Cargando…

Virtual reality for pain reduction during intravenous injection in pediatrics: a systematic review and meta-analysis of controlled clinical trials

BACKGROUND: Intravenous (IV) injections often cause pain, fear, and anxiety in pediatric patients. Virtual reality (VR) is a relatively new intervention that can be used to provide a distraction during or prepare patients for IV injections. PURPOSE: To date, no meta-analysis has examined the evidenc...

Descripción completa

Detalles Bibliográficos
Autores principales: Jenabi, Ensiyeh, Bashirian, Saeid, Salehi, Amir Mohammad, Rafiee, Masoud, Bashirian, Mozhdeh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Pediatric Society 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10694551/
https://www.ncbi.nlm.nih.gov/pubmed/37321586
http://dx.doi.org/10.3345/cep.2022.01193
_version_ 1785153404201336832
author Jenabi, Ensiyeh
Bashirian, Saeid
Salehi, Amir Mohammad
Rafiee, Masoud
Bashirian, Mozhdeh
author_facet Jenabi, Ensiyeh
Bashirian, Saeid
Salehi, Amir Mohammad
Rafiee, Masoud
Bashirian, Mozhdeh
author_sort Jenabi, Ensiyeh
collection PubMed
description BACKGROUND: Intravenous (IV) injections often cause pain, fear, and anxiety in pediatric patients. Virtual reality (VR) is a relatively new intervention that can be used to provide a distraction during or prepare patients for IV injections. PURPOSE: To date, no meta-analysis has examined the evidence regarding the effectiveness of VR at reducing pain in pediatric IV injections. METHODS: The PubMed, Web of Science, Scopus, and Cochrane Central Register of Controlled Trials databases were searched for articles published through August 7, 2022. The methodological quality of the studies was measured using the Delphi checklist. The chi-square test and the I(2) statistic were used to assess heterogeneity across studies. A summary measure of the mean difference in pain scores between the VR and control groups was obtained using a random effects model. All statistical analyses were set at a significance level of 0.05 using Stata 14. RESULTS: Nine studies were included in this meta-analysis of VR interventions used during IV injections in pediatric patients. The difference in mean pain score between the intervention and control groups showed significant reductions in the VR group (mean difference, 0.47; 95% confidence interval, 0.3–0.65; I(2)=9.1%). No interstudy heterogeneity was observed. CONCLUSION: Our results suggest that VR effectively reduces pain associated with IV injections in pediatric patients. No interstudy heterogeneity was noted among the analyzed studies. The Delphi checklist was used to assess methodological quality.
format Online
Article
Text
id pubmed-10694551
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Korean Pediatric Society
record_format MEDLINE/PubMed
spelling pubmed-106945512023-12-05 Virtual reality for pain reduction during intravenous injection in pediatrics: a systematic review and meta-analysis of controlled clinical trials Jenabi, Ensiyeh Bashirian, Saeid Salehi, Amir Mohammad Rafiee, Masoud Bashirian, Mozhdeh Clin Exp Pediatr Original Article BACKGROUND: Intravenous (IV) injections often cause pain, fear, and anxiety in pediatric patients. Virtual reality (VR) is a relatively new intervention that can be used to provide a distraction during or prepare patients for IV injections. PURPOSE: To date, no meta-analysis has examined the evidence regarding the effectiveness of VR at reducing pain in pediatric IV injections. METHODS: The PubMed, Web of Science, Scopus, and Cochrane Central Register of Controlled Trials databases were searched for articles published through August 7, 2022. The methodological quality of the studies was measured using the Delphi checklist. The chi-square test and the I(2) statistic were used to assess heterogeneity across studies. A summary measure of the mean difference in pain scores between the VR and control groups was obtained using a random effects model. All statistical analyses were set at a significance level of 0.05 using Stata 14. RESULTS: Nine studies were included in this meta-analysis of VR interventions used during IV injections in pediatric patients. The difference in mean pain score between the intervention and control groups showed significant reductions in the VR group (mean difference, 0.47; 95% confidence interval, 0.3–0.65; I(2)=9.1%). No interstudy heterogeneity was observed. CONCLUSION: Our results suggest that VR effectively reduces pain associated with IV injections in pediatric patients. No interstudy heterogeneity was noted among the analyzed studies. The Delphi checklist was used to assess methodological quality. Korean Pediatric Society 2023-06-14 /pmc/articles/PMC10694551/ /pubmed/37321586 http://dx.doi.org/10.3345/cep.2022.01193 Text en Copyright © 2023 by The Korean Pediatric Society https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Jenabi, Ensiyeh
Bashirian, Saeid
Salehi, Amir Mohammad
Rafiee, Masoud
Bashirian, Mozhdeh
Virtual reality for pain reduction during intravenous injection in pediatrics: a systematic review and meta-analysis of controlled clinical trials
title Virtual reality for pain reduction during intravenous injection in pediatrics: a systematic review and meta-analysis of controlled clinical trials
title_full Virtual reality for pain reduction during intravenous injection in pediatrics: a systematic review and meta-analysis of controlled clinical trials
title_fullStr Virtual reality for pain reduction during intravenous injection in pediatrics: a systematic review and meta-analysis of controlled clinical trials
title_full_unstemmed Virtual reality for pain reduction during intravenous injection in pediatrics: a systematic review and meta-analysis of controlled clinical trials
title_short Virtual reality for pain reduction during intravenous injection in pediatrics: a systematic review and meta-analysis of controlled clinical trials
title_sort virtual reality for pain reduction during intravenous injection in pediatrics: a systematic review and meta-analysis of controlled clinical trials
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10694551/
https://www.ncbi.nlm.nih.gov/pubmed/37321586
http://dx.doi.org/10.3345/cep.2022.01193
work_keys_str_mv AT jenabiensiyeh virtualrealityforpainreductionduringintravenousinjectioninpediatricsasystematicreviewandmetaanalysisofcontrolledclinicaltrials
AT bashiriansaeid virtualrealityforpainreductionduringintravenousinjectioninpediatricsasystematicreviewandmetaanalysisofcontrolledclinicaltrials
AT salehiamirmohammad virtualrealityforpainreductionduringintravenousinjectioninpediatricsasystematicreviewandmetaanalysisofcontrolledclinicaltrials
AT rafieemasoud virtualrealityforpainreductionduringintravenousinjectioninpediatricsasystematicreviewandmetaanalysisofcontrolledclinicaltrials
AT bashirianmozhdeh virtualrealityforpainreductionduringintravenousinjectioninpediatricsasystematicreviewandmetaanalysisofcontrolledclinicaltrials