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document
Virtual reality for acute pain reduction in adolescents undergoing burn wound care : a prospective randomized controlled trial . BACKGROUND Effective pain management remains a challenge for adolescents during conscious burn wound care procedures . Virtual reality ( VR ) shows promise as a non-pharmacological adjunct in reducing pain . AIMS This study assessed off-the-shelf VR for ( 1 ) its effect on reducing acute pain intensity during adolescent burn wound care , and ( 2 ) its clinical utility in a busy hospital setting . METHODS Forty-one adolescents ( 11-17 years ) participated in this prospective randomized controlled trial . Acute pain outcomes including adolescent self-report , nursing staff behavioral observation , caregiver observation and physiological measures were collected . Length of procedure times and adolescent reactions were also recorded to inform clinical utility . RESULTS Nursing staff reported a statistically significant reduction in pain scores during dressing removal , and significantly less rescue doses of Entonox given to those receiving VR , compared to those receiving standard distraction . For all other pain outcomes and length of treatment , there was a trend for lower pain scores and treatment times for those receiving VR , but these differences were not statistically significant . CONCLUSION Despite only minimal pain reduction achieved using off-the-shelf VR , other results from this trial and previous research on younger children with burns suggest a customized , adolescent and hospital friendly device may be more effective in pain reduction .
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Intervention_Educational
Virtual reality
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Intervention_Physical
pain management
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Intervention_Educational
Virtual reality ( VR )
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Intervention_Educational
off-the-shelf VR
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Intervention_Pharmacological
Entonox
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Intervention_Educational
VR
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Intervention_Educational
VR
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Intervention_Educational
VR
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Outcome_Physical
pain scores
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Outcome_Physical
rescue doses of Entonox
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Outcome_Other
pain scores and treatment times
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Participant_Age
adolescents
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Participant_Condition
burn wound care
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Participant_Age
adolescents
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Participant_Sample-size
Forty-one
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Participant_Age
adolescents
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Participant_Age
11-17 years