Anxiety State, Emotional Distress, Fear, Pain, Acute
Conditions
Brief summary
The aim of this study was to evaluate the effect of a vein imaging device and virtual reality distraction on the success of peripheral intravenous catheter (PIC) placement, intervention duration, emotional appearance, pain, fear, and anxiety related to PIC intervention in children aged 4-10 years in a pediatric emergency unit.
Detailed description
The children were divided into four groups: control group, vein imaging group, virtual reality group, and vein imaging and virtual reality group. The duration of the intervention and the number of PIC interventions performed on each patient were recorded. The children were assessed before and after the procedure using the Emotional Appearance Scale for Children. After the procedure, the Child Fear Scale and Child Anxiety Scale-State were used to evaluate the most painful moment experienced by the child during the procedure using the Wong-Baker FACES (WB-FACES) and Color Analog Scale.
Interventions
DEVICEvein viewer
The PIC region was visualized with the help of the device, and the vein to which the intervention would be applied was determined.
DEVICEvirtual reality
The child watched the application by wearing virtual glasses during the PIC insertion
DEVICEvein viewer and virtual reality
The PIC region was visualized with the help of the device, and the vein to which the intervention would be applied was determined. The child watched the application by wearing virtual glasses during the PIC insertion
Sponsors
Dokuz Eylul University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
4 Years to 10 Years
Healthy volunteers
No
Inclusion criteria
* Children between the ages of 4-10 * The child agrees to voluntarily participate in the study. * Parents agree to voluntarily participate in the study * Obtaining consent from the child and parent
Exclusion criteria
* Need for urgent resuscitation * Having a fever (\>37.5C) and severe dehydration * The fact that the patient had taken analgesics before the PIC intervention.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain assesed by Wong-Baker FACES | immediately after the vascular access (on average 2-3 minutes later) | Wong-Baker FACES (WB-FACES) Pain Rating Scale used. This scale uses in children aged 3 and older to rate pain severity. This numeric rating scale ranges from 0 to 10. |
| Anxiety assesed by Children Anxiety Meter-State | immediately after the vascular access (on average 2-3 minutes later) | The Children's Anxiety Meter. The Children's Anxiety Meter 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). higher scores mean a worse outcome. |
| Fear assesed by Child Fear Scale | immediately after the vascular access (on average 2-3 minutes later) | The Child Fear Scale. This one-item scale measures procedure-related fear in children, consisting of five sex-neutral faces ranging 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 success of peripheral intravenous catheter (PIC) placement | at PIC insertion | first IV attempt |
| Emotional Appearance by Emotional Appearance Scale for Children | before the PIC insertion and immediately after the PIC insertion (on average 2-3 minutes later)] | This scale allows direct behavioral observation, and consists of 5 different behavioral categories; 'Facial Expression', 'Speaking', 'Activity', 'Interaction' and 'Cooperation Level'. Scale scoring is done by reviewing the descriptions of behavior in each category and selecting the numerical value that most represent the observed behavior. Each category is scored from 1 to 5. The total score is made so that the numerical value is between 5-25 by adding the points obtained for each category. A higher scale score indicates the appearance of more negative emotional behaviors. |
Countries
Turkey (Türkiye)
Outcome results
None listed