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The proper timing of virtual reality experience for reducing preoperative anxiety of pediatric patients: A randomized clinical trial

BACKGROUND: The virtual reality (VR) experience of an operation room (OR) prior to anesthesia and surgery has been known to reduce the anxiety and distress of pediatric patients. However, the proper timing needed for this is unknown. This randomized clinical study aimed to evaluate the proper timing...

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Autores principales: Ryu, Jung-Hee, Ko, Dayoung, Han, Ji-Won, Park, Jin-Woo, Shin, Aesun, Han, Sung-Hee, Kim, Hyun-Young
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9514542/
https://www.ncbi.nlm.nih.gov/pubmed/36177450
http://dx.doi.org/10.3389/fped.2022.899152
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author Ryu, Jung-Hee
Ko, Dayoung
Han, Ji-Won
Park, Jin-Woo
Shin, Aesun
Han, Sung-Hee
Kim, Hyun-Young
author_facet Ryu, Jung-Hee
Ko, Dayoung
Han, Ji-Won
Park, Jin-Woo
Shin, Aesun
Han, Sung-Hee
Kim, Hyun-Young
author_sort Ryu, Jung-Hee
collection PubMed
description BACKGROUND: The virtual reality (VR) experience of an operation room (OR) prior to anesthesia and surgery has been known to reduce the anxiety and distress of pediatric patients. However, the proper timing needed for this is unknown. This randomized clinical study aimed to evaluate the proper timing of a VR tour of an OR (a few days before vs. immediately before anesthesia) to reduce the anxiety in a pediatric patient undergoing elective surgery. METHODS: The children from the ages of 4–10 years old were randomly divided into three groups. The control group received standard verbal information about the process of anesthesia and surgery 10 min before anesthesia. The VR A group experienced a VR tour at the outpatient clinic a few days before anesthesia, whereas the VR B group experienced the tour 10 min before anesthesia at the reception area of the OR. The 4-min VR video used in this study showed the experience of Pororo, an animation character, entering the OR and undergoing anesthesia. We evaluated the anxiety of children using the modified Yale preoperative anxiety scale (m-YPAS), the anxiety of caregivers using Beck anxiety inventory (BAI), and caregivers’ satisfaction. RESULTS: The m-YPAS of the VR B group was significantly lower than that of the control and VR A groups (p = 0.001), whereas there was no statistically significant difference in BAI (p = 0.605) among the 3 groups. The score of caregivers’ satisfaction with the overall process of anesthesia and surgery was higher in VR A group than in the control and VR B groups (p = 0.054). CONCLUSION: The VR experience of an OR immediately before anesthesia was more effective than standard verbal information or a VR tour at the outpatient clinic a few days before anesthesia in reducing the anxiety and distress of children prior to surgery. CLINICAL TRIAL REGISTRATION: [https://cris.nih.go.kr/cris/search/detailSearch.do/20773], identifier [KCT0006845].
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spelling pubmed-95145422022-09-28 The proper timing of virtual reality experience for reducing preoperative anxiety of pediatric patients: A randomized clinical trial Ryu, Jung-Hee Ko, Dayoung Han, Ji-Won Park, Jin-Woo Shin, Aesun Han, Sung-Hee Kim, Hyun-Young Front Pediatr Pediatrics BACKGROUND: The virtual reality (VR) experience of an operation room (OR) prior to anesthesia and surgery has been known to reduce the anxiety and distress of pediatric patients. However, the proper timing needed for this is unknown. This randomized clinical study aimed to evaluate the proper timing of a VR tour of an OR (a few days before vs. immediately before anesthesia) to reduce the anxiety in a pediatric patient undergoing elective surgery. METHODS: The children from the ages of 4–10 years old were randomly divided into three groups. The control group received standard verbal information about the process of anesthesia and surgery 10 min before anesthesia. The VR A group experienced a VR tour at the outpatient clinic a few days before anesthesia, whereas the VR B group experienced the tour 10 min before anesthesia at the reception area of the OR. The 4-min VR video used in this study showed the experience of Pororo, an animation character, entering the OR and undergoing anesthesia. We evaluated the anxiety of children using the modified Yale preoperative anxiety scale (m-YPAS), the anxiety of caregivers using Beck anxiety inventory (BAI), and caregivers’ satisfaction. RESULTS: The m-YPAS of the VR B group was significantly lower than that of the control and VR A groups (p = 0.001), whereas there was no statistically significant difference in BAI (p = 0.605) among the 3 groups. The score of caregivers’ satisfaction with the overall process of anesthesia and surgery was higher in VR A group than in the control and VR B groups (p = 0.054). CONCLUSION: The VR experience of an OR immediately before anesthesia was more effective than standard verbal information or a VR tour at the outpatient clinic a few days before anesthesia in reducing the anxiety and distress of children prior to surgery. CLINICAL TRIAL REGISTRATION: [https://cris.nih.go.kr/cris/search/detailSearch.do/20773], identifier [KCT0006845]. Frontiers Media S.A. 2022-09-13 /pmc/articles/PMC9514542/ /pubmed/36177450 http://dx.doi.org/10.3389/fped.2022.899152 Text en Copyright © 2022 Ryu, Ko, Han, Park, Shin, Han and Kim. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pediatrics
Ryu, Jung-Hee
Ko, Dayoung
Han, Ji-Won
Park, Jin-Woo
Shin, Aesun
Han, Sung-Hee
Kim, Hyun-Young
The proper timing of virtual reality experience for reducing preoperative anxiety of pediatric patients: A randomized clinical trial
title The proper timing of virtual reality experience for reducing preoperative anxiety of pediatric patients: A randomized clinical trial
title_full The proper timing of virtual reality experience for reducing preoperative anxiety of pediatric patients: A randomized clinical trial
title_fullStr The proper timing of virtual reality experience for reducing preoperative anxiety of pediatric patients: A randomized clinical trial
title_full_unstemmed The proper timing of virtual reality experience for reducing preoperative anxiety of pediatric patients: A randomized clinical trial
title_short The proper timing of virtual reality experience for reducing preoperative anxiety of pediatric patients: A randomized clinical trial
title_sort proper timing of virtual reality experience for reducing preoperative anxiety of pediatric patients: a randomized clinical trial
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9514542/
https://www.ncbi.nlm.nih.gov/pubmed/36177450
http://dx.doi.org/10.3389/fped.2022.899152
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