Effect Of Virtual Reality Glasses Used During Splint Application On Children's Pain And Anxiety Levels.

Study Overview
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Brief Summary
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The study in order to evaluate the effect of virtual reality glasses during splint in children on pain and anxiety due to the procedure.

Detailed Description
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The study was carried out as a randomized controlled experimental study in order to evaluate the effect of virtual reality glasses during splint in children aged 6-12 years on pain and anxiety due to the procedure. The sample of the research consisted of 80 childrens who came to Karabuk University Training and Research Hospital orthopedic policlinic and emergency between 1 May and 31 October 2021 for the splint application. In the study, two groups consisted of experimental group (n=40) and control group (n=40) were determined. The Participant Information Form, the Wong Baker Pain Scale, the State Anxiety Inventory for Children, virtual reality glasses and pulse oximeter were used to collect data. The pain, anxiety and vital signs of the children in the experimental and control groups were recorded before, during and after the splint. The video chosen by the children in the experimental group was shown with virtual reality glasses during the splint application. In the control group a video wasn't shown during the splint application. Chi square, Mann Whitney U, Bonferroni and Friedman tests were used in the analysis of data.

Official Title
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Effect Of Virtual Reality Glasses Used During Splint Application On Children's Pain And Anxiety Levels.

Conditions
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Pain, Acute, Anxiety Acute, Fractures, Bone

Intervention / Treatment
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* Other: The group using virtual reality glasses


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: The child should be between the ages of 6 and 12 age old. Acceptance of the research and giving written consent by the family and the child. Ability of the family and child to speak Turkish. The child should not wear glasses. The child should be at a cognitive level able to choose videos. Exclusion Criteria: The child should have chronic diseases. The child should take analgesics with in the last 24 hours. The child should have physical, mental and neurological disabilities. The child has a febrile illness. Fainting of the child during the procedure.

Ages Eligible for Study
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Minimum Age: 6 Years
Maximum Age: 12 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: The study was carried out as a randomized controlled. In the study, two groups consisted of experimental group (n=40) and control group (n=40) were determined.
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: The group using virtual reality glasses<br>The video chosen by the children in the experimental group was started 1-2 minutes before the splint with virtual reality glasses and watched for an average of 7 minutes. | Other: The group using virtual reality glasses<br>* The video chosen by the children in the experimental group was started 1-2 minutes before the splint with virtual reality glasses and watched for an average of 7 minutes.<br>|
| No Intervention: The group not using virtual reality glasses<br>In the control group, during the splint a video was not watched. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Wong Baker Pain Scale- (FACES) | Wong Baker Faces Pain Rating Scale was developed by Wong and Baker (1981) and was reorganized in 1983. It is employed in the diagnosis of pain severity in 3e18 years-old children. It includes a zero (0) to five (5) scoring system. It is a horizontal scale of 6 hand-drawn faces, from 0 to 5, that range from a smiling no hurt face on the left followed by hurts little bit, hurts little more, hurts even more, hurts whole lot to a crying hurts worst face on the right and scoring is conducted according to the image. | six months | 
| State-Trait Anxiety Inventory for Children- (STAI-CH) | State-Trait Anxiety Inventory for Children is the scale developed Spielberg's (1966) for testing anxiety. Children are asked to assess how they feel at the moment and to mark the most appropriate option. For each of the 20 items to evaluate the level of anxiety, one of the options (scored as 1, 2 or 3) is marked according to the presence and severity of the symptom. Turkish adaptation, validity and reliability study of this scale was done by Şeniz Özusta (1993). The scale, which consists of twenty items, aims to evaluate the emotions associated with state anxiety such as tension, nervousness, perturbation, and haste. When the presence of these emotions is reported as very much so by the child, the highest score is 3 and the lowest score of 1is assigned when not at all is preferred. The highest score in the scale is 60 and the lowest score is 20. | six months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Anxiety, child, fracture, nurse, pain, splint, virtual reality glasses