Relieving pain and anxiety in children is crucial for emergency nurses.
•Virtual reality reduces pain/anxiety during invasive pediatric emergency procedures.
•Virtual reality provides comfort for both children and their parents/companions.
AbstractAimTo evaluate the effectiveness of virtual reality to reduce pain and anxiety in pediatric patients during venipuncture procedure in emergency care and the behavioral response of their parents/companions.
BackgroundVirtual reality is being used as a source of distraction in children undergoing invasive procedures.
MethodsQuasi-experimental study with 458 children (from 2 to 15 years) who attended a pediatric emergency service from September 2019 to April 2021. An intervention based on virtual reality as a distraction method during venipuncture procedure was applied. The level of pain and anxiety of children and attitude of parents/companions were assessed. Ordinal and binary logistic regressions were applied.
ResultsA protective effect of using virtual reality was observed in the intervention group both for the absence of pain (−4.12; 95 % CI: −4.85 to −3.40) and anxiety (−1.71; 95 % CI: −2.24 to −1.17) in children aged between 2 and 15 years. A significant reduction in the blocking response of the accompanying parents (−2.37; 95 % CI: −3.017 to −1.723) was also observed.
ConclusionsVR is effective in reducing pain and anxiety in children during venipuncture in emergency care. A positive attitude of the parents during the invasive procedure to their children was found.
KeywordsAnxiety
Pain
Pediatric patients
Phlebotomy
Virtual reality
Quasi-experimental
© 2023 The Authors. Published by Elsevier Ltd.
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