TY  - JOUR
T1  - YANIK TEDAVİSİNDE YENİLİKÇİ TEKNOLOJİ: SANAL GERÇEKLİK
TT  - InnovativeTechnologyinBurnTreatment: Virtual Reality
AU  - Şahin, Fatma
PY  - 2025
DA  - August
Y2  - 2025
DO  - 10.47115/jshs.1558085
JF  - Samsun Sağlık Bilimleri Dergisi
JO  - JSHS
PB  - Ondokuz Mayıs Üniversitesi
WT  - DergiPark
SN  - 2791-9722
SP  - 149
EP  - 156
VL  - 10
IS  - 2
LA  - tr
AB  - Sanal gerçeklik teknolojisi, sağlık bakım uygulamalarında etkisi kanıtlanan, teknolojinin sunduğu önemli yeniliklerden biridir. Sanal gerçeklik sağlık uygulamalarında ve hasta yönetiminde güçlü araçlar olma potansiyeli vardır. Hasta ve bakım verenler tarafından güvenli bir şekilde uygulanabileceği bilinmektedir.Yanık sürecinde sanal gerçeklik; hastaların yaşadığı korku, anksiyete üzerine, ayrıca ağrının giderilmesinde farmakolojik olmayan anestezi yöntemi olarak da etkili olan bir yöntemdir. Bunların yanı sıra, sanal gerçekliğin epitelizasyonu hızlandırarak yanık hastalarında iyileşme sürecini desteklediği bilinmektedir. Bu derlemenin amacı, sağlık bakım uygulamalarında hemşireler ve diğer sağlık profesyonelleri için önemli bir teknoloji olarak kullanıma sunulan sanal gerçeklik teknolojisinin,yanık yaralanması olan hastalarda ağrı ve psikolojik etkilerinin bakım sonuçlarına yansıması güncel literatür doğrultusunda ele almaktır.
KW  - Hemşirelik bakımı
KW  - Sanal gerçeklik
KW  - Yanık.
KW  - Teknoloji
N2  - Virtual Realitytechnology is one of thesignificantinnovationsofferedbytechnology, which has provenitseffectiveness in healthcareapplications. Virtual reality has thepotentialto be powerfultools in healthcareapplicationsandpatientmanagement. It is knownto be safelyapplicablebybothpatientsandcaregivers. Intheburninjuryprocess, virtualreality is an effectivemethodformanagingpatients' fear, anxiety, and as a non-pharmacologicalanesthesiamethodforpainrelief. Inadditiontothisbenefits, virtualrealityaccelerateepithelialization, andsupportstheheal in process in burnpatients. Theaim of thisreview is todiscusstheimpact of virtualrealitytechnology, which has beenpresented as an importanttoolfornursesandotherhealthcareprofessionals, on thepainandpsychologicaleffects in patientswithburninjuries, based on currentliterature.
CR  - Ahmadpour, N., Randall, H., Choksi, H., Gao, A., Vaughan, C., & Poronnik, P. (2019). Virtual realityinterventionsforacuteandchronicpainmanagement. The International Journal of Biochemistry& Cell Biology, 114, 105568. https://doi.org/10.1016/j.biocel.2019.105568
CR  - Akbaş Uysal, D., Şenuzun Aykar, F., & Uyar, M. (2024). The effects of aromatherapyandmusic on pain, anxiety, andstresslevels in palliativecarepatients. SupportiveCare in Cancer, 32(10), 632. https://doi.org/10.1007/s00520-024-08837-0
CR  - Ali, M. B., Warda, T., Raza, F. Z., Laeeq, T., Ali, M. B., Ali, M., & Imtiaz, F. (2020). Knowledge andattitudesaboutburncomplications in medicalstudents. Burns, 46(4), 876–881. https://doi.org/10.1016/j.burns.2019.10.002
CR  - Appel, L., Kisonas, E., Appel, E., Klein, J., Bartlett, D., Rosenberg, J., & Smith, C. N. (2021). Administeringvirtualrealitytherapytomanagebehavioralandpsychologicalsymptoms in patientswithdementiaadmittedto an acutecarehospital: Results of a pilot study. JMIR FormativeResearch, 5(2), e22406. https://doi.org/10.2196/22406
CR  - Armstrong, M., Lun, J., Groner, J. I., Thakkar, R. K., Fabia, R., Noffsinger, D.,… Xiang, H. (2022). Mobile phone virtual reality game for pediatric home burn dressing pain management: A randomized feasibility clinicaltrial. Pilot and Feasibility Studies, 8(1), 186. https://doi.org/10.1186/s40814-022-01150-9
CR  - Celik, S. S., Celik, Y., Arslan, H. N., & Bozkul, G. (2024). Theeffect of virtualreality-basedinterventions on pain in burnwoundcare in burnpatients: A systematicreviewand meta-analysis. Journal of TissueViability. (Basım aşamasında)
