Comparing novel virtual reality and nursing standard care on burn wound care pain in adolescents: A randomized controlled trial.
Covid-19
acute procedural pain
adolescents
anxiety
burn wound care
burns
distraction
randomized controlled trial
virtual reality
Journal
Journal for specialists in pediatric nursing : JSPN
ISSN: 1744-6155
Titre abrégé: J Spec Pediatr Nurs
Pays: United States
ID NLM: 101142025
Informations de publication
Date de publication:
14 Dec 2023
14 Dec 2023
Historique:
revised:
13
11
2023
received:
18
04
2023
accepted:
20
11
2023
medline:
14
12
2023
pubmed:
14
12
2023
entrez:
14
12
2023
Statut:
aheadofprint
Résumé
This study compared the effectiveness of age-appropriate, high technology, interactive virtual reality (VR) distraction with standard care (SC) provided by the nurse on adolescents' acute procedural pain intensity perception during burn wound care treatment in the ambulatory clinic setting. This randomized controlled trial included 43 adolescents ages 10-21 from the ambulatory burn clinic of a large children's hospital. Blinded study participants were randomly assigned to either VR or SC (non-significantly different, current mean burn surface area, 1.3 and 1.7, respectively) during the first burn wound care procedure in the burn clinic. Blinded research staff collected pre-procedure data including Spielberger's State-Trait Anxiety Inventory and postprocedure wound care pain intensity using the Adolescent Pediatric Pain Tool. A total of 41 participants completed all study procedures. No statistically significant difference in burn wound care procedural pain was noted between the VR and SC groups after adjusting for several factors. Pre-procedure state and trait anxiety correlated with reported pre-procedure pain. Wound care pain was found to be significantly associated with pre-wound care pain score, time from original burn to clinic burn care treatment, and length of wound care treatment. These factors accounted for approximately 45% of the variation in pain scores during wound care treatment. VR distraction can be a useful pain management strategy but may not take the place of the unique nurse-patient relationship that occurs during clinical encounters. Tailoring pain management during burn wound care requires consideration of anxiety, time from the burn injury to the wound care procedure, length of time of the wound care procedure, and pretreatment pain level. Knowing patients' needs, desires, and temperaments along with the specifics about the healthcare procedures are critical to formulating individualized care plans that may or may not include VR. Newer technology, such as easier-to-use, less expensive VR, may assist with translation into practice making its clinical use more routine.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e12419Subventions
Organisme : Arkansas Children's Research Institute
Informations de copyright
© 2023 Wiley Periodicals LLC.
Références
Armstrong, M., Lun, J., Groner, J. I., Thakkar, R. K., Fabia, R., Noffsinger, D., Ni, A., Keesari, R., & Xiang, H. (2022). Mobile phone virtual reality game for pediatric home burn dressing pain management: A randomized feasibility clinical trial. Pilot and Feasibility Studies, 8(1), 186. https://doi.org/10.1186/s40814-022-01150-9
Askay, S. W., & Patterson, D. R. (2008). What are the psychiatric sequelae of burn pain. Current Pain and Headache Reports, 12(2), 94-97. https://doi.org/10.1007/s11916-008-0018-1
Atzori, B., Vagnoli, L., Graziani, D., Hoffman, H. G., Sampaio, M., Alhalabi, W., Messeri, A., & Lauro-Grotto, R. (2022). An exploratory study on the effectiveness of virtual reality analgesia for children and adolescents with kidney diseases undergoing venipuncture. International Journal of Environmental Research and Public Health, 19(4), 2291. https://doi.org/10.3390/ijerph19042291
Bhatia, D., Mikulich-Gilbertson, S. K., & Sakai, J. T. (2020). Prescription opioid misuse and risky adolescent behavior. Pediatrics, 145(2), e20192470. https://doi.org/10.1542/peds.2019-2470
Birnie, K. A., Kulandaivelu, Y., Jibb, L., Hroch, P., Positano, K., Robertson, S., Campbell, F., Abla, O., & Stinson, J. (2018). Usability testing of an interactive virtual reality distraction intervention to reduce procedural pain in children and adolescents with cancer. Journal of Pediatric Oncology Nursing, 35(6), 406-416. https://doi.org/10.1177/1043454218782138
Brown, N. J., David, M., Cuttle, L., Kimble, R. M., Rodger, S., & Higashi, H. (2015). Cost-effectiveness of a nonpharmacological intervention in pediatric burn care. Value in Health, 18(5), 631-637. https://doi.org/10.1016/j.jval.2015.04.011
Children's Hospital Association. (2019). Innovations for 2019 and beyond. Children's Hospitals Today, 27(1), 18.
