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Artificial Intelligence-Assisted Virtual Reality for Reducing Anxiety in Pediatric Endoscopy
Mehmet Bulduk1, Veysel Can1, Emre Aktaş2
1Faculty of Health Sciences, Department of Nursing, Van Yüzüncü Yıl University, 65000 Van, Turkey.
Insights
Artificial intelligence (AI)-assisted virtual reality (VR) applications effectively reduced preoperative anxiety and improved vital signs in children undergoing endoscopy. This non-pharmacological approach offers a promising way to enhance pediatric procedural experiences.
Area of Science:
- Pediatric Medicine
- Medical Technology
- Psychology
Background:
- Preoperative anxiety is common in children undergoing invasive procedures like endoscopy.
- Traditional methods for managing anxiety may involve pharmacological interventions with potential side effects.
- Exploring non-pharmacological alternatives is crucial for improving pediatric patient care.
Purpose of the Study:
- To evaluate the impact of AI-assisted virtual reality (VR) on preoperative anxiety in pediatric patients.
- To assess the effects of VR on physiological parameters (vital signs) during the preoperative period.
- To determine the efficacy of VR as a non-pharmacological intervention for children undergoing endoscopy.
Main Methods:
- A randomized controlled trial was conducted with 80 children aged 8-17 years.
- The intervention group experienced AI-assisted VR applications (space/underwater themes).
- The control group received standard care; anxiety (STAIC) and vital signs were measured.
Main Results:
- VR significantly reduced anxiety scores (p < 0.001) compared to the control group.
- The intervention group showed improved vital signs, including lower systolic (p < 0.001) and diastolic blood pressure (p < 0.05), and heart rate (p < 0.05).
- Oxygen saturation (SpO2) was higher in the VR group (p < 0.001).
Conclusions:
- AI-assisted VR is an effective non-pharmacological tool for alleviating preoperative anxiety in children.
- VR promotes physiological stability, making it beneficial for pediatric patients during procedures.
- This technology offers a valuable method to improve the overall experience of children undergoing endoscopy.
Abstract:
Background/Objectives: This study aimed to evaluate the effects of artificial intelligence (AI)-assisted virtual reality (VR) applications on preoperative anxiety levels and vital signs in children undergoing endoscopy. Methods: A randomized controlled trial design was employed, including a total of 80 children aged 8-17 years (40 in the intervention group and 40 in the control group). Children in the intervention group were exposed to VR applications featuring space and underwater themes, while the control group received standard procedures. Anxiety levels were assessed using the "State-Trait Anxiety Inventory for Children (STAIC)", and vital signs were evaluated through measurements of systolic and diastolic blood pressure, heart rate, temperature, and SpO2. Results: VR applications significantly reduced anxiety scores in the intervention group (36.3 ± 1.9), while no significant changes were observed in the control group (45.4 ± 2.74) (p < 0.001). Regarding vital signs, more favorable outcomes were observed in the intervention group. Systolic blood pressure was measured as 89 ± 6.7 mmHg in the intervention group and 96.5 ± 10.5 mmHg in the control group (p < 0.001). Diastolic blood pressure was 60.8 ± 4.7 mmHg in the intervention group and 63.8 ± 6 mmHg in the control group (p < 0.05). Heart rate was recorded as 88.7 ± 10.1 bpm in the intervention group and 94.5 ± 14.8 bpm in the control group (p < 0.05). SpO2 levels were 98 ± 1 in the intervention group and 96.2 ± 1.3 in the control group (p < 0.001). Conclusions: AI-assisted VR applications emerge as an effective non-pharmacological method for reducing preoperative anxiety and promoting physiological stability in children. This approach holds the potential to enhance pediatric experiences during invasive procedures such as endoscopy.

