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Title: Application of a virtual reality prototype for pain relief of pediatric burn in Taiwan
Authors: Chan, EA 
Chung, J
Wong, TKS
Lien, ASY
Yang, JY
Issue Date: Apr-2007
Source: Journal of clinical nursing, Apr. 2007, v. 16, no. 4, p. 786-793
Abstract: Aim. This study examines the usability and effectiveness of virtual reality in reducing pain in wound-care procedures for pediatric burn patients in Taiwan.
Background. Virtual reality has continuously gained prominence in the medical arena, for instance, the telepresence for surgery, the management of mental health disorders and pain control of the paediatric burn. Notwithstanding an increased application of virtual reality in the medical arena in North America, there have been no studies investigating its use for paediatric burn patients in Asia.
Methods. This descriptive study has two phases: Phase I: the development of a virtual reality prototype. Phase II: the implementation of the prototype to discern its usability and efficacy with paediatric burn patients at a local hospital.
Results. The findings suggest that a significant difference is found in the children's reported pain, with or without the virtual reality intervention, over the three phases: before, during and after the dressing change. However, less pain was noted in the intervention group during and after the dressing change.
Conclusion. Adding to the existing clinical value of virtual reality identifies the nature of and different children's responses to pain with the use of virtual reality.
Relevance to clinical practice. This study is significant since it demonstrates a difference in the child's response to pain based on the nature of presence and distraction. Moreover, given the evidence that a decrease in anxiety was experienced after the dressing change with virtual reality intervention, timing of using the virtual reality intervention before the child develops conditioning anxiety and anticipated pain for the procedure would be of importance.
Keywords: Nurses
Pain and presence
Pediatric burn
Virtual reality
Wound care
Publisher: Wiley-Blackwell
Journal: Journal of clinical nursing 
ISSN: 0962-1067
EISSN: 1365-2702
DOI: 10.1111/j.1365-2702.2006.01719.x
Rights: © 2007 The Authors. Journal compilation © 2007 Blackwell Publishing Ltd.
Appears in Collections:Journal/Magazine Article

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