Effect of Virtual Reality on Pain Intensity Associated with Arteriovenous Fistula Puncture among Children Undergoing Hemodialysis | ||||
| Alexandria Scientific Nursing Journal | ||||
| Volume 27, Issue 1, March 2025, Page 59-71 PDF (328.33 K) | ||||
| DOI: 10.21608/asalexu.2025.414949 | ||||
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| Authors | ||||
| Nagwa Ibrahim Mohamed , Hamad1; Asmaa Morshedy Ebrahim El-Tonoby,2; Nehad Sabry Mahmoud , Basiouny3; Hanan Mohamed , Fathy4 | ||||
| 1Assistant professor Pediatric Nursing Department, Faculty of Nursing, Alexandria University | ||||
| 2Assistant Lecturer Pediatric Nursing Department, Faculty of Nursing, Alexandria University | ||||
| 3Professor Pediatric Nursing Department, Faculty of Nursing, Alexandria University | ||||
| 4Assistant professor Pediatrics Department, Faculty of Medicine, Alexandria University | ||||
| Abstract | ||||
| Background: Arteriovenous Fistula (AVF) puncture is a crucial component of Hemodialysis (HD) that is often accompanied by significant pain, particularly among pediatric patients. Mitigating this pain using promising adjunctive non-pharmacological therapy such as Virtual Reality (VR) is pivotal. The study aimed to determine the effect of VR on pain intensity associated with AVF puncture among children undergoing HD. Settings: The study was conducted at the HD units of Smouha Children's University Hospital and Sporting Students' Hospital in Alexandria, Egypt. Subjects: A convenient sample of 30 children undergoing HD through AVF comprised the study subjects. Children's ages ranged from 6 to 12 years. All subjects were assigned to the control and then to the VR group cross overly. Tools: Three tools were used to collect the necessary data namely, Characteristics of Children and their Medical and Physiological Data Assessment Sheet, Modified Children’s Hospital of Eastern Ontario Pain Scale, and Wong-Baker Faces Pain Rating Scale. Results: it was found that 76.7% of children in the control group were suffering from severe pain during AVF puncture compared to 33.3% of children in the VR group. Also, most children in the VR group experienced mild pain (93.3%) immediately after the AVF puncture, compared to one-third of the control group (33.3%) as 60.0% experienced moderate pain. Conclusion: It was concluded that the VR technique minimized pain responses significantly during and immediately after AVF puncture among children undergoing HD. Recommendation: Virtual reality should be incorporated into the HD units' care protocols to alleviate children's pain. | ||||
| Keywords | ||||
| Arteriovenous Fistula; Children; Hemodialysis; Pain; Puncture; Virtual Reality | ||||
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