The Effect of 2 Different Distraction Methods on Pain, Fear, and Anxiety Levels During Venous Blood Draw in Children

Özlem Akarsu1, Remziye Semerci, Derya Kılınç

  • 1Department of Pediatric Nursing, Faculty of Health Sciences, Istanbul Medeniyet University, Istanbul, Turkey (Dr Akarsu); Department of Pediatric Nursing, Faculty of Nursing, Koç University, İstanbul, Turkey (Dr Semerci); and Health Sciences University Zeynep Kamil Gynecology and Pediatrics Training and Research Hospital, İstanbul, Turkey (Dr Kilinç).

Insights

Virtual reality (VR) and tablets significantly reduce pain, fear, and anxiety in children during blood draws. VR offered the greatest reduction in distress for pediatric patients undergoing venous procedures.

Area of Science:

  • Pediatric emergency medicine
  • Child psychology
  • Medical technology integration

Background:

  • Blood draws commonly induce pain, fear, and anxiety in children.
  • Effective non-pharmacological interventions are needed to manage pediatric procedural distress.

Purpose of the Study:

  • To compare the efficacy of virtual reality (VR) versus tablet-based cartoon viewing.
  • To assess the impact on pain, fear, and anxiety during pediatric blood draws.

Main Methods:

  • Randomized controlled trial involving 159 children (5-12 years).
  • Three groups: VR cartoons, tablet cartoons, and a control group.
  • Outcomes measured: perceived pain, fear, and anxiety during venous blood draws.

Main Results:

  • Both VR and tablet groups reported lower pain, fear, and anxiety compared to the control.
  • The VR group exhibited the most significant reduction in perceived pain, fear, and anxiety.

Conclusions:

  • Cartoon viewing via VR or tablet is an effective non-pharmacological strategy.
  • VR appears to be superior to tablets for mitigating procedural distress in children.
  • Healthcare providers should consider these methods to improve pediatric patient experience.
Abstract

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