Investigating of augmented reality and cold vibration therapy on anxiety in children during intravenous insertion: a quasi-experimental study 10.55131/jphd/2024/220115
Main Article Content
Abstract
Anxiety tends to escalate when children undergo intravenous insertion. The success rate of the first attempt at intravenous insertion is suboptimal, leading to increased anxiety in children and prolonged treatment. Unfortunately, current interventions are not yet optimal. This study aimed to determine the influence of augmented reality and cold vibration on children's anxiety during intravenous insertion procedure. This research used an experimental pre-post-test nonequivalent control group design. Purposive sampling was employed, taking into consideration inclusion and exclusion criteria. The instrument used demographic data and Child Anxiety Meter (CAM). The independent variables in this study are augmented reality and cold vibration. The dependent variable is anxiety. The total sample consisted of 60 respondents divided into an intervention group (n=30) and comparison group (n=30). Descriptive statistics, frequency distribution, percentages, Paired T-test, Wilcoxon, and Independent T-test were applied for data analysis. Participants in the intervention group experienced a decrease in mean higher anxiety score (2.03), compared to the comparison group (0.59). The independent t-test indicated <0.001 (<0.05) for a p-value. Based on these results, the application of augmented reality and cold vibration can be considered as non-pharmacological therapy to reduce anxiety. The results of this research are very useful for preparing operational plans and developing inpatient service systems, especially in providing health services to pediatric patients during intravenous insertion.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Hinic K, Kowalski MO, Holtzman K, Mobus K. The Effect of a Pet Therapy and Comparison Intervention on Anxiety in Hospitalized Children. J Pediatr Nurs. 2019;46:55–61. doi: https://doi.org/10.1016/j.pedn.2019.03.003
Baarslag MA, Jhingoer S, Ista E, Allegaert K, Tibboel D, van Dijk M. How often do we perform painful and stressful procedures in the paediatric intensive care unit? A prospective observational study. Aust Crit Care. 2019;32(1):4–10. doi: S103673141730 5003
Cooke M, Ullman AJ, Ray-Barruel G, Wallis M, Corley A, Rickard CM. Not "just" an intravenous line: Consumer perspectives on peripheral intravenous cannulation (PIVC). An international cross-sectional survey of 25 countries. PLOS ONE. 2018;13(2):e0193436. doi: 10.1371/journal.pone.0193436.
Yilmaz D, Canbulat Sahiner N. The effects of virtual reality glasses and external cold and vibration on procedural pain and anxiety in children during venous phlebotomy: randomized controlled trial. Virtual Real. 2023;27(4):3393–401. doi: 10.1007/ s10055-022-00714-7
Abd El SMEK, Elsayed LA. Effect of interactive distraction versus cutaneous stimulation for venipuncture pain relief in school age children. J Nurs Educ Pract. 2015;5(4):32.
Sanchez Cristal N, Staab J, Chatham R, Ryan S, Mcnair B, Grubenhoff JA. Child Life Reduces Distress and Pain and Improves Family Satisfaction in the Pediatric Emergency Department. Clin Pediatr (Phila). 2018;57(13):1567–75. Available from: doi: 10.1177/00099 22818798386
Drendel AL, Ali S. Ten Practical Ways to Make Your ED Practice Less Painful and More Child-Friendly. Clin Pediatr Emerg Med. 2017;18(4):242–55. Available from: doi: S1522840117 300605
Arquissandas P, Lamas DR, Oliveira J. Moving from VR into AR using bio-cybernetic loops and physiological sensory devices for intervention on anxiety disorders. Virtual Real. 2023; 27(1):233–43.
Bulut M, Küçük Alemdar D, Bulut A, Şalcı G. The Effect of Music Therapy, Hand Massage, and Kaleidoscope Usage on Postoperative Nausea and Vomiting, Pain, Fear, and Stress in Children: A Randomized Controlled Trial. J PeriAnesthesia Nurs. 2020; 35(6):649–57. doi: S10899472203010 64
Wang R, Huang X, Wang Y, Akbari M. Non-pharmacologic Approaches in Preoperative Anxiety, a Comprehensive Review. Front Public Heal. 2022;10: 854673. doi: 10.3389/fpubh.2022.854 673.
