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Effect of virtual reality on pain during burn dressing in children: A systematic review and meta-analysis of
Eyşan Hanzade Savaş1, Ayşe Sılanur Demir1, Remziye Semerci2
1Koç University Health Sciences Campus, Graduate School of Health Sciences, Davutpaşa St. No: 4, 34010 Topkapı, Istanbul, Turkey.
Insights
Virtual reality (VR) significantly reduces pain for children during burn dressing changes. This non-pharmacological approach offers a promising method for improving pain management in pediatric burn patients.
Area of Science:
- Medical Technology
- Pediatric Pain Management
- Evidence-Based Practice
Background:
- Burn dressing procedures are inherently painful and distressing for pediatric patients.
- Virtual reality (VR) presents a novel, non-pharmacological avenue for pain management in children.
- Limited evidence exists on VR's specific efficacy in pediatric burn dressing contexts.
Purpose of the Study:
- To systematically review and analyze the impact of virtual reality (VR) interventions on pain experienced by children during burn dressing procedures.
- To synthesize existing research to evaluate VR's effectiveness as a pain management tool in this specific pediatric population.
Main Methods:
- A comprehensive literature search was conducted across multiple databases (PubMed, Web of Science, Cochrane, MEDLINE, CINAHL, Scopus, Google Scholar).
- Studies meeting predefined inclusion criteria were assessed for methodological quality using Cochrane and JBI checklists.
- The review adhered to PRISMA guidelines, with the search protocol registered on PROSPERO.
Main Results:
- Six studies involving 241 pediatric patients were included in the meta-analysis.
- Virtual reality intervention demonstrated a statistically significant reduction in pain levels among children undergoing burn dressing (Hedge's g = -1.199, p < 0.001).
- High heterogeneity was observed across studies (I² = 83.9%).
Conclusions:
- Virtual reality is an effective and promising intervention for alleviating pain in pediatric patients during burn dressing changes.
- Integrating VR into clinical practice offers a valuable non-pharmacological strategy to improve pain management and patient outcomes for pediatric burn survivors.
Background:
Burn dressing, a necessary and regular procedure for burn management, causes significant pain and distress for children. Recent technological advancements in VR have opened up new possibilities for pain management in children undergoing burn dressing. However, there is limited evidence regarding their efficacy in burn dressing specifically. This study aims to synthesize and analyze the effect of VR on pain during burn dressing in children.
Methods:
In this review, we investigated studies from PubMed, Web of Science, Cochrane, MEDLINE, CINAHL, Scopus and Google Scholar databases that met inclusion criteria. We also assessed the studies' methodological quality with the Cochrane and JBI checklists. This study was performed based on the Guidelines of Systematic Reporting of Examination presented in the PRISMA checklist. The search protocol has been registered at the PROSPERO International Prospective Register of Systematic Reviews.
Results:
A total of six published studies including 241 pediatric patients were included in this review. The meta-analysis results showed a significant effect of VR intervention on the pain levels of children (Hedge's g = -1199, Q = 31,106, I2 = 83,926%, p < 0.001).
Conclusion:
Findings from this study show that VR is a promising and effective intervention for reducing pain scores in children undergoing dressing changes for burn injuries.
Implacation To Practice:
Our meta-analysis suggest that the significant potential of integrating VR into clinical practice, presenting a non-pharmacological intervention to reduce pain during dressing changes in pediatric burn patients. Implementing VR in healthcare settings can lead to improved pain management and better patient outcomes for pediatric population.
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