Effectiveness of Virtual Reality Interactive Play for Children During Intravenous Placement: A Randomized Controlled Trial

Hsu, Mei-Feng; Whu, Yew-Wha; Lin, I-Chen; Liu, Chieh‐Yu; Lai, Fei-Chen; Liu, Pei-Ching; Chen, Chi-Wen

doi:10.1016/j.anr.2022.03.002

Cited by 14 publications

(12 citation statements)

References 32 publications

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“…he main purpose of the VR animation game developed in this study is to provide children with positive enhancement in their adherence to rectal drug delivery. Previous studies have shown that the use of VR sensory stimulation distracts children from invasive procedures and reduces pain, anxiety, and fear during medical procedures 9,12,13 . However, after passively receiving treatment, children still did not understand the reason behind the procedure and continued to feel anxious and fearful the next time they faced an invasive procedure.…”

Section: Resultsmentioning

confidence: 99%

“…The literature suggests that when children with burns continue to cry during and after dressing changes, interventions with VR can reduce pain and anxiety by diverting the child's attention and lowering the incoming signals of pain 8 . Immersing in-hospital patients aged 6 to 12 years in intravenous injection scenarios in VR while they are receiving the injections and VR games after the injections were effective in reducing the sensation of pain, fear, and the time required for the injections 9 . VR has also been used to reduce anxiety and distract patients from pain in pediatric dental treatments 10 , as well as to distract adolescent cancer patients from their pain while they are undergoing lumbar puncture 11 .…”

Section: Introductionmentioning

confidence: 99%

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Development of a Virtual Reality Nursing Assistance System to Positively Enhance Rectal Medication Adherence in Children

Wei Kai Liou,

Pao Ju Chen

2022

IJONE

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Children may feel uneasy, anxious and fearful when faced with an invasive procedure because they cannot understand the reason for their illness and they fear the destruction of the integrity of their bodies. In rectal drug delivery (the use of anal suppositories), children often move their hips and cry during the procedure, which may cause the suppository to inadvertently break, slip out, or be misplaced in the vagina. In order to find to a solution to the clinical issue, this study focuses on the application of virtual reality in developing a VR nursing assistance system that can be used in clinical practice with only ordinary cell phones and simple VR headsets, called "Little Hero Saves the Earth". This system allows children to immerse themselves in the plot of a story through a first-person perspective (as the "little hero"). When the little hero needs to have the superpower rocket fitted (what the child perceives in the first-person perspective), the nurse places the child in a side-lying position before inserting the suppository (superpower rocket) in sync with the plot. This serves to reduce the child's fear of invasive procedures, encourage the child to think of anal suppositories in a positive way, and lead to a sense of autonomy and accomplishment in the child, thus creating a positive, successful experience.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Development of a Virtual Reality Nursing Assistance System to Positively Enhance Rectal Medication Adherence in Children

Wei Kai Liou,

Pao Ju Chen

2022

IJONE

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“…The results were consistent with Canares et al (2021), who found that the use of an appropriate strategy during intravenous administration had great potential for medical staff to assist children with a smoother process. Hsu et al (2022) also indicated that game-based learning tasks could significantly affect children's emotions during IV. (2) Children who adopted the robot-assisted DS approach during IV had a significantly lower level of anxiety than those who received video-based health education.…”

Section: Discussionmentioning

confidence: 96%

“…In addition to maintaining the quality of medical care and paying attention to patient safety during the COVID-19 pandemic, maintaining the number of nursing staff, dealing with the shortage of nursing manpower, and reducing medical workload are public health issues with urgent concerns in various fields around the world (Maleki et al, 2021;Stokes & Iskander, 2021). In addition, assisting children who receive invasive treatment, such as intravenous injections (IV), is a difficult skill in clinical nursing practice, especially for young children who have limited communication competences and are afraid of needles (Hsu et al, 2022;Tsao et al, 2017;Fadlilah et al, 2022) pointed out that hospitalized children are prone to anxiety; if untreated in time, this anxiety might hinder the treatment process and increase the length of treatment, thus prolonging the inpatient days. Therefore, in clinical nursing practice, there is a need for interactive health education tools to assist in communication with children and in pacifying their mood during IV treatment (Canares et al, 2021;Wong et al, 2019;Tsao et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Effects of robot-assisted digital storytelling on hospitalized children’s communication during the COVID-19 pandemic

Chang

Hwang

Chou

et al. 2023

Education Tech Research Dev

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This study proposed a robot-assisted digital storytelling approach to reduce hospitalized children's anxiety about intravenous injections and to improve their therapeutic communication and therapeutic engagement. In order to verify the effectiveness of the robot-assisted digital storytelling approach, a randomized controlled study was implemented. A total of 47 children from a regional hospital were randomly assigned to an experimental group (n = 21) and a control group (n = 26). The experimental group adopted the robot-assisted digital storytelling approach in health education for intravenous injections, while the control group received video-based health education. The study results indicated that the proposed robot-assisted digital storytelling approach not only reduced the children's anxiety, but also had positive effects on children's communication about intravenous injections, emotions during hospitalization, and therapeutic engagement. As a consequence, it is suggested that educators and researchers consider adopting robot-assisted digital storytelling to facilitate nursing clinical health education for children.

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“…The efficacy of immersive VR on pain management during needle-related procedure in the ED, has been compared to either no distraction [13] or non-VR distractions [12,30,[33][34][35][36]38]; while VR reduces postprocedural self-and observed-reported pain compared to no distraction [13], it is uncertain whether VR is superior to non-VR distractions (e.g. watching favorite video, listening to music, reading a book or playing a game of choice on a tablet) for pain management.…”

Section: Paediatricmentioning

confidence: 99%

Is Virtual Reality a Game Changer in Pediatrics' Acute Pain Perception?

Mantegazza¹,

Silvera²,

Brevini³

et al. 2022

Int. J. Pediatr. Child Health

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Purpose of review: Virtual reality (VR) is a promising tool that is becoming increasingly popular for the prevention and treatment of procedural pain in children. This review aims to investigate the current literature on the use and effectiveness of VR in paediatric procedural pain management, focusing on needle-related procedures, burn wound care, dental procedures among others; limitations and future perspectives on the use of VR will also be highlighted. Recent findings: in addition to the most researched fields of application (e.g. needle procedures), VR has also started to be used in new areas, such as nasal and gastrointestinal endoscopies as well as minor surgeries. From the latest evidence, VR seems to be effective in many procedures, especially compared to no distraction; however, there is conflicting data in the literature due to numerous factors such as differences between technologies, degree of VR-immersion, patients coping styles among others. Summary: there are still no data of absolute certainty on the effectiveness of VR in reducing procedural pain in paediatric patients and data pooling is still difficult. Future research should carry on large randomised-controlled, multicentre studies to better define VR properties and how best to optimise VR software and user experience for maximum pain reduction.

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Effectiveness of Virtual Reality Interactive Play for Children During Intravenous Placement: A Randomized Controlled Trial

Cited by 14 publications

References 32 publications

Development of a Virtual Reality Nursing Assistance System to Positively Enhance Rectal Medication Adherence in Children

Development of a Virtual Reality Nursing Assistance System to Positively Enhance Rectal Medication Adherence in Children

Effects of robot-assisted digital storytelling on hospitalized children’s communication during the COVID-19 pandemic

Is Virtual Reality a Game Changer in Pediatrics' Acute Pain Perception?

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