Czech, O., Wrzeciono, A., Batalík, L., Szczepańska-Gieracha, J., Malicka, I., & Rutkowski, S. (2022). Virtual reality intervention as a support method during wound care and rehabilitation after burns: A systematic review and meta-analysis. Complementary Therapies in Medicine, 68, 102837. https://doi.org/10.1016/j.ctim.2022.102837
Delshad, S. D., Almario, C. V., Fuller, G., Luong, D., & Spiegel, B. M. R. (2018). Economic analysis of implementing virtual reality therapy for pain among hospitalized patients. NPJ Digital Medicine, 1, 22. https://doi.org/10.1038/s41746-018-0026-4
Eijlers, R., Utens, E., Staals, L. M., de Nijs, P., Berghmans, J. M., Wijnen, R., Hillegers, M., Dierckx, B., & Legerstee, J. S. (2019). Systematic review and meta-analysis of virtual reality in pediatrics: Effects on pain and anxiety. Anesthesia and Analgesia, 129(5), 1344-1353. https://doi.org/10.1213/ANE.0000000000004165
Esselman, P. C., Thombs, B. D., Magyar-Russell, G., & Fauerbach, J. A. (2006). Burn rehabilitation: State of the science. American Journal of Physical Medicine & Rehabilitation, 85(4), 383-413. https://doi.org/10.1097/01.phm.0000202095.51037.a3
Fauerbach, J. A., Lawrence, J. W., Haythornthwaite, J. A., & Richter, L. (2002). Coping with the stress of a painful medical procedure. Behaviour Research and Therapy, 40, 1003-1015. https://doi.org/10.1016/s0005-7967(01)00079-1
Fauerbach, J. A., McKibben, J., Bienvenu, O. J., Magyar-Russell, G., Smith, M. T., Holavanahalli, R., Patterson, D. R., Wiechman, S. A., Blakeney, P., & Lezotte, D. (2007). Psychological distress after major burn injury. Psychosomatic Medicine, 69, 473-482. https://doi.org/10.1097/psy.0b013e31806bf393
Ford, C. G., Manegold, E. M., Randall, C. L., Aballay, A. M., & Duncan, C. L. (2018). Assessing the feasibility of implementing low-cost virtual reality therapy during routine burn care. Burns, 44(4), 886-895. https://doi.org/10.1016/j.burns.2017.11.020
Gillum, M., Huang, S., Kuromaru, Y., Dang, J., Yenikomshian, H. A., & Gillenwater, T. J. (2022). Nonpharmacologic management of procedural pain in pediatric burn patients: A systematic review of randomized controlled trials. Journal of Burn Care & Research, 43, 368-373. https://doi.org/10.1093/jbcr/irab167
Hilliard, C., & O'Neill, M. (2010). Nurses' emotional experience of caring for children with burns. Journal of Clinical Nursing, 19, 2907-2915. https://doi.org/10.1111/j.1365-2702.2009.03177.x
Hoag, J. A., Karst, J., Bingen, K., Palou-Torres, A., & Yan, K. (2022). Distracting through procedural pain and distress using virtual reality and guided imagery in pediatric, adolescent, and young adult patients: Randomized controlled trial. Journal of Medical Internet Research, 24(4), e30260. https://doi.org/10.2196/30260
Hoffman, H. G., Patterson, D. R., Rodriguez, R. A., Peña, R., Beck, W., & Meyer, W. J. (2020). Virtual reality analgesia for children with large severe burn wounds during burn wound debridement. Frontiers in Virtual Reality, 1, 602299.
