EFFICACY OF VIRTUAL REALITY IN RELIEF OF PAIN, ANXIETY AND FEAR IN CHILDREN: Systematic Review.
Virtual Reality, Child, Child, Hospitalized, Pain. Anxiety, Fear.
Child hospitalization is a context that generates strangeness and insecurity for children, as they are removed from their daily lives with family and friends and are placed in an unknown and stressful environment in which they are often subjected to invasive procedures that cause pain, such as dressing changes, venous access puncture, airway aspiration, among others. Pain relief can occur pharmacologically and non-pharmacologically. Over the years, technology has been used in the health sector and recent studies have proven the effectiveness of using Virtual Reality (VR) as a method for pain relief in hospitalized children, in addition to reducing fear and anxiety. Randomized clinical trials conducted over the last 4 years have shown that VR helps relieve pain during the postoperative period (average pain reduction of 37.5%) and during blood transfusion (average pain reduction of 80%). This study is a systematic review that will be conducted based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and will include randomized clinical trials and quasi-experimental studies with children and adolescents who received VR as an intervention during painful procedures. The objective of this review is to identify and evaluate the effectiveness of VR in relieving pain, fear, and anxiety in hospitalized children undergoing painful procedures. The selected articles will be imported into Rayyan and duplicates will be removed. The risk of bias will be analyzed using the Cochrane Risk of Bias Tool (ROB 2). To classify the strength of evidence of the included studies, we will use the Grading of Recommendation Assessment, Development, and Evaluation (GRADE) approach. It is expected that it will be possible to perform a meta-analysis of the data in case of heterogeneity (I²≥50%). With this systematic review, it is believed that new subsidies and greater clarity of the available evidence on this non-pharmacological method to alleviate pain, fear and anxiety in hospitalized children will be produced in order to guide better decision-making based on the best available evidence.