본문 바로가기
KERD
논문KCI 등재

소아환자의 국소마취 시 Virtual Reality 주의분산이 통증 및 두려움에 미치는 효과

Effect of Virtual Reality Distraction on Pain and Anxiety in Children during Local Anesthesia

이상호|이난영|지명관|안지혜|김두수
대한소아치과학회 (The Korean Academy Of Pediatric Dentistry)|2021.02|대한소아치과학회지 (Journal of the Korean academy of pediatric dentistry)|제48권 제1호|pp. 95-104

1

조회

0

다운로드

0

인용

0

참고문헌

키워드

DistractionVirtual realityLocal anesthesia
주제분류치의학

초록

이번 연구의 목표는 virtual reality 주의분산이 국소마취 시 소아의 통증과 두려움에 미치는 영향을 평가하는 것이다. 주의분산을 사용하지 않은 대조군, 천장 모니터를 이용해 TV를 시청한 군, virtual reality 기기를 이용한 군으로 나누어 국소마취를 시행하였다. 환자의 통증과 두려움을 평가하기 위해 국소마취 전과 국소마취 시점에 심박수와 산소포화도가 각각 측정되었으며 국소마취 후에 Wong�Baker Faces Pain Rating Scale이 기록되었다. 대조군과 TV를 시청한 군에 비해 virtual reality를 이용한 군은 심박수 변화량과 Wong-Bakers Faces Pain Rating Scale이 유의하게낮았다(p < 0.05). 연령군별 비교에서는 5 - 7세 어린이에서, Frankl 행동평가척도별 비교에서는 3등급의 어린이에서 virtual reality를사용한 군과 대조군 사이에 가장 큰 심박수 변화량과 Wong-Bakers Faces Pain Rating Scale의 차이를 나타냈다. 소아 환자의 국소마취 시 virtual reality 장치가 통증과 두려움의 완화에 효과적임을 확인하였으며 효과적인 주의분산 매체로 사용될수 있을 것으로 사료된다.

Abstract

The purpose of this study was to evaluate the effect of virtual reality distraction on pain and anxiety in children during local anesthesia. Local anesthesia was administered to 3 groups: a control group without distraction, a group watching TV, and a group using a virtual reality device. The pulse rate and oxygen saturation rate were measured before and at the time of local anesthesia to assess the patients’ pain and anxiety, and the Wong-Baker Faces Pain Rating Scale was completed after local anesthesia. The group using the virtual reality device had a significantly lower heart rate change and lower Wong-Baker Faces Pain Rating Scale score than those in the control group and the group watching TV (p < 0.05). The greatest difference in heart rate change and Wong-Baker Faces Pain Rating Scale score, between the control and virtual reality distraction groups, was seen in 5 - 7-year-olds and a Frankl’s behavior rating scale grade of 3. The virtual reality device alleviated pain and reduced anxiety in children during local anesthesia.

참고문헌 (35)

