Kan Alımı Sırasında Kullanılan Sanal Gerçekliğin Çocukların Hissettikleri Ağrıya Etkisi: Randomize Kontrollü Bir Çalışma

Yıl 2024, , 137 - 143, 20.03.2024

Fatma Gültekin , Tülay Ayyıldız

https://doi.org/10.53424/balikesirsbd.1277353

Öz

Amaç: Sanal gerçeklik gözlüğü ile uygulanan dikkati dağıtma tekniğinin çocuğun kan alımı sırasında ağrısını azaltmak için etkisini belirlemek amacıyla yapılmış bir çalışmadır. Yöntem: Bu randomize kontrollü deneysel çalışmada, 6-10 yaş arası çocuklardan venöz kan örnekleri alındı. Çocukların işlem sırasında hissettikleri ağrı düzeyini değerlendirmek için Yüzler Karşılaştırmalı Ağrı Ölçeği ve Görsel Karşılaştırmalı Ağrı Ölçeği kullanıldı. Deney grubundaki çocuklara kan alma işlemi sırasında sanal gerçeklik gözlüğü ile video izletildi. Bulgular: Ağrı şiddeti kontrol (n=40) ve müdahale grupları (n=40) arasında anlamlı farklılık gösterdi (p = 0.0001 ve p = 0.001). Sonuç: Venöz kan alımı sırasında kullanılan sanal gerçeklik gözlüğü çocukların dikkatini çeken, ön hazırlık gerektirmeyen, kolay uygulanabilen ve ağrıyı azaltan etkili bir araçtır.

Anahtar Kelimeler

Kan Alma, Dikkat Dağıtma, Nonfarmakolojik Yöntem, Sanal Gerçeklik, Randomize Kontrollü Çalışma.

Destekleyen Kurum

yoktur

Proje Numarası

yoktur

Teşekkür

yoktur

The Effect of Virtual Reality on Pain During Blood Draw in Children Aged 6-10 Years Old: A Randomized Controlled Trial

Öz

Purpose: This was study that was performed to determine the effect of distraction technique which was applied by a virtual reality for decreasing the pain of the child during blood drawal. Methods: In this randomized controlled experimental study, venous blood samples were taken from children aged 6-10 years.In order to evaluate the level of pain that the children felt during the procedure, the Faces Comparative Pain Scale and Visual Comparative Pain Scale were used. Children in the experimental group were shown video with virtual reality glasses during the blood collection process. Finding: Pain intesity significantly differed between the control (n=40) and intervention groups (n=40), (p = 0.0001 ve p = 0.001).Conclusion: Virtual reality glasses, that are used during venous blood collection, are an effective instrument which draw the attention of the children, do not require no prior preparation, can be applied easily and decrease pain.

Anahtar Kelimeler

Blood Drawal, Distraction, Nonpharmacological Method, Pain, Virtual Reality.

