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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Pediatric Society
2023
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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 |
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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 |
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