients: Randomized controlled trial. Eur J Oncol Nurs. 2021;50:101886.
- Khadra C. La distraction par la réalité virtuelle pour le soulagement de la douleur de jeunes enfants ayant subi des brûlures. 3 avr 2020 [cité 10 avr 2023]; Disponible sur: https://papyrus.bib.umontreal.ca/xmlui/handle/1866/23546
- Chen Y, Cheng S, Lee P, Lai C, Hou I, Chen C. Distraction using virtual reality for children during intravenous injections in an emergency department: A randomised trial. J Clin Nurs. 2020;29(3‑4):503‑10.
- Gershon J, Zimand E, Pickering M, Rothbaum BO, Hodges L. A pilot and feasibility study of virtual reality as a distraction for children with cancer. J Am Acad Child Adolesc Psychiatry. 2004;43(10):1243‑9.