CR  - Czech, O., Wrzeciono, A., Batalík, L., Szczepańska-Gieracha, J., Malicka, I., & Rutkowski, S. (2022). Virtual reality intervention as a support method during woundcare and rehabilitation after burns: A systematicreviewand meta-analysis. Complementary Therapies in Medicine, 68, 102837. https://doi.org/10.1016/j.ctim.2022.102837
CR  - Döner, N. H., & Usta Yeşilbalkan, Ö. (2024). Geçmişten geleceğe: Sağlıkta sanal gerçeklik ve uygulama alanları. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 9(1), 143–149. https://doi.org/10.61399/ikcusbfd.1188522
CR  - Eijlers, R., Utens, E. M., Staals, L. M., de Nijs, P. F., Berghmans, J. M., Wijnen, R. M.,… Legerstee, J. S. (2019). Systematic review and meta-analysis of virtualreality in pediatrics: Effects on pain and anxiety. Anesthesia&Analgesia, 129(5), 1344–1353. https://doi.org/10.1213/ANE.0000000000004165
CR  - Farra, S. L., Miller, E. T., & Hodgson, E. (2015). Virtual realitydisastertraining: Translationtopractice. NurseEducation in Practice, 15(1), 53–57. https://doi.org/10.1016/j.nepr.2013.08.017
CR  - Foote, J. M. (2017). Assessment of thechildandfamily. In M. Hockenberry, D. M. Wilson, & C. C. Rodgers (Eds.), Wong's Essentials of PediatricNursing (10th ed., p. 322). Elsevier.
CR  - Gold, J. I., & Mahrer, N. E. (2018). Is virtualrealityreadyfor prime time in themedicalspace? A randomizedcontroltrial of pediatricvirtualrealityforacuteproceduralpainmanagement. Journal of PediatricPsychology, 43(3), 266–275. https://doi.org/10.1093/jpepsy/jsx129
CR  - Gold, J. I., Kim, S. H., Kant, A. J., Joseph, M. H., & Rizzo, A. S. (2006). Effectiveness of virtualrealityforpediatricpaindistractionduring IV placement. CyberPsychology&Behavior, 9(2), 207–212. https://doi.org/10.1089/cpb.2006.9.207
CR  - Grassini, S. (2022). Virtual realityassistednon-pharmacologicaltreatments in chronicpainmanagement: A systematicreviewandquantitative meta-analysis. International Journal of EnvironmentalResearchandPublicHealth, 19(7), 4071. https://doi.org/10.3390/ijerph19074071
CR  - Guo, C., Deng, H., & Yang, J. (2015). Effect of virtualrealitydistraction on painamongpatientswithhandinjuryundergoingdressingchange. Journal of ClinicalNursing, 24(1–2), 115–120. https://doi.org/10.1111/jocn.12626
CR  - Gür, E. Y., & Apay, S. E. (2020). Theeffect of cognitivebehavioraltechniquesusingvirtualreality on birthpain: A randomizedcontrolledtrial. Midwifery, 91, 102856. https://doi.org/10.1016/j.midw.2020.102856
CR  - Hoffman, H. G., Patterson, D. R., Seibel, E., Soltani, M., Jewett-Leahy, L., & Sharar, S. R. (2008). Virtual realitypaincontrolduringburnwounddebridement in thehydro tank. TheClinicalJournal of Pain, 24(4), 299–304. https://doi.org/10.1097/AJP.0b013e318164d2cc
CR  - Hoffman, H. G., Rodriguez, R. A., Gonzalez, M., Bernardy, M., Peña, R., Beck, W.,…  Meyer III, W. J. (2019). Immersivevirtualreality as an adjunctivenon-opioidanalgesicforpredominantly Latin Americanchildrenwithlarge severe burnwoundsduringburnwoundcleaning in theintensivecareunit: A pilot study. Frontiers in Human Neuroscience, 13, 262. https://doi.org/10.3389/fnhum.2019.00262
CR  - Jean, W. C., Britz, G. W., DiMeco, F., Elmi-Terander, A., & McIntyre, C. (2021). Introduction. Virtual andaugmentedreality in neurosurgery: A timeline. NeurosurgicalFocus, 51(2), E1. https://doi.org/10.3171/2021.5.FOCUS21313
CR  - Jeffs, D., Dorman, D., Brown, S., Files, A., Graves, T., Kirk, E.,…  Swearingen, C. J. (2014). Effect of virtualreality on adolescentpainduringburnwoundcare. Journal of BurnCare&Research, 35(5), 395–408. https://doi.org/10.1097/BCR.0000000000000019
CR  - Kanan, N. (2012). Yanıkta hemşirelik bakımı. In G. Aksoy, N. Kanan, & N. Akyolcu (Eds.), Cerrahi hemşireliği I (ss. 115–152). İstanbul: Nobel Tıp Kitabevleri.
