This study aim to evaluate the effect of virtual reality distraction on symptom management and anxiety in children aged 7-18 years with leukemia.

While the virtual reality initiative was applied to the children in the study group, no harm was given to the children in the control group. The virtual reality distraction method will not be applied to the control group. After the child and his family are informed about the study, their written informed consent will be obtained.

When the patients were admitted to the clinic the day before chemotherapy treatment was started, the symptom screening scale and anxiety scale will be applied.

Control Group: The researcher stated that no additional procedure will be applied to the children in the control group and that the symptom screening scale and anxiety measurement will be obtained by explaining that he/she should evaluate the scale every day for 3 days.

VR group; A distraction intervention will be applied for 10-15 minutes once a day with VR glasses. The symptom screening scale and anxiety measurement will be obtained by explaining that he/she should evaluate the scale every day for 3 days.

Inclusion Criteria:

• Pediatric patients aged 7-18 years receiving leukemia treatment in the Pediatric Hematology Service
• 4 weeks after diagnosis (not in the induction phase)
• No need for blood product transfusion (less than 8 mg/dl for hematological malignancies, less than 7 mg/dl for oncological malignancies)
• Consent to voluntarily participate in the study and written consent from the child and parent

Exclusion Criteria:

• The child has a physical and psychological deficit that will prevent him from wearing glasses to watch virtual reality
• Having a symptom of nausea and vomiting
• Being in a terminal period
• Undergoing a surgical operation
• Unwillingness to participate in the study
• Having a history of vertigo (having a history of train, motion sickness)
• The child and family do not know Turkish