Title
Author
DOI
Article Type
Special Issue
Volume
Issue
Exploring the effectiveness of virtual technology combined with lidocaine cream in pediatric puncture pain management
1Department of Pediatric, Hangzhou Linping District Maternal & Child Health Care Hospital, 311110 Hangzhou, Zhejiang, China
2Department of Nursing, Women’s Hospital, Zhejiang University School of Medicine, 310000 Hangzhou, Zhejiang, China
3Department of Neonatology, Women’s Hospital, Zhejiang University School of Medicine, 310000 Hangzhou, Zhejiang, China
4Neonatal Intensive Care Unit, Women’s Hospital, Zhejiang University School of Medicine, 310000 Hangzhou, Zhejiang, China
5Department of Gynecological, Hangzhou Linping District Maternal & Child Health Care Hospital, 310000 Hangzhou, Zhejiang, China
DOI: 10.22514/sv.2024.096 Vol.20,Issue 8,August 2024 pp.32-39
Submitted: 27 May 2024 Accepted: 27 June 2024
Published: 08 August 2024
*Corresponding Author(s): Xinfen Xu E-mail: xinf_xu0521@163.com
This study investigates the effectiveness of virtual reality (VR) technology & lidocaine cream in managing pediatric puncture pain. Between February 2023 and February 2024, 150 hospitalized children who participated in pain management were selected from our hospital. Participants were divided into control group, experimental group 1 and experimental group 2, with 50 cases in each group. The control group received conventional nursing care plus lidocaine cream intervention. Experimental group 1 received conventional nursing care plus VR nursing intervention, while experimental group 2 received conventional nursing care combined with both lidocaine cream and VR interventions. The effects of three intervention methods on pediatric pain management were compared. During and after the puncture, pain scores for experimental groups 1 and 2 were lower than the control group, with experimental group 2 showing the lowest scores (p < 0.05). Post-puncture, medical fear scores and total scores were significantly lower in experimental groups 1 and 2 compared to the control group, with experimental group 2 having the lowest scores (p < 0.05). Satisfaction scores, pain knowledge and attitude scores were significantly higher in experimental groups 1 and 2 than the control group, with experimental group 2 achieving the highest scores (p < 0.05). Crying time and puncture time were shorter in experimental groups 1 and 2 than the control group, with experimental group 2 showing the shortest times (p < 0.05). The success rate of first-attempt puncture was higher in experimental group 2 than the other two groups (p < 0.05). Success rates varied across different age groups, with older children exhibiting higher success rates. The application of VR & lidocaine cream in pediatric puncture pain management effectively reduces pain and medical fear, improves nursing satisfaction, enhances pain knowledge and attitudes and increases the success rate of first-attempt puncture, worthy of clinical promotion.
Virtual technology; Lidocaine cream; Pain management
Jianmei Wu,Xinfen Xu,Hua Wang,Xieli Shi,Suyuan Chen,Haihua Shen,Lili Wang,Xiaofang Zhang. Exploring the effectiveness of virtual technology combined with lidocaine cream in pediatric puncture pain management. Signa Vitae. 2024. 20(8);32-39.
[1] Radulovic MK, Brecelj J, Gruden A, Flezar MS. Role of endoscopic ultrasound-guided fine needle aspiration biopsies in diagnosing pancreatic neoplasms in the paediatric population: experience from a tertiary center and review of the literature. Radiology and Oncology. 2024; 58: 78–86.
[2] Zeynep E, Duygu G. The effect of guided imagery on procedural pain in children: a randomized controlled trial. Children’s Health Care. 2023; 53: 163–176.
[3] Simoncini E, Stiaccini G, Morelli E, Trentini E, Peroni DG, Di Cicco M. The effectiveness of the buzzy device in reducing pain in children undergoing venipuncture: a single-center experience. Pediatric Emergency Care. 2023; 39: 760–765.
[4] Shahri HA, Salmi IA, Rajhi WA, Shemshaki H. Effectiveness of the eutectic mixture of local anaesthetics cream in the management of arteriovenous fistula needle insertion pain in patients undergoing haemodialysis. Sultan Qaboos University Medical Journal. 2024; 24: 7–19.
[5] Gil Piquer R, Mañes Jiménez Y, España Marí M, Peris Peris A, Solanes Donet P, García Lledó N, et al. Usefulness of virtual reality in the management of pain associated with venepuncture: a multicentre randomized clinical trial. Anales de Pediatria. 2024; 100: 25–33.
[6] Perenic E, Grember E, Bassard S, Koutlidis N. Impact of virtual reality on pain management in transrectal MRI-guided prostate biopsy. Frontiers in Pain Research. 2023; 4: 1156463.