CR  - Kılıç, Ü., & Tural Büyük, E. (2024). Theeffect of usingvirtualrealityduringburndressing on pain, anxietyandfearfelt in children: A randomizedcontrolledtrial. Journal of BurnCare&Research, 45(4), 949–957.
CR  - Kim, O., Pang, Y., & Kim, J. H. (2019). Theeffectiveness of virtualrealityforpeoplewithmildcognitiveimpairmentordementia: A meta-analysis. BMC Psychiatry, 19, 1–10. https://doi.org/10.1186/s12888-019-2059-x
CR  - Kipping, B., Rodger, S., Miller, K., & Kimble, R. M. (2012). Virtual realityforacutepainreduction in adolescentsundergoingburnwoundcare: A prospectiverandomizedcontrolledtrial. Burns, 38(5), 650–657. https://doi.org/10.1016/j.burns.2011.11.010
CR  - Lambert, V., Boylan, P., Boran, L., Hicks, P., Kirubakaran, R., Devane, D., & Matthews, A. (2020). Virtual realitydistractionforacutepain in children. Cochrane Database of SystematicReviews, (10). https://doi.org/10.1002/14651858.CD010686.pub2
CR  - Lou, J., Li, J., Fan, Y., Zhang, C., & Huang, N. (2024). Effects of virtualreality on analgesia in woundcareandphysicaltherapyforburnpatients: A systematicreviewand meta-analysis. Pain Management Nursing. (Basım aşamasında)
CR  - Luo, H., Cao, C., Zhong, J., Chen, J., & Cen, Y. (2019). Adjunctivevirtualrealityforproceduralpainmanagement of burnpatientsduringdressingchangeorphysicaltherapy: A systematicreviewand meta‐analysis of randomizedcontrolledtrials. WoundRepairandRegeneration, 27(1), 90–101. https://doi.org/10.1111/wrr.1
CR  - McGarry, S., Elliott, C., McDonald, A., Valentine, J., Wood, F., & Girdler, S. (2014). Paediatricburns: Fromthevoice of thechild. Burns, 40(4), 606–615. https://doi.org/10.1016/j.burns.2013.08.031
CR  - Mehta, K., Arega, H., Smith, N. L., Li, K., Gause, E., Lee, J., & Stewart, B. (2022). Yanık yaralanmalarında, bakımda ve sonuçlarda cinsiyete dayalı eşitsizlikler: Dünya Sağlık Örgütü (WHO) Küresel Yanık Kayıt Defteri kohort çalışması. TheAmericanJournal of Surgery, 223(1), 157–163.
CR  - Micheluzzi, V., Burrai, F., Casula, M., Serra, G., Al Omary, S., Merella, P., & Casu, G. (2024, May). Effectiveness of virtualreality on painandanxiety in patientsundergoingcardiacprocedures: A systematicreviewand meta-analysis of randomizedcontrolledtrials. CurrentProblems in Cardiology, 49(5), 102532. https://doi.org/10.1016/j.cpcardiol.2024.102532
CR  - Niţescu, C., Calotă, D. R., Stăncioiu, T. A., Marinescu, S. A., Florescu, I. P., & Lascăr, I. (2012). Psychologicalimpact of burnscars on quality of life in patientswithextensiveburnswhoreceivedallotransplant. RomanianJournal of MorphologyandEmbryology, 53(3), 577–583.
