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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.
Journal of Clinical Medicine
|February 26, 2025
Summary
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.

