Effects of Virtual Reality, Cold-Vibration Due To Intravenous Catheterization on Pain, Fear and Anxiety on Children

Akdeniz University114 enrolled

Overview

This is a randomized controlled trial. The aim of the study is to the effects of Virtual Reality and Local Cold-Vibration applications in reducing anxiety, fear and pain due to intravenous catheterization (PIC) in children aged 5-10 years. PIC was found to be effective in reducing anxiety, fear and pain due to peripheral intravenous catheterization.

Peripheral intravenous catheterization is an administration method that is frequently used in children and causes pain. There are different non-pharmacological methods for reducing pain due to invasive procedures. The use of non-pharmacological methods is an important part of nursing care to reduce the short and long-term negative effects of painful interventions on children.This study was planned to compare the effectiveness of virtual reality and local cold-vibration applications in reducing anxiety, fear and pain caused by PIC in children aged 5-10 years. It was planned as a randomized controlled experimental study in pre-test, post-test design. The sample of the study was carried out in the Pediatric Emergency Unit of Akdeniz University Medical Faculty Hospital. The applicant will consist of 120 children aged 5-10 years. There will be a total of three groups in the research, 2 of which are the intervention group (virtual reality, local cold-vibration) and the control group (routine application). Data will be collected using the "Child-Parent Description Form", "Child Anxiety Scale-State Scale", "Child Fear Scale", "Wong- Baker Faces Pain Scale". Data will be collected before and within the first 5 minutes after IM injection administration. Scales; to be filled in separately by the child, one of the parents, and the nurse administering the PIC. As a result of this study, it was concluded that the use of virtual reality glasses and local cold-vibration methods are effective in reducing the pain, anxiety and fear that due to PIC placement in children aged 5-10 years.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Conditions

Procedural Anxiety Fear Procedural Pain Child, Only

Interventions

Virtual realityBEHAVIORAL

Distraction method

Local cold-vibrationBEHAVIORAL

Distraction method

Eligibility

Sex: ALLMin age: 5 YearsMax age: 10 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: the child; * between the ages of 5-10 * PIC application will be made * No visual, auditory or sensory loss * Mental and language deficiencies * Those who have not taken any analgesic medication in the last 4 hours * Do not have a chronic disease (such as oncological diseases, chronic kidney failure) that causes repeated admissions or hospitalizations to the hospital. Exclusion Criteria: * Unsuccessful PIC application in the first time * The child in the group with local cold-vibration application removes the device during the procedure (PIC application). * The child in the group in which virtual reality was applied, removing the virtual reality glasses during the procedure (PIC application). * Suspecting 'Covid 19' (having any of the symptoms such as fever, cough, respiratory distress, chest pain, loss of taste and smell, sore throat)

Locations (1)

Ayşegül İşler Dalgiç

Antalya, Akdeniz University, Turkey (Türkiye)

Outcomes

Primary Outcomes

Assessing the children's anxiety with Children's State Anxiety

The Children's State Anxiety (CAS-S). The CAS-S assesses children's anxiety and uses before medical procedures. This scale is drawn like a thermometer with a bulb at the bottom and also includes horizontal lines at intervals going up to the top (0-10). This scale ranges from 0 to 10. Higher values represent higher anxiety

Time frame: Before the peripheral intravenous catheterization

Assessing the children's anxiety with Children's State Anxiety

Time frame: Within the first 5 minutes after the peripheral intravenous catheterization

Assessing the children's fear with Child Fear Scale

The Child Fear Scale (CFS). The Child Fear Scale will use.This one-item scale measures procedure-related fear in children, consists of five sex-neutral faces, ranges from 0 (no fear) to extreme fear. This rating scale ranges from 0 to 4. It ranges from a no fear (neutral) face (0) on the far left to a face showing extreme fear on the far right. Higher scores mean a worse outcome. The rater responds indicates the level of fear.

Time frame: Before the peripheral intravenous catheterization

Assessing the children's fear with Child Fear Scale

Time frame: Within the first 5 minutes after the peripheral intravenous catheterization

Data from ClinicalTrials.gov

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