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Volume 5
Neonatal and Pediatric Medicine
Page 53
Joint Meeting on
2
nd
Annual Conference on
&
Pediatric Nursing and Healthcare
23
rd
World Nutrition & Pediatrics Healthcare Conference
Health Care, Nutrition & Pediatrics Meet 2019
June 17-18, 2019
June 17-18, 2019 Dubai, UAE
S K Mohanasundari, Neonat Pediatr Med 2019, Volume 5
Effectiveness of immersive virtual reality therapy on pain and anxiety among children
undergoes painful procedures in UMAID hospital
S K Mohanasundari
All India Institute of Medical Sciences- Jodhpur, India
Introduction:
Virtual reality (VR) is a computer technology that creates an artificial 3-dimensional simulated
environment. Virtual reality consists of a head-mounted display and a thick pair of goggles that are connected
to either a computer or a cell phone. Although originally designed for entertainment purposes, the potential
use of VR in the medical field has recently been explored. Experimental trials using VR in therapy for
anxiety or posttraumatic stress disorder and for coping with pain demonstrate potential for this technology.
Distraction is a common non-pharmacologic technique used by health care professionals to manage and
attenuate anxiety, and possibly pain, during painful procedures in pediatric patients. Both passive distraction
(e.g., watching television, listening to a book) and active distraction (e.g., interactive toys, electronic games)
have been extensively studied and cause a decrease in pain and anxiety. Virtual reality might offer even more
distraction, as it completely immerses the patient in another world and involves multiple senses.
Method:
This study is conducted to assess the effectiveness of immersive virtual reality therapy on pain
and anxiety among 60 children aged between 3 years to 12 years undergoing various painful procedures
in UMAID Hospital, Jodhpur. India. Post-test only designs were adopted. The invasive procedure includes
collecting blood samples, venipuncture, IM injection and SC injections. Ethical permission was obtained
from institutional ethical committee and informed consent was obtained from children above 7 years and
from parents of children below 7 years. Randomly children were assigned to control group and experimental
group; 30 in each group. The children in control group received standard care (toys and verbal distraction, etc.)
during invasive procedure and they were assessed for pain and anxiety level after 60 seconds of procedure by
using numerical visual pain scale andWong Baker facial expression scale. Children in the experimental group
given head-mounted virtual reality display connected to smart phone (played 3D video) during invasive
procedures and allowed to play the video for 5 minutes before the procedure and until 60 seconds after the
procedure. The child pain and anxiety was observed during the time of procedure through Wong Baker pain
scale and after the procedure children were asked to describe the level of pain and anxiety through numerical
visual pain and anxiety scale for further validation.
Result:
The result showed that children in the experimental group experienced less pain and anxiety than
the children in the control group. There is positive correlation exists between pain and anxiety level. The age
and type of procedure has significant association with level of pain. The age, sex and type of procedure had
significant association with level of anxiety.
Conclusion:
VR distraction appears to be most effective for children with the pain during invasive procedure.
VR is thought to reduce pain and anxiety by directing children’s attention into the virtual world, leaving less
attention available to process incoming neural signals from pain receptors. This solution can be easily applied
by nurses in their clinical practice.