The effect of virtual reality on pain, fear, and anxiety during access of a port with huber needle in pediatric hematology-oncology patients: Randomized controlled trial

Port needle insertions are painful and distressing for Pediatric Hematology-Oncology patients. Virtual Reality (VR) can be used during needle-related procedures in these patients. This study aimed to investigate the effect of VR distraction during access to the venous port with a Huber needle in red...

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Bibliographic Details
Published in:European journal of oncology nursing : the official journal of European Oncology Nursing Society 2021-02, Vol.50, p.101886-101886, Article 101886
Main Authors: Gerçeker, Gülçin Özalp, Bektaş, Murat, Aydınok, Yeşim, Ören, Hale, Ellidokuz, Hülya, Olgun, Nur
Format: Article
Language:English
Subjects:
Anxiety
Fear
Nursing
Pain
Pediatric hematology-oncology
Port catheter
Virtual reality
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Summary:Port needle insertions are painful and distressing for Pediatric Hematology-Oncology patients. Virtual Reality (VR) can be used during needle-related procedures in these patients. This study aimed to investigate the effect of VR distraction during access to the venous port with a Huber needle in reducing needle-related pain, fear, and anxiety of children and adolescents with cancer. This randomized controlled study used a parallel trial design guided by the CONSORT checklist. The sample of children (n = 42) was allocated to the VR group (n = 21) and the control group (n = 21). Port needle-related pain was assessed using the Wong-Baker Faces Pain Rating Scale after the procedure. Before and after the port needle insertion procedure, anxiety and fear assessed using self- and parent-report using the Children's Anxiety Meter and Child Fear Scale. The primary outcome was the patient-reported pain scores after the procedure and fear and anxiety scores before and after the procedure. Pain, anxiety, and fear scores of the two groups and within groups were analyzed and also Spearman correlation analysis was used. Self-reported pain scores of patients in the VR and control group were 2.4 ± 1.8 and 5.3 ± 1.8, respectively. This study found a statistically significant difference between groups in pain scores (p 
ISSN:1462-3889
1532-2122
DOI:10.1016/j.ejon.2020.101886