[7] M Rehn M, Chew MS, Olkkola KT, Sverrison KÖ, Yli-Hankala A, Møller MH. Clinical practice guideline on atraumatic (pencil-point) vs. conventional needles for lumbar puncture: endorsement by the Scandinavian society of anaesthesiology and intensive care medicine. Acta Anaesthesiologica Scandinavica. 2019; 63: 438–439.
[8] Fuchs A, Cordes BL, van Dick R, Ebers G, Kaluza A, Konietzny C, et al. Interventions to alleviate anxiety and pain during venipuncture in children with chronic gastrointestinal and/or liver disease: a single‐center prospective observational study. JPGN Reports. 2024; 5: 110–118.
[9] Turco A, Cerulo M, Del Conte F, Coppola V, Severino G, Escolino M, et al. Correlation between FLACC scale score and analgesic requirement in children undergoing minimally invasive surgery. Medical and Surgical Pediatrics. 2023; 45: 288.
[10] San Martín-Rodríguez L, Soto-Ruiz N, Ferraz-Torres M, García-Vivar C, Saralegui-Gainza A, Escalada-Hernández P. The Spanish version of the child medical fear questionnaire: cross-cultural adaptation and validation. International Journal of Environmental Research and Public Health. 2021; 19: 451.
[11] Krekmanova L, Nilsson S, Hakeberg M, Klingberg G, Robertson A. General dental practitioners’ knowledge and attitudes on children’s pain and pain management—a questionnaire survey. Paediatric and Neonatal Pain. 2021; 3: 87–97.
[12] Boamah OA, Amponsah MA, Laari L, Aziato L. Pharmacological management of invasive procedural pain in children: facilitators and barriers. Douleurs. 2024; 25: 1–10.
[13] Guo Q, Zhang L, Han LL, Gui C, Chen G, Ling C, et al. Effects of virtual reality therapy combined with conventional rehabilitation on pain, kinematic function, and disability in patients with chronic neck pain: randomized controlled trial. JMIR Serious Games. 2024; 12: e42829.
[14] Kanad N, Özalp Gerçeker G, Eker İ, Şen Susam H. The effect of virtual reality on pain, fear and emotional appearance during blood draw in pediatric patients at the hematology-oncology outpatient clinic: a randomized controlled study. European Journal of Oncology Nursing. 2024; 68: 102495.
[15] Shams SA, Reddy A, Vaghela LL, Jain M, Naik H, Krishnan P. Comparison of effectiveness of audio and VR distraction techniques in managing pediatric dental patients. Journal of Pharmacy & Bioallied Sciences. 2024; 16: S504–S506.
[16] Hu H, Guo L, He W, Zhang H, Xiang Y, Liu X, et al. Roller microneedles transdermal delivery of compound lidocaine cream for enhancing the analgesic effect: a randomized self-controlled trial. Journal of Cosmetic Dermatology. 2022; 21: 5825–5836.
[17] C L van de Wouw, E Bousché, M M J van Schooneveld, J M P Breur, H P Nijenhuis, H Huygelier, et al. Playing for cognition: investigating the feasibility and user experience of a virtual reality serious game for cognitive assessment in children with congenital heart disease. BMC Digital Health. 2024; 2: 24.
[18] Fang Y. Comment on: patients’ use of virtual reality technology for pain reduction during outpatient hysteroscopy: a meta-analysis of randomized controlled trials. Journal of Minimally Invasive Gynecology. 2024; 31: 626.
[19] Esteban-Sopeña J, Beltran-Alacreu H, Terradas-Monllor M, Avendaño-Coy J, García-Magro N. Effectiveness of virtual reality on postoperative pain, disability and range of movement after knee replacement: a systematic review and meta-analysis. Life. 2024; 14: 289.
[20] Teh JJ, Pascoe DJ, Hafeji S, Parchure R, Koczoski A, Rimmer MP, et al. Efficacy of virtual reality for pain relief in medical procedures: a systematic review and meta-analysis. BMC Medicine. 2024; 22: 64.
[21] Dalir Z, Seddighi F, Esmaily H, Abbasi Tashnizi M, Ramezanzade Tabriz E. Effects of virtual reality on chest tube removal pain management in patients undergoing coronary artery bypass grafting: a randomized clinical trial. Scientific Reports. 2024; 14: 2918.
[22] Almajed OS, Alhujhuj R, Alshaheen E, Almujhim A, Albutayh M, Raghunath RG, et al. The effectiveness of virtual reality in controlling pain and anxiety levels in four-to-six-year-old children during dental treatment. Cureus. 2023; 15: e51099.
Top