Proje Numarası

yoktur

Kaynakça

• Akatın, Y., & Kocaman, G. (2018). Çocuk Hastaların Ağrısını Değerlendirmede Kanıta Dayalı Uygulama Önerilerine Uyumun Arttırılması İçin Kullanılan Stratejiler. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 3(1), 23–31.
• American Academy of Pediatrics. (2001). The assessment and management of acute pain in infants, children, and adolescents. Pediatrics, 108(3), 793–797. https:// doi.org/10.1542/peds.108.3.793
• Canbulat, N., Inal, S., & Sönmezer, H. (2014). Efficacy of distraction methods on procedural pain and anxiety by applying distraction cards and kaleidoscope in children. Asian Nursing Research, 8(1), 23–28. https://doi.org/ 10.1016/j.anr.2013.12.001
• Caprilli, S.,Vagnoli, L., Bastiani, C., & Messeri, A. (2012). Pain and distress in children undergoing blood sampling: Effectiveness of distraction with soap bubbles. A randomized controlled study. Italian Journal of Pediatric Nursing Science, 4(1), 15–18.
• Cohen, L. L., Lemanek, K., Blount, R. L., Dahlquist, L. M., Lim, C. S., Palermo, T. M., … Weis, K. E. (2008). Evidence-based assessment of pediatric pain. Journal of Pediatric Psychology, 33(9), 939–955. https://doi.org/ 10.1093/jpepsy/jsm103
• Conk, Z., Başbakkal, Z., Yılmaz, B. H.,& Bolışık, B. (2013). Pediatric Nursing. Ankara, Academician Medical Book Store, 885-900.
• Demir, Y. (2012). Pain experience in intensive care unit care and pain assessment: Literature review. Düzce University Institute of Health Sciences, 2(1), 24–30.
• Dinçer,Ş., Yurtçu, M., & Günel E. (2011). Pain in newborns and nonpharmacologic treatment procedures. Selçuk University Medical Journal, 27(1), 46–51.
• Erbay, E. (2016). Effect of the distraction technique which is done during peripheral venous cannulation in the children on reducing pain. Bülent Ecevit University, Institute of Health Science, Unpublished Master’s Thesis, Zonguldak.
• Erdogan, B., & Ozdemir, A. A. (2021). The effect of three different methods on venipuncture pain and anxiety in children: Distraction cards, virtual reality, and Buzzy® (randomized controlled trial). Journal of Pediatric Nursing, 58, e54-e62. https://doi.org/10.1016/j.pedn.2 021.01.001
• Inal, S., & Canbulat, N. (2015). Using of distraction methods on procedural pain management of pediatric patients. Journal of Health Science and Profession, 2(3), 372–378. https://doi.org/10.17681/hsp.47420
• Mutlu, B., &Balcı, S. (2015). Effects of balloon inflation and cough trick methods on easing pain in children during the drawing of venous blood samples: A randomized controlled trial. Journal for Specialists in Pediatric Nursing, 20(3), 178–186. https://doi.org/10.1111/jsp n.12112
• Oakes, L. L. (2011). Infant and child pain management. New York: Springer Publishing Company, 3-23.
• Rostami, S., Salsali, M., Mohavedi, A. F., Keikhaee, B., &Moradi, A. (2006). Effect of local refrigeration prior to venipuncture on pain related responses in school age children. Australian Journal of Advanced Nursing, 24(2), 51–55.
• Schulz, K. F., Altman, D. G., Moher, D., & the CONSORT Group (2010). CONSORT 2010 statement: Updated guidelines for reporting parallel group randomized trials. British Medical Journal, 340, c332. https://doi.org/1 0.1136/bmj.c332 .
• Şahin, S., & Ayyıldız, T. K. (2022). Effect of Buzzy® Application on Pain During Subcutaneous Application in Children. Journal Of Educatıon And Research In Nursıng, 19(3), 283–289. https://doi.org:10.5152/jern.20 21.82642
• Toruner, E. K., & Buyukgonenc L. (2011). Basic approaches to child health nursing. Goktug Publishing, Ankara, 146–170.
• Kunjumon, D., & Upendrababu, V. (2018). Effect of kaleidoscope on pain perception of children aged 4-6 years during intravenous cannulation. American Journal of Nursing Science, 7, 137. https://doi.org/10.1164 8/j.ajns.20180704.14
• Tüfekçi, F. G.,&Erci, B. (2007). The opinion of children, parents and health staff about parental presence during painful procedures. Atatürk University Nursing School Journal, 10(4), 52–62.
• Ustuner Top, F., & Kuzlu Ayyıldız, T. (2021). Pain management in children during invasive procedures: A randomized clinical trial. Nursing Forum, 56(4), 816–822. https://doi.org/10.1111/nuf.12616
• Yılmaz, F., & Atay, S. (2014). Clinical pain management of nursing students. Journal of Hacettepe University Faculty of Nursing, 1(2), 32–41.