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[Reducing the pain in invasive procedures during paediatric hospital admissions: Fiction, reality or virtual
Blanca Toledo Del Castillo1, Jorge Alejandro Pérez Torres2, Lidia Morente Sánchez2
1Instituto de Investigación Sanitaria Gregorio Marañón (IISGM), Madrid, España; Sección de Hospitalización Pediátrica, Servicio de Pediatría, Hospital General Universitario Gregorio Marañón, Madrid, España.
Insights
Virtual reality (VR) significantly reduces pain and anxiety in hospitalized children undergoing invasive procedures. This technology offers a promising, non-pharmacological approach to improve pediatric patient experiences during medical treatments.
Area of Science:
- Pediatric Medicine
- Medical Technology
- Pain Management
Background:
- Hospitalized children frequently undergo invasive procedures causing pain and anxiety.
- Minimizing procedural pain and anxiety is crucial for pediatric patient well-being.
- Exploring innovative approaches like virtual reality (VR) is essential.
Purpose of the Study:
- To evaluate the efficacy of virtual reality (VR) in reducing pain and anxiety during invasive procedures in hospitalized children.
- To compare outcomes between children using VR and a control group receiving standard care.
- To assess the impact of VR on patient-reported pain and anxiety levels.
Main Methods:
- A comparative study involving hospitalized pediatric patients aged 4-15 years undergoing invasive procedures.
- Utilized pain and anxiety evaluation scales for patients, relatives, and healthcare workers.
- Compared outcomes in groups using VR (with or without analgesic cream) versus a control group without VR or cream.
Main Results:
- The study included 58 patients (38 VR group, 20 control group).
- VR group showed significantly lower pain scores (median 1/5) compared to the control group (median 4/5) (P<.001).
- Patient-reported anxiety scales were significantly lower in the VR group (median 1/5) versus the control group (median 4/5) (P=.001).
Conclusions:
- Virtual reality (VR) is effective in reducing pain and anxiety in hospitalized children during invasive procedures.
- VR offers a valuable non-pharmacological intervention for pediatric pain and anxiety management.
- Further research can explore optimal integration of VR in clinical settings.
Introduction:
Potentially painful invasive procedures are often performed for diagnostic or therapeutic purposes in hospitalised paediatric patients. Approaches, such as virtual reality (VR), should be sought in order to minimise pain and anxiety during these procedures.
Materials And Methods:
Hospitalised patients between 4 and 15-years-old requiring an invasive procedure were included. Pain and anxiety evaluation scales were given to children, relatives and health workers. A comparison was made with patients in whom VR was used (with or without concomitant use of a prilocaine/ lidocaine 2.5% analgesic cream) and patients in whom neither VR nor analgesic cream were used.
Results:
The study included 58 patients, 38 in the VR group and 20 in the control group. Pain scores, as performed by patients, relatives and health workers, significantly decreased in the VR group (control group median 4/5 vs. VR group median 1/5, P<.001). Patient-reported anxiety scales were also lower in the VR group (control group median 4/5 vs. VR group 1/5, P=.001). The number of punctures (R2: 0.5, β: 0.6; P=.01) and the lack of analgesic techniques (β: -0.9; P=.02) were associated with higher scores in patient-reported pain scales.
Comments:
The use of VR can reduce pain and anxiety during invasive procedures in hospitalized children.
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