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Feasibility of a VR Intervention to Decrease Anxiety in Children with Tumors Undergoing CVC Dressing.

Luisa Russo1, Alberto Eugenio Tozzi1, Angela Mastronuzzi2

  • 1Multifactorial and Complex Diseases Research Area, Bambino Gesù Children's Hospital, Istituto di Ricerca e Cura a Carattere Scientifico (IRCCS), 00165 Rome, Italy.

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Summary
This summary is machine-generated.

Virtual reality (VR) effectively reduced distress in children with tumors during painful procedures. While VR showed high satisfaction, it did not significantly impact anxiety levels, requiring further research for clinical integration.

Keywords:
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Area of Science:

  • Pediatric Oncology
  • Digital Health Interventions
  • Pain Management

Background:

  • Children with tumors experience significant distress during medical procedures.
  • Virtual reality (VR) offers a potential non-pharmacological approach to manage procedural distress and anxiety.
  • Central venous catheter (CVC) procedures are often associated with pain and anxiety in pediatric cancer patients.

Purpose of the Study:

  • To evaluate the efficacy of a virtual reality (VR) intervention in reducing distress and anxiety in children with tumors undergoing central venous catheter (CVC) procedures.
  • To assess patient and family satisfaction with VR intervention during medical procedures.
  • To explore the potential utility of VR in routine clinical practice for pediatric oncology.

Main Methods:

  • An experimental cross-over study design was employed.
  • 22 children with tumors received a VR intervention (relaxing games) during CVC dressing and were compared to a no-VR condition during CVC medication.
  • Distress was measured using the distress thermometer, and anxiety was assessed using the RCMAS-2 scale.

Main Results:

  • Distress levels were significantly lower in the VR group compared to the no-VR group (median 2 vs. 4).
  • No significant difference in anxiety levels was detected between the VR and no-VR conditions.
  • Patient and family satisfaction with VR was very high, though 12% of children reported disappointment with its effect.

Conclusions:

  • Virtual reality (VR) is highly acceptable and may be efficacious in decreasing distress in pediatric cancer patients undergoing painful procedures.
  • VR intervention is less likely to have a measurable impact on anxiety levels.
  • Larger studies are needed to confirm VR's efficacy and assess its integration into clinical workflows for managing pediatric procedural distress.