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The use of Virtual Reality for needle-related procedural pain and distress in children and adolescents in a paediatric oncology unit
Jönköping University, School of Health Science, HHJ. CHILD.
Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Jönköping University, School of Health Science, HHJ. CHILD.
2009 (English)In: European Journal of Oncology Nursing, ISSN 1462-3889, Vol. 13, no 2, 102-109 p.Article in journal (Refereed) Published
Abstract [en]

Aim: It is essential to minimize pain and distress during painful procedures in children. This study examined the effect of using non-immersive Virtual Reality (VR) during a needle-related procedure on reported pain or distress of children and adolescents in a paediatric oncology unit and surveyed their response to the use of VR-equipment during the procedure.

Method: Twenty-one children and adolescents were included in an intervention group with non-immersive VR and another 21 children and adolescents in a control group where they underwent either venous punctures or subcutaneous venous port devices. Self-reported pain and distress, heart rate and observational pain scores were collected before, during and after the procedures. Semi-structured qualitative interviews were conducted in conjunction with the completed intervention.

Results: Self-reported and observed pain and distress scores were low and few significant differences of quantitative data between the groups were found. Two themes emerged in the analysis of the interviews; the VR game should correspond to the child and the medical procedure and children enjoyed the VR game and found that it did distract them during the procedure.

Conclusion: The interviews showed that non-immersive VR is a positive experience for children undergoing a minor procedure such as venous puncture or a subcutaneous venous port access.

Place, publisher, year, edition, pages
2009. Vol. 13, no 2, 102-109 p.
Keyword [en]
Nursing; Distraction; Childhood cancer; Pain management
National Category
Nursing
Identifiers
URN: urn:nbn:se:hj:diva-8627DOI: 10.1016/j.ejon.2009.01.003OAI: oai:DiVA.org:hj-8627DiVA: diva2:214445
Available from: 2009-05-05 Created: 2009-05-05 Last updated: 2010-11-19Bibliographically approved
In thesis
1. Procedural and postoperative pain management in children: experiences, assessments and possibilities to reduce pain, distress and anxiety
Open this publication in new window or tab >>Procedural and postoperative pain management in children: experiences, assessments and possibilities to reduce pain, distress and anxiety
2010 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Introduction

Children’s visits to hospital are often connected with painfulexaminations and treatments. If these situations are associated withunsuccessful alleviation of pain, the children may develop distress, anxiety and even pain sensitization. Effective pain management including pharmacological treatment and coping methods that support the children when undergoing examinations or treatments could reduce these harmful effects. Distraction methods such as serious games and music medicine are techniques to deviate attention away from procedural or postoperative pain, and these may help children create positive experiences. There is a need to examine these interventions among children in hospital.

Aim

The overall purpose of this thesis was to investigate procedural and postoperative pain management among children in hospital. The specific aims were

  • to describe a group of children’s experiences of pain in conjunction with procedural pain
  • to validate an observational behavioural scale for procedural pain assessment in children aged 5-16 years
  • to study pain intensity and distress among children using serious games and music medicine
  • to describe children’s experiences of the use of serious games and music medicine.

Methods

Two hundred and twelve children who underwent a medical or surgical procedure at the Queen Silvia Children’s hospital in Gothenburg participated in one or two studies, and data were collected with assessment scales, vital signs and interviews. All the data were analyzed using approved methods of analysis.

Results

The results showed that the children emphasized nurses who were clinically competent and that they wanted to participate in decision making concerning distraction techniques as a complement to pharmacological treatment. An observational assessment scale, the Face, Legs, Activity, Cry and Consolability (FLACC) scale, was avaluable tool for assessing procedural pain and complementing retrospective self-reported pain and distress. Distraction techniques were helpful coping strategies for the children, who also needed to feel secure in the pain management. In children undergoing needle related procedures, serious games reduced pain intensity, but only for those who liked the game, and the interviews showed increased wellbeing. Music medicine reduced morphine consumption and decreased the children’s distress when they underwent day surgery.

Conclusions

The conclusions of this thesis are that procedural pain can be evaluated using the FLACC scale, the children want to participate in decision-making on distraction techniques such as serious games or music medicine and these self-selected distraction techniques are also helpful coping strategies for the children.

Place, publisher, year, edition, pages
Jönköping: School of Health Sciences, Jönköping University, 2010. 69 p.
Series
Hälsohögskolans avhandlingsserie, ISSN 1654-3602 ; 13
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-13811 (URN)978-91-85835-12-6 (ISBN)
Public defence
2010-11-19, Hälsohögskolan, Jönköping, 14:05
Note
All articles have been reprinted with kind permission of the respective journals.Available from: 2010-11-19 Created: 2010-11-19 Last updated: 2010-11-19Bibliographically approved

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