  1. Hosey MT, "UK national clinical guidelines in paediatric dentistry. Managing anxious children: the use of conscious sedation in paediatric dentistry", Int J Paediatr Dent, 12, pp.359~372 (2002)
  2. Kanegane K, "Dental anxiety in an emergency dental service", Rev Saude Publica, 37, pp.786~792 (2003)
  3. Fiset L, "Psychophysiological responses to dental injections", J Am Dent Assoc, 111, pp.578~583 (1985)
  4. Appukuttan DP, "Strategies to manage patients with dental anxiety and dental phobia : literature review", Clin Cosmet Investig Dent, 8, pp.35~50 (2016)
  5. Cianetti S, "Evidence of pharmacological and non-pharmacological interventions for the management of dental fear in paediatric dentistry : a systematic review protocol", BMJ Open, 7, pp.016043~ (2017)
  6. Goettems ML, "Nonpharmacologic intervention on the prevention of pain and anxiety during pediatric dental care : a systematic review", Acad Pediatr, 17, pp.110~119 (2017)
  7. Navit S, "Effectiveness and comparison of various audio distraction aids in management of anxious dental peadiatric patients", J Clin Diagn Res, 9, pp.5~9 (2015)
  8. Navidian A, "The effect of audiovisual distraction on the toleravility of flexible bronchoscopy : a randomized trial", Clin Respir J, 12, pp.76~83 (2018)
  9. Al-Namankany A, "Video modelling and reducing anxiety related to dental injections-a randomised clinical trial", Br Dent J, 216, pp.675~679 (2014)
  10. Kho SB, "A study on the effect of video-system upon the behavior management of children undergoing dental treatment", J Korean Acad Pediatr Dent, 20, pp.226~244 (1993)
  11. Al-Khotani A, "Effects of audiovisual distraction on children’s behaviour during dental treatment : a randomized controlled clinical trial", Acta Odontol Scand, 74, pp.494~501 (2016)
  12. Slifer KJ, "Helping children and caregivers cope with repeated invasive procedures: How are we doing?", J Clin Psychol Med Settings, 9, pp.131~152 (2002)
  13. Al-Halabi MN, "Effectiveness of audio visual distraction using virtual reality eyeglasses versus tablet device in child behavioral management during inferior alveolar nerve block", Anaesthesia, Pain & Intensive Care, 22, pp.55~61 (2018)
  14. Botella C, "Virtual reality in the treatment of pain", J Cyber Ther Rehabil, 1, pp.93~100 (2008)
  15. Gorman JM, "Virtual reality : A real treatment option", CNS Spectr, 11, pp.12~13 (2006)
  16. Malloy KM, "The effectiveness of virtual reality distraction for pain reduction : a systematic review", Clin Psychol Rev, 30, pp.1011~1018 (2010)
  17. Hoffman HG, "Virtual reality as an adjunctive non-pharmacologic analgesic for acute burn pain during medical procedures", Ann Behav Med, 41, pp.183~191 (2011)
  18. Gold JI, "The neurobiology of virtual reality pain attenuation", Cyberpsychol Behav, 10, pp.536~544 (2007)
  19. 이대우, "5% EMLA cream과 20% Benzocaine gel의 도포마취 효능 비교", 대한소아치과학회지, 38(1), pp.1~8 (2011), 대한소아치과학회
  20. 김영균, "치과용 국소마취 주사시 압력조절형 주사장치 사용의 효과에 대한 연구", Journal of Dental Anesthesia and Pain Medicine, 6(2), pp.98~102 (2006), 대한치과마취과학회
  21. Tomlinson D, "A Systematic Review of Faces Scales for the Self-report of Pain Intensity in Children", Pediatrics, 126, pp.1168~1198 (2010)
  22. Roshni Chandran, "Pain Assessment in Children Using a Modified Wong Baker Faces Pain Rating Scale", International Journal of Clinical Preventive Dentistry, 15(4), pp.202~205 (2019), 대한예방치과학회[DOI]
  23. Brand HS, "Cardiovascular responses induced by dental treatment", Eur J Oral Sci, 104, pp.245~252 (1996)
  24. Kopf A, "International association for the study of pain", pp.14~20 (2010)
  25. Agarwal N, "Effectiveness of Two Topical Anaesthetic Agents used along with Audio Visual Aids in Paediatric Dental Patients", J Clin Diagn Res, 11, pp.80~83 (2017)
  26. Prabhakar AR, "A comparison between audio and audiovisual distraction techniques in managing anxious pediatric dental patients", J Indian Soc Pedod Prev Dent, 25, pp.177~182 (2007)
  27. Chan ED, "Pulse oximetry : understanding its basic principles facilitates appreciation of its limitations", Respir Med, 107, pp.789~799 (2013)
  28. Shetty V, "Effect of Virtual Reality Distraction on Pain and Anxiety During Dental Treatment in 5 to 8 Year Old Children", J Clin Pediatr Dent, 43, pp.97~102 (2019)
  29. Aminabadi NA, "The Impact of Virtual Reality Distraction on Pain and Anxiety during Dental Treatment in 4-6 Year-Old Children : a Randomized Controlled Clinical Trial", J Dent Res Dent Clin Dent Prospects, 6, pp.117~124 (2012)
  30. Birnie KA, "Systematic Review and Meta-Analysis of Distraction and Hypnosis for NeedleRelated Pain Distress in Children and Adolescents", J Pediatr Psychol, 39, pp.783~808 (2014)
  31. Skinner EA, "The development of coping", Annu Rev Psychol, 58, pp.119~144 (2007)
  32. Dahlquist LM, "Effects of videogame distraction using a virtual reality type headmounted display helmet on cold pressor pain in children", J Pediatr Psychol, 34, pp.574~584 (2009)
  33. Wickens CD, "Multiple resources and performance prediction", Theor Issues in Ergon Sci, 3, pp.159~177 (2002)
  34. Pourmand A, "Virtual Reality as a Clinical Tool for Pain Management", Curr Pain Headache Rep, 22, pp.53~ (2018)
  35. 염순준, "시청각 기구를 이용한 소아환자의 행동조절에 관한 연구", 대한소아치과학회지, 29(2), pp.189~195 (2002), 대한소아치과학회

관련 논문AI추천

Comparative effectiveness of DistrACTION Cards and Buzzy for pain relief during intravenous infusion in preschool children in Korea: a quasi-randomized controlled trial박은아, 이민지한국아동간호학회 · Child Health Nursing Research2025 · 제31권 제4호아동기 처치관련 관심전환요법: 국내 아동 중재연구의 비평적고찰김진선, 임은선한국아동간호학회 · Child Health Nursing Research2014 · 제20권 제4호수술 환아의 불안에 적용한 비약물적 중재의 효과: 체계적 문헌고찰 및 메타분석김현영, 신선화동서간호학연구소 · 동서간호학연구지2021 · 제27권 제1호피부국소마취제가 아동의 정맥천자시 통증 경감과 불안 감소에 미치는 효과김진선, 박기원, 정용선한국아동간호학회 · Child Health Nursing Research2006 · 제12권 제2호정맥 천자 시 국소마취크림 도포가 아동의 통증에 미치는 효과김윤수, 박호란한국아동간호학회 · Child Health Nursing Research2014 · 제20권 제3호스마트폰을 이용한 개별화된 관심전환 중재가 수술 전 환아의 불안에 미치는 영향권미경, 김혜원, 박찬숙, 이경아, 임지은, 표창옥한국아동간호학회 · Child Health Nursing Research2015 · 제21권 제2호

이 간행물의 다른 논문 (11건)

Factors Influencing Upper Airway Dimensions in Skeletal Class Ⅱ Children and Adolescents: A CBCT Study이제우, 라지영, 김병화pp. 1-11유동성 복합레진을 이용한 유구치 II급 수복의 생존율정태성, 신종현, 서혜준, 이은경, 박소영pp. 12-20Indocyanine Green을 이용한 광열 치료의 다종 우식원성 바이오필름에 대한 효과이주현, 박호원, 김명환, 서현우, 이시영pp. 21-30Assessment of Midpalatal Suture Maturation by Skeletal Maturity on Hand Wrist Radiographs유다열, 김동현pp. 31-41Long-Term Outcome of Reattached Tooth Fragment in Permanent Anterior Teeth of Children and Adolescents최성철, 이고은, 채용권, 남옥형, 이효설, 강호연pp. 42-49
원문 보기