CR  - Piskorz, J., & Czub, M. (2018). Effectiveness of a virtualrealityinterventionto minimize pediatricstressandpainintensityduringvenipuncture. JournalforSpecialists in PediatricNursing, 23(1), e12201. https://doi.org/10.1111/jspn.12201
CR  - Reader, B., Zerkle, D., Fabia, R., Thakkar, R., & Schwartz, D. (2024). Massagetherapyutilization in pediatricacuteburns: A retrospectivecohortstudy. International Journal of TherapeuticMassage&Bodywork, 17(4), 20.
CR  - Sharma, A., Sharma, N., & Chahal, A. (2024, October). Impact of virtualreality on pain, ROM, musclestrength, andquality of life amongbreastcancerpatients: An integrativereview of literature. Pain Management Nursing, 25(5), 538–548. https://doi.org/10.1016/j.pmn.2024.04.015
CR  - Smith, J. S., Smith, K. R., & Rainey, S. L. (2006). Thepsychology of burncare. Journal of Trauma Nursing| JTN, 13(3), 105–106.
CR  - Storey, K., Dimanopoulos, T. A., Plummer, K., Kimble, R., Xiang, H., & Griffin, B. (2024). Acceptabilityandusability of Smileyscopevirtualrealityforpediatricpainmanagementduringburnprocedures: Perspectives of patients, carers, andclinicians. Journal of Advanced Nursing. (Basım aşamasında)
CR  - Toft-Petersen, A. P., Ferrando-Vivas, P., Harrison, D. A., Dunn, K., & Rowan, K. M. (2018). Theorganisation of criticalcareforburnpatients in the UK: Epidemiologyandcomparison of mortalitypredictionmodels. Anaesthesia, 73, 1131–1140.
CR  - Voinescu, A., Petrini, K., Stanton Fraser, D., Lazarovicz, R. A., & Papavă, I., et al. (2023). The effectiveness of a virtual reality attention task to predict depression and anxiety in comparison with current clinical measures. Virtual Reality, 27, 119–140. https://doi.org/10.1007/s10055-021-00520-7
CR  - Wan, Y. K., Lin, C. X., & Liaw, J. J. (2018). Effects of analgesicsandvirtualrealitytherapy on patients' painandanxiety in changingdressing. 29th International NursingResearchCongress, Melbourne, Australia.
CR  - Wardhan, R., & Fahy, B. G. (2023). Regionalanesthesiaandacutepainmanagementforadultpatientswithburns. Journal of BurnCare&Research, 44(4), 791–799.
CR  - Wiederhold, B. K., & Wiederhold, M. D. (2006). Evaluation of virtualrealitytherapy in augmentingthephysicalandcognitiverehabilitation of warveterans. International Journal on Disabilityand Human Development, 5(3), 211–216. https://doi.org/10.1515/IJDHD.2006.5.3.211
CR  - World HealthOrganization. (2018). Burns: Keyfacts. World HealthOrganization. Erişim: 27 Mart 2024. https://www.who.int/news-room/fact-sheets/detail/burns
CR  - Xiang, H., Shen, J., Wheeler, K. K., Patterson, J., Lever, K., Armstrong, M.,… Fabia, R. B. (2021). Efficacy of smartphoneactiveandpassivevirtualrealitydistraction vs. standardcare on burnpainamongpediatricpatients: A randomizedclinicaltrial. JAMA Network Open, 4(6), e2112082. https://doi.org/10.1001/jamanetworkopen.2021.12082
CR  - Yeung, A. W. K., Tosevska, A., Klager, E., Eibensteiner, F., Laxar, D., Stoyanov, J.,… Willschke, H. (2021). Virtual and augmented reality applications in medicine: Analysis of the scientific literature. Journal of Medical Internet Research, 23(2), e25499. https://doi.org/10.2196/25499
CR  - Zhang, X. H., Cui, C. L., Ren, J. J., Cheng, D., Wu, W. W., & Yu, J. A. (2020). A randomizedtrial of a distraction-typeinterventiontoassist in managingdressingchangesforchildrenexperiencedburns. Journal of Advanced Nursing, 76(3), 878–887. https://doi.org/10.1111/jan.14278
UR  - https://doi.org/10.47115/jshs.1558085
L1  - https://dergipark.org.tr/tr/download/article-file/4249709
ER  -