Impact of Virtual Reality Technology on Pain and Anxiety in Pediatric Burn Patients: A Systematic Review and Meta-Analysis.
acute pain management
burn wound care
distraction analgesia
nonpharmacological intervention
pediatrics
Journal
Frontiers in virtual reality
ISSN: 2673-4192
Titre abrégé: Front Virtual Real
Pays: Switzerland
ID NLM: 101775515
Informations de publication
Date de publication:
Jan 2022
Jan 2022
Historique:
entrez:
17
10
2022
pubmed:
18
10
2022
medline:
18
10
2022
Statut:
ppublish
Résumé
Virtual reality (VR) has the potential to lessen pain and anxiety experienced by pediatric patients undergoing burn wound care procedures. Population-specific variables require novel technological application and thus, a systematic review among studies on its impact is warranted. The objective of this review was to evaluate the effectiveness of VR on pain in children with burn injuries undergoing wound care procedures. A systematic literature review was performed using PubMed and CINAHL databases from January 2010 to July 2021 with the keywords "pediatric," "burn," "virtual reality," and "pain." We included experimental studies of between- and within-subjects designs in which pediatric patients' exposure to virtual reality technology during burn wound care functioned as the intervention of interest. Two researchers independently performed the literature search, made judgements of inclusion/exclusion based on agreed-upon criteria, abstracted data, and assessed quality of evidence using a standardized appraisal tool. A meta-analysis was conducted to evaluate the effectiveness of the VR on burning procedural pain in pediatric population. Standardized mean difference (SMD) was used as an index of combined effect size, and a random effect model was used for meta-analysis. Ten articles published between January 2010 and July 2021 passed the selection criteria: six randomized controlled trials and four randomized repeated-measures studies. Consistent results among the studies provided support for VR as effective in reducing pain and potentially pain related anxiety in children undergoing burn wound care through preprocedural preparation (n = 2) and procedural intervention (n = 8). VR effects on pain intensity ratings were moderate to large (SMD=0.60, 95%CI=0.28-0.93, Children's exposure to VR during burn care procedures was associated with lower levels of pain and pain related anxiety. Moderate to large effect sizes support the integration of VR into traditional pediatric burn pain protocols irrespective of innovative delivery methods and content required for use in burned pediatric patients.
Identifiants
pubmed: 36247202
doi: 10.3389/frvir.2021.751735
pmc: PMC9563984
mid: NIHMS1796329
pii:
doi:
Types de publication
Journal Article
Langues
eng
Subventions
Organisme : NCCIH NIH HHS
ID : R01 AT010333
Pays : United States
Organisme : NCCIH NIH HHS
ID : R01 AT011347
Pays : United States
Organisme : NIAAA NIH HHS
ID : R13 AA028424
Pays : United States
Déclaration de conflit d'intérêts
Conflict of Interest: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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