VIRTUAL REALITY GLASSES, CHILDREN WITH LIVER TRANSPLANTATION

The aim of the study is to determine the effect of SGG application on pain, anxiety/anxiety, fear and physiological variables during dressing in children aged 4-10 years with liver transplantation.

Children with liver transplantation are in the whole treatment and care process; exposed to frequent and repetitive painful procedures. Abdominal dressings were observed to be the most frequent-repetitive, long-term source of pain affecting children physically and psychologically from these procedures. It is thought that the use of virtual reality during abdominal dressing will be beneficial because of the size of the abdominal incision and dressings, the use of no analgesic or sedative agent during dressing, and the children are affected by this incision image. It is thought that virtual reality can be used and effective in this area in terms of keeping people away from images and sounds and isolating them from real life.

Liver transplantation is becoming widespread as an effective treatment option. Medical and technological developments have affected the increase in the number and success rate of transplant patients. On the other hand, some physiological and psychological problems occur in children during and after transplantation. It is stated that the biggest source of fear for children in the hospital is invasive procedures such as blood draw, injection, and post-operative dressing change. These interventions, which are accepted as treatment and care procedures and which must be performed, are defined as procedural sources of pain. Dressing changes after abdominal surgery can cause the child to experience pain and fear. Although it is known that procedural pain is physiological, it is thought that the fear and anxiety that arise during this time also cause pain. The pain experienced by children during dressing change and the inability to effectively manage this pain; It can disrupt the secretion of hormones and permanently change the function and arrangement of some organs. It can prolong hospital stay by causing deterioration in glucose balance and delay in wound healing. Procedural pain management aims to minimize the pain and anxiety experienced by children due to medical interventions. For this purpose, it is recommended to use non-pharmacological methods in addition to pharmacological treatment methods. One of the most preferred non-pharmacological methods in children is distraction. Unlike other methods of distraction, virtual reality is a different method in that it distances the person from images and sounds, isolates them from real life, brings together multiple sensory experiences and maximizes the sense of attention. In the treatment and care process of children with liver transplantation; exposed to frequent and repetitive painful procedures. Abdominal dressings were observed to be the most frequent-repetitive, long-term source of pain affecting children physically and psychologically from these procedures. It is thought that the use of virtual reality during abdominal dressing will be beneficial because of the size of the abdominal incision and dressings, the use of an analgesic/sedative agent during dressing, and the fact that children are affected by this incision image.

The aim of the study was to determine the effect of SGG application on pain, anxiety/anxiety, fear and physiological variables during dressing in children aged 4-10 years who had liver transplantation.

Eligibility Criteria:
Inclusion Criteria:

* Between the ages of 4-10,
* do not have a chronic or genetic disease,
* not mentally, visually or hearing impaired,
* no painful intervention is applied at least one hour before the dressing,
* no analgesic and sedative applied at least one hour before the dressing,
* both himself and his parents are open to communication and cooperation,
* Children who are first dressed in the service, who both themselves and their parents volunteer to participate in the study, and who give verbal and written consent will be included.

Exclusion Criteria:

- Children who cannot adapt to the virtual reality glasses during the study, who are restless and who want to withdraw from the study will be excluded from the study.