Effectiveness of Virtual Reality in Reducing Anxiety and Pain During the First Postoperative Orthopedic Dressing Change in Pediatric Patients (VR OrthoPed)
Effectiveness of Virtual Reality in Reducing Anxiety and Pain During the First Postoperative Orthopedic Dressing Change in Pediatric Patients: A Randomized Controlled Trial
The goal of this randomized clinical trial is to learn whether immersive virtual reality can reduce anxiety and pain in children and adolescents undergoing postoperative orthopedic dressing changes. The main questions it aims to answer are:
Does immersive virtual reality reduce anxiety during postoperative dressing changes compared with standard care?
Does immersive virtual reality reduce pain and physiological signs of distress, such as changes in heart rate and respiratory rate?
Researchers will compare participants who use an immersive virtual reality headset during the dressing change with participants who receive standard care without virtual reality.
Participants will:
Be randomly assigned to the virtual reality group or the standard care group
Undergo a postoperative orthopedic dressing change with or without immersive virtual reality
Report their anxiety and pain before and after the procedure
Have their heart rate and respiratory rate measured before, during, and after the dressing change
Visão geral do estudo
Status
Condições
Intervenção / Tratamento
Descrição detalhada
Postoperative orthopedic dressing changes can cause anxiety, pain, and physiological distress in pediatric patients. Immersive virtual reality may provide a non-pharmacological form of distraction by directing the participant's attention away from the clinical procedure and toward an engaging virtual environment.
This randomized clinical trial was conducted in a pediatric orthopedic unit to evaluate the use of immersive virtual reality during postoperative dressing changes. After enrollment and baseline assessment, participants were randomly assigned to receive either immersive virtual reality in addition to the usual dressing procedure or standard care alone.
Participants assigned to the virtual reality group wore a head-mounted display and viewed an immersive virtual environment during the dressing change. Participants assigned to the standard care group underwent the same clinical procedure according to usual practice without virtual reality. The dressing change was performed by the clinical team in accordance with routine postoperative care.
Anxiety, pain, heart rate, respiratory rate and peripheral oxygen saturation were assessed at predefined time points before, during, and after the procedure, as applicable. These measurements were used to examine whether immersive virtual reality was associated with reduced psychological and physiological distress during the dressing change.
The study was designed to provide evidence on the potential usefulness of immersive virtual reality as a non-drug supportive intervention during postoperative procedures in pediatric orthopedic care.
Tipo de estudo
Inscrição (Real)
Estágio
- Não aplicável
Contactos e Locais
Locais de estudo
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Liguria
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Genoa, Liguria, Itália, 16132
- Dipartimento di scienze della salute, DISSAL - UNIGE
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Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
- Filho
- Adulto
Aceita Voluntários Saudáveis
Descrição
Inclusion Criteria
- Patients aged 6-18 years.
- Undergoing corrective orthopedic surgery for congenital or acquired limb deformities, with or without external fixation devices, or spinal arthrodesis for scoliosis or spondylolisthesis.
- Undergoing the first postoperative wound dressing procedure.
- Written informed consent obtained from a parent or legal guardian.
- Assent obtained from the participant, when appropriate. Exclusion Criteria
- Neurological disorders.
- History of epilepsy.
- Prematurity.
- Sensory impairments preventing the use of the virtual reality headset.
- Cognitive impairments preventing the use of the virtual reality headset.
- Motor limitations preventing the use of the virtual reality headset.
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Cuidados de suporte
- Alocação: Randomizado
- Modelo Intervencional: Atribuição Paralela
- Mascaramento: Nenhum (rótulo aberto)
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
|---|---|
|
Experimental: Immersive Virtual Reality Plus Standard Care
Participants received the first postoperative orthopedic dressing procedure according to routine clinical practice while using an immersive virtual reality headset.
The headset displayed an immersive virtual environment throughout the dressing procedure as a non-pharmacological distraction intervention.
Standard clinical monitoring and nursing care were provided.
|
Participants used an immersive virtual reality headset during the first postoperative orthopedic dressing procedure.
The headset presented an immersive virtual environment intended to divert attention from the clinical procedure and reduce anxiety, pain, and physiological stress.
The virtual reality intervention was provided in addition to the routine postoperative dressing care delivered by the clinical team.
The headset was worn during the dressing procedure and removed after its completion.
|
|
Comparador Ativo: Standard Care Alone
Participants received the first postoperative orthopedic dressing procedure according to routine clinical practice without the use of immersive virtual reality.
Standard clinical monitoring and nursing care were provided.
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Participants underwent the first postoperative orthopedic dressing procedure according to routine clinical practice without the use of immersive virtual reality.
Standard nursing care and clinical monitoring were provided throughout the procedure.
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O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Change in Anxiety Assessed Using the Visual Analogue Scale for Anxiety
Prazo: Immediately before and immediately after the first postoperative orthopedic dressing procedure
|
Anxiety was assessed using the Visual Analogue Scale for Anxiety (VAS-A), a 100 mm horizontal scale ranging from 0, indicating no anxiety, to 100, indicating maximum anxiety.
Higher scores indicate greater anxiety.
Change in anxiety was calculated as the score immediately after the procedure minus the score immediately before the procedure.
A negative change score indicates a reduction in anxiety.
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Immediately before and immediately after the first postoperative orthopedic dressing procedure
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Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Change in Pain Intensity Assessed Using the Faces Pain Scale
Prazo: Immediately before and immediately after the first postoperative orthopedic dressing procedure
|
Pain intensity in participants aged 6 to 10 years was assessed immediately before and immediately after the first postoperative orthopedic dressing procedure using the Faces Pain Scale.
Higher scores indicate greater pain intensity.
Change in pain was calculated as the post-procedure score minus the pre-procedure score.
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Immediately before and immediately after the first postoperative orthopedic dressing procedure
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Change in Pain Intensity Assessed Using the Numeric Rating Scale
Prazo: Immediately before and immediately after the first postoperative orthopedic dressing procedure.
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Pain intensity in participants older than 10 years was assessed immediately before and immediately after the first postoperative orthopedic dressing procedure using the Numeric Rating Scale (0-10).
Higher scores indicate greater pain intensity.
Change in pain was calculated as the post-procedure score minus the pre-procedure score.
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Immediately before and immediately after the first postoperative orthopedic dressing procedure.
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Colaboradores e Investigadores
Patrocinador
Colaboradores
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo (Real)
Conclusão Primária (Real)
Conclusão do estudo (Real)
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Real)
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Mais Informações
Termos relacionados a este estudo
Palavras-chave
Termos MeSH relevantes adicionais
Outros números de identificação do estudo
- VR OrthoPed
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