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The aim of this study was to evaluate the effect of a vein imaging device and virtual reality distraction on the success of peripheral intravenous catheter (PIC) placement, intervention duration, emotional appearance, pain, fear, and anxiety related to PIC intervention in children aged 4-10 years in a pediatric emergency unit.
The children were divided into four groups: control group, vein imaging group, virtual reality group, and vein imaging and virtual reality group. The duration of the intervention and the number of PIC interventions performed on each patient were recorded. The children were assessed before and after the procedure using the Emotional Appearance Scale for Children. After the procedure, the Child Fear Scale and Child Anxiety Scale-State were used to evaluate the most painful moment experienced by the child during the procedure using the Wong-Baker FACES (WB-FACES) and Color Analog Scale.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| vein viewer | Experimental | The vein imaging device was used before the vascular access attempt |
|
| virtual reality | Experimental | wearing virtual reality glasses |
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| vein viewer and virtual reality | Experimental | The vein imaging device was used before the vascular access attempt and wearing virtual reality glasses |
|
| Control group | No Intervention | standard care |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| vein viewer | Device | The PIC region was visualized with the help of the device, and the vein to which the intervention would be applied was determined. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pain assesed by Wong-Baker FACES | Wong-Baker FACES (WB-FACES) Pain Rating Scale used. This scale uses in children aged 3 and older to rate pain severity. This numeric rating scale ranges from 0 to 10. | immediately after the vascular access (on average 2-3 minutes later) |
| Anxiety assesed by Children Anxiety Meter-State | The Children's Anxiety Meter. The Children's Anxiety Meter assesses children's anxiety and uses before medical procedures. This scale is drawn like a thermometer with a bulb at the bottom and also includes horizontal lines at intervals going up to the top (0-10). higher scores mean a worse outcome. | immediately after the vascular access (on average 2-3 minutes later) |
| Fear assesed by Child Fear Scale | The Child Fear Scale. This one-item scale measures procedure-related fear in children, consisting of five sex-neutral faces ranging from 0 (no fear) to extreme fear. This rating scale ranges from 0 to 4. It ranges from a no-fear (neutral) face (0) on the far left to a face showing extreme fear on the far right. Higher scores mean a worse outcome. | immediately after the vascular access (on average 2-3 minutes later) |
| the success of peripheral intravenous catheter (PIC) placement | first IV attempt | at PIC insertion |
| Emotional Appearance by Emotional Appearance Scale for Children | This scale allows direct behavioral observation, and consists of 5 different behavioral categories; 'Facial Expression', 'Speaking', 'Activity', 'Interaction' and 'Cooperation Level'. Scale scoring is done by reviewing the descriptions of behavior in each category and selecting the numerical value that most represent the observed behavior. Each category is scored from 1 to 5. The total score is made so that the numerical value is between 5-25 by adding the points obtained for each category. A higher scale score indicates the appearance of more negative emotional behaviors. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Gülçin Özalp Gerçeker, Assoc. Prof. | Dokuz Eylul University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Gülçin Özalp Gerçeker | Izmir | 35100 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39060169 | Derived | Can M, Ozalp Gerceker G. The effect of the Veinlite PEDI2 and passive virtual reality distraction on peripheral catheter insertion-related emotional behavior, pain, fear, and anxiety of children: A randomized controlled trial. J Pediatr Nurs. 2024 Sep-Oct;78:e227-e235. doi: 10.1016/j.pedn.2024.07.010. Epub 2024 Jul 26. |
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| ID | Term |
|---|---|
| D059787 | Acute Pain |
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| virtual reality | Device | The child watched the application by wearing virtual glasses during the PIC insertion |
|
| vein viewer and virtual reality | Device | The PIC region was visualized with the help of the device, and the vein to which the intervention would be applied was determined. The child watched the application by wearing virtual glasses during the PIC insertion |
|
| before the PIC insertion and immediately after the PIC insertion (on average 2-3 minutes later)] |
| D001523 | Mental Disorders |