Anxiety and Fear, Child, Only, Pain, Acute
Conditions
Keywords
phlebotomy, virtual reality
Brief summary
This randomized controlled study was conducted to evaluate the effect of distraction methods using virtual reality on the emotional appearance, pain, fear, and anxiety associated with the procedure during phlebotomy in children aged 6-12 in a private blood collection unit.
Detailed description
The data of the study was collected with Socio-demographic Data Collection Form, Emotional Appearance Scale for Children, Facial Expression Rating Scale, Child Anxiety Scale-State, and Child Fear Scale. Demographic data and mean scores obtained from the scales were compared between the virtual reality groups, and the control group.
Interventions
DEVICEpassive virtual reality distraction
watching the application by wearing virtual glasses to the child during the phlebotomy
DEVICEactive virtual reality distraction
The remote control of the virtual glasses will be given to the hand, and the child will start, slow down or stop the application herself.
Sponsors
Dokuz Eylul University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Investigator)
Masking description
Before blood collection, the Emotional Appreance Scale for Children was evaluated by a non-researcher nurse. Pediatric patients between the ages of 6 and 12, from whom blood would be collected, were distributed to groups according to the randomization scheme.
Eligibility
Sex/Gender
ALL
Age
6 Years to 12 Years
Healthy volunteers
Yes
Inclusion criteria
* The child agrees to participate in the study voluntarily. * The parent agrees to participate in the study voluntarily. * Obtaining consent forms from the child and parent
Exclusion criteria
* The child has a physical and psychological deficit that will prevent him from wearing the glasses that will be placed on his head to watch virtual reality. * Having fever (\>37.5C) and severe dehydration * The patient did not take analgesics before the intervention
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| procedure related pain | 3 minutes after the phlebotomy | Wong-Baker FACES (WBS) Pain Rating Scale. This scale uses in children aged 3 and older to rate pain severity, ranges from 0 (very happy/no pain) to 10 (hurts worst). |
| anxiety | 3 minutes before and after the phlebotomy | The Children's Anxiety Meter (CAM-S). 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). This scale ranges from 0 to 10. Higher values represent higher anxiety |
| fear | 3 minutes before and after the phlebotomy | 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. |
| emotional apperance | 3 minutes before and after the phlebotomy | This scale allows direct behavioral observation, 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 represents 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. Higher scale score indicates the appearance of more negative emotional behaviors |
Countries
Turkey (Türkiye)
Outcome results
None listed