Effect of Virtual Reality Glasses on Pain During Burn Dressing

Abstract

Objective: The study was conducted as a randomized controlled experimental study in order to determine the effect of virtual reality glasses on pain during burn dressing in inpatients and outpatients in the burn unit. Methods: The research was carried out in the Burn Unit of Izmir Bozyaka Training and Research Hospital between July and August 2021. The sample size was 60 patients who were selected by random sampling and consented to take part in the study. The cohort was divided into 30 in the experimental group and 30 controls. The patients in the experimental group wore virtual reality glasses with vision and sound before the dressing started. The patients in the control group underwent routine burn dressing. Sociodemographic Data Questionnaire and Numerical Pain Scale were used to collect data. Results: The pain scale mean score of the experimental group (4.17±1.60) was significantly lower than the mean score of the control group (6.17±1.58) (p=0.000). Conclusion: The use of virtual reality glasses during burn dressing, which is usually a very painful procedure, reduced patient perception of pain. It is recommended that the application be started to be used on a regular basis in the burn unit.

Keywords

• Virtual reality
• pain
• burn
• nursing

References

1. Ovayolu N, Türk N, Uçan Ö. Yanık nedeniyle acile gelen hastaların değerlendirilmesi ve hemşirelik yaklaşımı. Journal of Nursology. 2006;9(4):91-98. https://dergipark.org.tr/tr/pub/ataunihem/issue/2635/33906
2. Patterson DR, Hofland HW, Espey K et al. Pain management. Burns 2004;30:A10-A15. doi: 10.1016/j.burns.2004.08.004.
3. Pirbudak Çöçelli L, Bacaksız, BD, Ovayolu, N. Ağrı tedavisinde hemşirenin rolü. Eur J Ther. .2008;14:53-58
4. Yılmaz F, Atay S. Hemşirelik öğrencilerinin klinik ağrı yönetimi. HUHEMFAD. 2014;1(2): 32-41. https://dergipark.org.tr/tr/pub/hunhemsire/issue/7854/103384
5. Scates D, Dickinson J, Sullivan K et al. Virtual reality for cancer patients: a design thinking approach for a sensory experience to reduce stress and pain 2018. http://wagner.radford.edu/422/14/DScates_Thesis_FINAL.pdf
6. Guo C, Deng H, Yang J. Effect of virtual reality distraction on pain among patients with hand injury undergoing dressing change. J Clin Nurs. 2015;24(1–2): 115–20. doi: 10.1111/jocn.12626
7. Genç H, Sarıtas S. The effects of watching comedy videos on anxiety and vital signs in surgical oncology patients. Explore. 2020;16 (6):401– 6. doi: 10.1016/j.explore.2020.02.009.
8. Karaman, D. Meme biyopsisi sırasında sanal gerçeklik uygulamasının ağrı ve anksiyete üzerine etkisi. Bülent Ecevit Univesity. Institute of Health Sciences, Department of Nursing, Surgical Nursing Program. Master's thesis. Zonguldak, 2016. https://acikbilim.yok.gov.tr/bitstream/handle/20.500.12812/598090/yokAcikBilim_10115984.pdf?sequence=-1&isAllowed=y