Millett CR, Gooding LF. Comparing Active and Passive Distraction-Based Music Therapy Interventions on Preoperative Anxiety in Pediatric Patients and Their Caregivers. J Music Ther. 2017;54(4):460–78. doi: 10.1093/ jmt/thx014.
Piskorz J, Czub M. Effectiveness of a virtual reality intervention to minimize pediatric stress and pain intensity during venipuncture. J Spec Pediatr Nurs. 2018;23(1):e12201. doi: 10.1111/ jspn.12201
Hamzah ML, Ambiyar A, Rizal F, Simatupang W, Irfan D, Refdinal R. Development of Augmented Reality Application for Learning Computer Network Device. Int J Interact Mob Technol. 2021;15(12):47. doi: 10.21037/ atm-22-486.
Suso-Ribera C, Fernández-Álvarez J, García-Palacios A, Hoffman HG, Bretón-López J, Baños RM, et al. Virtual Reality, Augmented Reality, and In Vivo Exposure Therapy: A Preliminary Comparison of Treatment Efficacy in Small Animal Phobia. Cyberpsychology, Behav Soc Netw. 2019;22(1):31–8. doi: 10.1089/cyber. 2017.0672.
Berton A, Longo UG, Candela V, Fioravanti S, Giannone L, Arcangeli V, et al. Virtual Reality, Augmented Reality, Gamification, and Telerehabilitation: Psychological Impact on Orthopedic Patients’ Rehabilitation. J Clin Med. 2020;9(8):2567. doi: 2077-0383/9/8/ 2567
Gerçeker GÖ, Binay Ş, Bilsin E, Kahraman A, Yılmaz HB. 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.
Yıldırım BG, Gerçeker GÖ. The Effect of Virtual Reality and Buzzy on First Insertion Success, Procedure-Related Fear, Anxiety, and Pain in Children during Intravenous Insertion in the Pediatric Emergency Unit: A Randomized Controlled Trial. J Emerg Nurs. 2023;49(1):62–74. doi: 10.1016/ j.jen.2022.09.018.
Su HC, Hsieh CW, Lai NM, Chou PY, Lin PH, Chen KH. Using Vibrating and Cold Device for Pain Relieves in Children: A Systematic Review and Meta-analysis of Randomized Controlled Trials. J Pediatr Nurs. 2021;61:23–33. doi: 10.1016/j.pedn. 2021.02.027.
De Houwer J. Revisiting classical conditioning as a model for anxiety disorders: A conceptual analysis and brief review. Behav Res Ther. 2020; 127:103558. doi: 10.1016/j.brat.2020. 103558.
Shi HJ, Wang S, Wang XP, Zhang RX, Zhu LJ. Hippocampus: Molecular, Cellular, and Circuit Features in Anxiety. Neurosci Bull. 2023;39(6): 1009–26. doi: 10.1007/s12264-023-01020-1.
Mohamed Mohamed Tork H. Comparison of the Effectiveness of Buzzy, Distracting Cards and Balloon Inflating on Mitigating Pain and Anxiety During Venipuncture in a Pediatric Emergency Department. Am J Nurs Sci. 2017;6(1):26.
Christiansen PK, Skjøth MM, Lorenzen LE, Draborg E, Vinter CA, Kjær T, et al. Barriers to a healthy postpartum lifestyle and the possibilities of an information technology-based intervention: A qualitative study. Midwifery. 2021; 98:102994. doi: 10.1016/j.midw. 2021.102994.
Pakiş Çetin S, Çevik K. Effects of Vibration and Cold Application on Pain and Anxiety During Intravenous Catheterization. J PeriAnesthesia Nurs. 2019;34(4):701–9. doi: 10.1016/ j.jopan.2018.12.005.
Eijlers R, Dierckx B, Staals LM, Berghmans JM, van der Schroeff MP, Strabbing EM, et al. Virtual reality exposure before elective day care surgery to reduce anxiety and pain in children. Eur J Anaesthesiol. 2019;36(10):728–37. doi: 10.1097/EJA 0000000000001059.
Dumoulin S, Bouchard S, Ellis J, Lavoie KL, Vézina MP, Charbonneau P, et al. A Randomized Controlled Trial on the Use of Virtual Reality for Needle-Related Procedures in Children and Adolescents in the Emergency Department. Games Health J. 2019; 8(4):285–93. doi: 10.1089/g4h.2018. 0111