Hoffman, H. G., Richards, T., Coda, B., Richards, A., & Sharar, S. R. (2003). The illusion of presence in immersive virtual reality during an fMRI brain scan. Cyberpsychology & Behavior: The Impact of the Internet, Multimedia and Virtual Reality on Behavior and Society, 6(2), 127-131. https://doi.org/10.1089/109493103321640310
Indovina, P., Barone, D., Gallo, L., Chirico, A., De Pietro, G., & Giordano, A. (2018). Virtual reality as a distraction intervention to relieve pain and distress during medical procedures: A comprehensive literature review. The Clinical Journal of Pain, 34(9), 858-877. https://doi.org/10.1097/AJP.0000000000000599
James, D. L., & Jowza, M. (2017). Principles of burn pain management. Clinics in Plastic Surgery, 44, 737-747. https://doi.org/10.1016/j.cps.2017.05.005
Jeffs, D., Dorman, D., Brown, S., Files, A., Graves, T., Kirk, E., Meredith-Neve, S., Sanders, J., White, B., & Swearingen, C. J. (2014). Effect of virtual reality on adolescent pain during burn wound care. Journal of Burn Care & Research, 35(5), 395-408. https://doi.org/10.1097/BCR.0000000000000019
Jeffs, D. A. (2007). A pilot study of distraction for adolescents during allergy testing. Journal for Specialists in Pediatric Nursing, 12(3), 170-185. https://doi.org/10.1111/j.1744-6155.2007.00110.x
de Jesus Catalã, C. A., Pan, R., Rossetto Kron-Rodrigues, M., & de Oliveira Freitas, N. (2022). Virtual reality therapy to control burn pain: Systematic review of randomized controlled trials. Journal of Burn Care & Research, 43(4), 880-888. https://doi.org/10.1093/jbcr/irab213
Kashyap, M. V., & Blinman, T. A. (2021). Pain management in pediatric trauma. Current Trauma Reports, 7, 60-72. https://doi.org/10.1007/s40719-021-00216-y
Kipping, B., Rodger, S., Miller, K., & Kimble, R. M. (2012). Virtual reality for acute pain reduction in adolescents undergoing burn wound care: A prospective randomized controlled trial. Burns, 38(5), 650-657. https://doi.org/10.1016/j.burns.2011.11.010
Lambert, V., Boylan, P., Boran, L., Hicks, P., Kirubakaran, R., Devane, D., & Matthews, A. (2020). Virtual reality distraction for acute pain in children. The Cochrane Database of Systematic Reviews, 10(10), 010686. https://doi.org/10.1002/14651858.CD010686.pub2
Lauwens, Y., Rafaatpoor, F., Corbeel, K., Broekmans, S., Toelen, J., & Allegaert, K. (2020). Immersive virtual reality as analgesia during dressing changes of hospitalized children and adolescents with burns: A systematic review with meta-analysis. Children, 7(11), 194. https://doi.org/10.3390/children7110194
Law, E. F., Dahlquist, L. M., Sil, S., Weiss, K. E., Herbert, L. J., Wohlheiter, K., & Horn, S. B. (2010). Videogame distraction using virtual reality technology for children experiencing cold pressor pain: The role of cognitive processing. Journal of Pediatric Psychology, 36(1), 84-94. https://doi.org/10.1093/jpepsy/jsq063
LeMay, S., Hupin, M., Khadra, C., Ballard, A., Paquin, D., Beaudin, M., Bouchard, S., Cotes-Turpin, C., Noel, M., Guingo, E., Hoffman, H. G., Déry, J., Hung, N., & Perreault, I. (2021). Decreasing pain and fear in medical procedures with a pediatric population (DREAM): A pilot randomized within-subject trial. Pain Management Nursing, 22, 191-197. https://doi.org/10.1016/j.pmn.2020.10.002
Mahrer, N. E., & Gold, J. I. (2009). The use of virtual reality for pain control: A review. Current Pain and Headache Reports, 13(2), 100-109. https://doi.org/10.1007/s11916-009-0019-8
McCaul, K. D., & Malott, J. M. (1984). Distraction and coping with pain. Psychological Bulletin, 95(3), 516-533.
Rees, G., Frith, C., & Lavie, N. (2001). Processing of irrelevant visual motion during performance of an auditory attention task. Neuropsychologia, 39, 937-949. https://doi.org/10.1016/s0028-3932(01)00016-1
Retrouvey, H., & Shahrokhi, S. (2015). Pain and the thermally injured patient-A review of current therapies. Journal of Burn Care & Research, 36(2), 315-323. https://doi.org/10.1097/BCR.0000000000000073
Ridout, B., Kelson, J., Campbell, A., & Steinbeck, K. (2021). Effectiveness of virtual reality interventions for adolescent patients in hospital settings: Systematic review. Journal of Medical Internet Research, 23, e24967. https://doi.org/10.2196/24967
Romanowski, K. S., Carson, J., Pape, K., Bernal, E., Sharar, S., Wiechman, S., Carter, D., Liu, Y. M., Nitzschke, S., Bhalla, P., Litt, J., Przkora, R., Friedman, B., Popiak, S., Jeng, J., Ryan, C. M., Joe, V., & The American Burn Association Committee for the Organization and Delivery of Burn Care. (2020). American Burn Association guidelines on the management of acute pain in the adult burn patient: A review of the literature, a compilation of expert opinion, and next steps. Journal of Burn Care & Research, 41, 1129-1151. https://doi.org/10.1093/jbcr/iraa119
Savaş, E. H., Demir, A. S., Semerci, R., & Karadağ, A. (2023). Effect of virtual reality on pain during burn dressing in children: A systematic review and meta-analysis of randomized controlled trials. Journal of Pediatric Nursing, S0882-5963(23)00279-8. https://doi.org/10.1016/j.pedn.2023.10.002
Savedra, M. C., Holzemer, W. L., Tesler, M. D., & Wilkie, D. J. (1993). Assessment of postoperation pain in children and adolescents using the adolescent pediatric pain tool. Nursing Research, 42(1), 5-9.
