The proper timing of virtual reality experience for reducing preoperative anxiety of pediatric patients: A randomized clinical trial
BackgroundThe virtual reality (VR) experience of an operation room (OR) prior to anesthesia and surgery has been known to reduce the anxiety and distress of pediatric patients. However, the proper timing needed for this is unknown. This randomized clinical study aimed to evaluate the proper timing o...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-09-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2022.899152/full |
| _version_ | 1818065347445522432 |
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| author | Jung-Hee Ryu Jung-Hee Ryu Dayoung Ko Ji-Won Han Jin-Woo Park Aesun Shin Sung-Hee Han Sung-Hee Han Hyun-Young Kim Hyun-Young Kim |
| author_facet | Jung-Hee Ryu Jung-Hee Ryu Dayoung Ko Ji-Won Han Jin-Woo Park Aesun Shin Sung-Hee Han Sung-Hee Han Hyun-Young Kim Hyun-Young Kim |
| author_sort | Jung-Hee Ryu |
| collection | DOAJ |
| description | BackgroundThe virtual reality (VR) experience of an operation room (OR) prior to anesthesia and surgery has been known to reduce the anxiety and distress of pediatric patients. However, the proper timing needed for this is unknown. This randomized clinical study aimed to evaluate the proper timing of a VR tour of an OR (a few days before vs. immediately before anesthesia) to reduce the anxiety in a pediatric patient undergoing elective surgery.MethodsThe children from the ages of 4–10 years old were randomly divided into three groups. The control group received standard verbal information about the process of anesthesia and surgery 10 min before anesthesia. The VR A group experienced a VR tour at the outpatient clinic a few days before anesthesia, whereas the VR B group experienced the tour 10 min before anesthesia at the reception area of the OR. The 4-min VR video used in this study showed the experience of Pororo, an animation character, entering the OR and undergoing anesthesia. We evaluated the anxiety of children using the modified Yale preoperative anxiety scale (m-YPAS), the anxiety of caregivers using Beck anxiety inventory (BAI), and caregivers’ satisfaction.ResultsThe m-YPAS of the VR B group was significantly lower than that of the control and VR A groups (p = 0.001), whereas there was no statistically significant difference in BAI (p = 0.605) among the 3 groups. The score of caregivers’ satisfaction with the overall process of anesthesia and surgery was higher in VR A group than in the control and VR B groups (p = 0.054).ConclusionThe VR experience of an OR immediately before anesthesia was more effective than standard verbal information or a VR tour at the outpatient clinic a few days before anesthesia in reducing the anxiety and distress of children prior to surgery.Clinical trial registration[https://cris.nih.go.kr/cris/search/detailSearch.do/20773], identifier [KCT0006845]. |
| first_indexed | 2024-12-10T14:50:27Z |
| format | Article |
| id | doaj.art-68d3ea6eab3f4b19a91c7687a728de4c |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-12-10T14:50:27Z |
| publishDate | 2022-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-68d3ea6eab3f4b19a91c7687a728de4c2022-12-22T01:44:28ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602022-09-011010.3389/fped.2022.899152899152The proper timing of virtual reality experience for reducing preoperative anxiety of pediatric patients: A randomized clinical trialJung-Hee Ryu0Jung-Hee Ryu1Dayoung Ko2Ji-Won Han3Jin-Woo Park4Aesun Shin5Sung-Hee Han6Sung-Hee Han7Hyun-Young Kim8Hyun-Young Kim9Medical Virtual Reality Research Group, Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul, South KoreaDepartment of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, South KoreaDepartment of Pediatric Surgery, Seoul National University Children’s Hospital, Seoul, South KoreaDepartment of Pediatric Surgery, Seoul National University Children’s Hospital, Seoul, South KoreaDepartment of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, South KoreaDepartment of Preventive Medicine, Seoul National University College of Medicine, Seoul, South KoreaMedical Virtual Reality Research Group, Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul, South KoreaDepartment of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, South KoreaDepartment of Pediatric Surgery, Seoul National University Children’s Hospital, Seoul, South KoreaDepartment of Surgery, Seoul National University College of Medicine, Seoul, South KoreaBackgroundThe virtual reality (VR) experience of an operation room (OR) prior to anesthesia and surgery has been known to reduce the anxiety and distress of pediatric patients. However, the proper timing needed for this is unknown. This randomized clinical study aimed to evaluate the proper timing of a VR tour of an OR (a few days before vs. immediately before anesthesia) to reduce the anxiety in a pediatric patient undergoing elective surgery.MethodsThe children from the ages of 4–10 years old were randomly divided into three groups. The control group received standard verbal information about the process of anesthesia and surgery 10 min before anesthesia. The VR A group experienced a VR tour at the outpatient clinic a few days before anesthesia, whereas the VR B group experienced the tour 10 min before anesthesia at the reception area of the OR. The 4-min VR video used in this study showed the experience of Pororo, an animation character, entering the OR and undergoing anesthesia. We evaluated the anxiety of children using the modified Yale preoperative anxiety scale (m-YPAS), the anxiety of caregivers using Beck anxiety inventory (BAI), and caregivers’ satisfaction.ResultsThe m-YPAS of the VR B group was significantly lower than that of the control and VR A groups (p = 0.001), whereas there was no statistically significant difference in BAI (p = 0.605) among the 3 groups. The score of caregivers’ satisfaction with the overall process of anesthesia and surgery was higher in VR A group than in the control and VR B groups (p = 0.054).ConclusionThe VR experience of an OR immediately before anesthesia was more effective than standard verbal information or a VR tour at the outpatient clinic a few days before anesthesia in reducing the anxiety and distress of children prior to surgery.Clinical trial registration[https://cris.nih.go.kr/cris/search/detailSearch.do/20773], identifier [KCT0006845].https://www.frontiersin.org/articles/10.3389/fped.2022.899152/fullanxietydistresspediatric patientsvirtual realityanesthesia |
| spellingShingle | Jung-Hee Ryu Jung-Hee Ryu Dayoung Ko Ji-Won Han Jin-Woo Park Aesun Shin Sung-Hee Han Sung-Hee Han Hyun-Young Kim Hyun-Young Kim The proper timing of virtual reality experience for reducing preoperative anxiety of pediatric patients: A randomized clinical trial Frontiers in Pediatrics anxiety distress pediatric patients virtual reality anesthesia |
| title | The proper timing of virtual reality experience for reducing preoperative anxiety of pediatric patients: A randomized clinical trial |
| title_full | The proper timing of virtual reality experience for reducing preoperative anxiety of pediatric patients: A randomized clinical trial |
| title_fullStr | The proper timing of virtual reality experience for reducing preoperative anxiety of pediatric patients: A randomized clinical trial |
| title_full_unstemmed | The proper timing of virtual reality experience for reducing preoperative anxiety of pediatric patients: A randomized clinical trial |
| title_short | The proper timing of virtual reality experience for reducing preoperative anxiety of pediatric patients: A randomized clinical trial |
| title_sort | proper timing of virtual reality experience for reducing preoperative anxiety of pediatric patients a randomized clinical trial |
| topic | anxiety distress pediatric patients virtual reality anesthesia |
| url | https://www.frontiersin.org/articles/10.3389/fped.2022.899152/full |
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