Effect of Virtual Reality compared to Guided Visualization on Arteriovenous Fistula Cannulation pain and pain anxiety among hemodialysis children | ||||
| Assiut Scientific Nursing Journal | ||||
| Article 11, Volume 9, Issue 24, March 2021, Page 115-126 PDF (1.2 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/asnj.2021.64487.1139 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Basma Dawood1; Eslam Gado1; Shimaa Ahmed2; Samya Hegazy  3
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| 1faculty of nursing - Tanta university | ||||
| 2Tanta university hospitals | ||||
| 3faculty of nursing- Tanta University | ||||
| Abstract | ||||
| Abstract Background: Children undergoing treatment with hemodialysis are exposed frequently to pain and anxiety which are caused by the insertion of large-gauge needles into an arteriovenous fistula. Non pharmacological pain management methods such as virtual reality and guided visualization are used to manage pain and pain related anxiety. Aim: to evaluate the effect of virtual reality compared to guided visualization on arteriovenous fistula cannulation pain and pain anxiety among hemodialysis children. Setting: the study was carried out at the Tanta Main University Hospital, Pediatric Medical Department, Dialysis Unit, Tanta City, Egypt. Sample: a convenience sampling of thirty children undergoing hemodialysis with arteriovenous fistula were included from the previously mentioned setting. Tools: there were three tools used: Tool I: Structured interview schedule, consisting of three components: sociodemographic characteristics of the children, data about the caregiver of the child and data related to the disease and fistula. Tool II: Wong–Baker faces pain rating scale for children. Tool III: Pain Anxiety Symptom Scale Short Form which was developed by McCracken (2002). Results: 53.33% and 33.33% of the studied children had moderate and severe pain anxiety symptoms pre-intervention respectively while 73.33%and 46.67%of them had mild pain anxiety symptoms during application of virtual reality and guided visualization respectively. Conclusion: visual reality was the preferred method which given the greater relief of pain and pain anxiety than guided visualization. Recommendations: visual reality should be used and disseminated to other hemodialysis centers as a strategy to reduce pain and pain anxiety among those children undergoing hemodialysis. | ||||
| Keywords | ||||
| Keywords: Effect; Arteriovenous Fistula; Virtual Reality; Children; Guided Visualization; Hemodialysis; Pain & Pain anxiety | ||||
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