Savedra, M. C., Tesler, M. D., Holzemer, W. L., Wilkie, D. J., & Ward, J. A. (1989). Pain location: Validity and reliability of body outline markings by hospitalized children and adolescents. Research in Nursing & Health, 12(5), 307-314. https://doi.org/10.1002/nur.4770120506
Smith, J. S., Smith, K. R., & Rainey, S. L. (2006). The psychology of burn care. Journal of Trauma Nursing, 13(3), 105-106. https://doi.org/10.1097/00043860-200607000-00006
Spielberger, C. D., & Edwards, C. D. (1973). State-trait anxiety inventory for children: STAIC: How I feel questionnaire: Professional manual. Mind Garden.
Tesler, M. D., Savedra, M. C., Holzemer, W. L., Wilkie, D. J., Ward, J. A., & Paul, S. M. (1991). The word-graphic rating scale as a measure of children's and adolescents' pain intensity. Research in Nursing & Health, 14(5), 361-371. https://doi.org/10.1002/nur.4770140507
Thosar, N. R., Bane, S. P., Deulkar, P. V., Deshpande, M. A., & Gupta, S. (2022). Effectiveness of two different behavior modification techniques for anxiety reduction in children. Cureus, 14(8), e28141. https://doi.org/10.7759/cureus.28141
Vermelho, M. M., & Curado, M. A. D. (2022). The use of Virtual Reality in pain management during the burn wound dressing change in children: Systematic review and meta-analysis. (Pre-print) https://doi.org/10.21203/rs.3.rs-2031394/v1
Vest, E., Armstrong, M., Olbrecht, V. A., Thakkar, R. K., Fabia, R. B., Groner, J. I., Noffsinger, D., Tram, N. K., & Xiang, H. (2023). Association of pre-procedural anxiety with procedure-related pain during outpatient pediatric burn care: A pilot study. Journal of Burn Care & Research, 44(3), 610-617. https://doi.org/10.1093/jbcr/irac108
Wiechman, S., Saxe, G., & Fauerbach, J. A. (2017). Psychological outcomes following burn injuries. Journal of Burn Care & Research, 38, 629. https://doi.org/10.1097/BCR.0000000000000549
Wiechman Askay, S., Patterson, D. R., Sharar, S. R., Mason, S., & Faber, B. (2009). Pain management in patients with burn injuries. International Review of Psychiatry, 21(6), 522-530. https://doi.org/10.3109/09540260903343844
Wilkie, D. J., Holzemer, W. L., Tesler, M. D., Ward, J. A., Paul, S. M., & Savedra, M. C. (1990). Measuring pain quality: Validity and reliability of children's and adolescents' pain language. Pain, 41(2), 151-159. https://doi.org/10.1016/0304-3959(90)90019-A
Xiang, H., Shen, J., Wheeler, K. K., Patterson, J., Lever, K., Armstrong, M., Shi, J., Thakkar, R. K., Groner, J. I., Noffsinger, D., Giles, S. A., & Fabia, R. B. (2021). Efficacy of smartphone active and passive virtual reality distraction vs standard care on burn pain among pediatric patients: A randomized clinical trial. JAMA Network Open, 4(6), e2112082. https://doi.org/10.1001/jamanetworkopen.2021.12082
Zolfaghari, E., Ridout, B., Medlow, S., Campbell, A., Coggins, A., Murphy, M., Jani, S., Thosar, D., Wiederhold, B. K., Wiederhold, M., & Steinbeck, K. (2022). Exploring the use of virtual reality to manage distress in adolescent patients in emergency departments: A feasibility study. Emergency Medicine Australasia, 34, 687-693. https://doi.org/10.1111/1742-6723.13945