9. Ayed I, Ghazel A, Jaume-i-Capó A et al. Vision-based serious games and virtual reality systems for motor rehabilitation: A review geared toward a research methodology. Int J Med Inform. 2019;131:103909. doi: 10.1016/j.ijmedinf.2019.06.016
10. İnal S, Canbulut N. Çocuklarda işlemsel ağrı yönetiminde dikkati başka yöne çekme yöntemlerinin kullanılması. J Curr Pediatr. 2015: 13;116-121. https://doi.org/10.4274/jcp.29292
11. Wiederhold B, Gao K, Kong L et al. Mobile devices as adjunctive pain management tools. Cyberpsychology, Behavıor, And Socıal Networkıng. 2014:17(6); 385- 389. doi: 10.1089/cyber.2014.0202
12. Hoffman HG, Chambers GT, Meyer WJ et al. Virtual reality as an adjunctive non-pharmacologic analgesic for acute burn pain during medical procedures. Ann Behav Med. 2011: 41(2); 183–91. doi: 10.1007/s12160-010-9248-7
13. Kim Y, Kim H, Kim YO. Virtual reality and augmented reality in plastic surgery, A Review. Arch Plast Surg. 2017: 44 (3);179-187. doi: 10.5999/aps.2017.44.3.179
14. Schneider SM, Paul MP, Allen MJ et al. Virtual reality as a distraction intervention for women receiving chemotherapy. Oncology Nursing Forum. 2004:31 (1); 81-88. doi: 10.1188/04.ONF.81-88
15. Hoffman HG, Richards TL, Coda B. Modulation of thermal pain-related brain activity with virtual reality: evidence from fMRI. Neuroreport 2004;15:1245-1248. doi: 10.1097/01.wnr.0000127826.73576.91
16. Mallari B, Spaeth EK, Goh H et al. Virtual reality as an analgesic for acute and chronic pain in adults: a systematic review and meta-analysis. Journal Of Pain Research. 2019; 2053-2085. doi: 10.2147/JPR.S200498
17. Şen H. Arteriovenöz Fistül Kanülasyon İşlemi Sırasında Uygulanan Sanal Gerçeklik Gözlüğünün Ağrı ve Hasta Memnuniyetine Etkisi, (Master Thesis), Mersin Univesity, 2020 https://acikbilim.yok.gov.tr/handle/20.500.12812/219130?show=full
18. Gerçeker G, Binay Ş, Bilsin E et al. Effects of virtual reality and external cold and vibration on pain in 7- to 12-year-old children during phlebotomy: a randomized controlled trial. J Perianesthesia Nurs. 2018;33(6); 981–9. doi: 10.1016/j.jopan.2017.12.010
19. Jahani Shoorab N, Ebrahimzade Zagami S, Nahvi A et al. The effect of virtual reality on pain in primiparity women during episiotomy repair: a randomize clinical trial. Iran J Med Sci. 2015:40 (3);219 – 225. https://pubmed.ncbi.nlm.nih.gov/25999621/
20. Aydın AI, Özyazıcıoğlu N. Çocuklarda sanal gerçeklik gözlüğü kullanımının kan alma işlemi sırasında oluşan ağrıyı azaltmaya etkisi. Master Thesis, Uludağ University Institute of Health Sciences, Bursa. 2018 https://acikerisim.uludag.edu.tr/handle/11452/3548
21. Chen YJ, Cheng SF, Lee PC et al. Distraction using virtual reality for children during intravenous injections in an emergency department: A randomized trial. J Clin Nurs. 2019:00;1–8. doi: 10.1111/jocn.15088
22. Kaplan B. Çocuklarda damar yolu açma işlemi sırasında oluşan ağrıyı azaltmada sanal gerçeklik gözlüğünün etkisi. Erciyes University. Institute of Health Sciences, Department of Nursing, Child Health and Diseases Nursing. Doctoral thesis. Kayseri 2020. https://tez.yok.gov.tr/UlusalTezMerkezi/tezDetay.jsp?id=6_6PBK9lo1SBLYFxJaqG3A&no=QEq-3_IhOIyoZOsP-ThBow
23. Luo H, Cao C, Zhong J et al. Adjunctive virtual reality for procedural pain management of burn patients during dressing change or physical therapy: A systematic review and meta‐analysis of randomized controlled trials. Wound Rep Reg. 2019: 27; 90-101. doi: 10.1111/wrr.1
24. Hoffman HG, Doctor JN, Patterson DR et al. Virtual reality as an adjunctive pain control during burn wound care in adolescent patients. Pain. 2000:85;305–9. doi: 10.1016/s0304-3959(99)00275-4
25. Hoffman HG, Rodriquez RA, Gonzalez M et al. Immersive virtual reality as an adjunctive non-opioid analgesic for predominantly Latin American children with large severe burn wounds during burn wound cleaning in the Intensive Care Unit: A pilot study. Front. Hum. Neurosci. 2019:13;262-267. doi: 10.3389/fnhum.2019.00262
26. Scapin S, Echevarría-Guanilo ME, Boeira Fuculo Junior PR et al. Virtual reality in the treatment of burn patients: A systematic review. Burns. 2018: 44(6);1403–16. doi: 10.1016/j.burns.2017.11.002
27. Smith KL, Wang Y, Colloca, L Impact of virtual reality technology on pain and anxiety in pediatric burn patients: a systematic review and meta-analysis. Front. Virtual Real. 2022: 2; 751735. https://www.frontiersin.org/articles/10.3389/frvir.2021.751735/full
28. Farzan R, Parvizi A, Haddadi S, Sadeh Tabarian M, Jamshidbeigi A, Samidoust P. Et all. Effects of non-pharmacological interventions on pain intensity of children with burns: A systematic review and meta-analysis. Int. Wound J. 2023:20(7):2898-2913. doi: 10.1111/iwj.14134.
29. Norouzkhani N, Arani RC, Mehrabi H. Effect of virtual reality-based interventions on pain during wound Care in Burn Patients; a systematic review and meta-analysis. Arch Acad Emerg Med. 2022:10(1); e84. doi: 10.22037/aaem.v10i1.1756
30. McSherry T, Atterbury M, Gartner S et al. Randomized, crossover study of immersive virtual reality to decrease opioid use during painful wound care procedures in adults. J Burn Care Res. 2018;39(2):278-85. doi: 10.1097/BCR.0000000000000589
31. Maani CV, Hoffman HG, Morrow M et al. Virtual reality pain control during burn wound debridement of combat-related burn injuries using robot-like arm mounted VR goggles. J Trauma. 2011:71(10); S125. doi: 10.1097/TA.0b013e31822192e2.