The Effect of Gamification through a Virtual Reality on Preoperative Anxiety in Pediatric Patients Undergoing General Anesthesia: A Prospective, Randomized, and Controlled Trial

Journal of Clinical Medicine
Jung-Hee RyuSung-Hee Han

Abstract

The use of gamification in healthcare has been gaining popularity. This prospective, randomized, clinical trial was designed to evaluate whether gamification of the preoperative process-via virtual reality (VR) gaming that provides a vivid, immersive and realistic experience-could reduce preoperative anxiety in children. Seventy children scheduled for elective surgery under general anesthesia were randomly divided into either the control or gamification group. Children in the control group received conventional education regarding the preoperative process, whereas those in the gamification group played a 5 min VR game experiencing the preoperative experience. Preoperative anxiety, induction compliance checklist (ICC), and procedural behavior rating scale (PBRS) were measured. Sixty-nine children were included in the final analysis (control group = 35, gamification = 34). Preoperative anxiety (28.3 [23.3⁻36.7] vs. 46.7 [31.7⁻51.7]; p < 0.001) and intraoperative compliance measured using ICC (p = 0.038) were lower in the gamification group than in the control group. However, PBRS (p = 0.092) and parent/guardian satisfaction (p = 0.268) were comparable between the two groups. VR experience of the preoperative process could reduce ...Continue Reading

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Citations

Dec 22, 2019·International Journal of Environmental Research and Public Health·Iva Georgieva, Georgi V Georgiev
Nov 7, 2019·Journal of Clinical Medicine·Zan Gao, Jung Eun Lee
Jan 23, 2020·Medicina·François H CornelisMatthias Barral
Oct 3, 2020·Journal of Clinical Medicine·Chang-Hoon KooSung-Hee Han
Apr 20, 2020·Journal of Clinical Psychology in Medical Settings·Robin EijlersElisabeth M W J Utens
Jan 9, 2021·SAGE Open Nursing·Androniki IoannouAndreas Charalambous
Sep 16, 2020·International Journal of Radiation Oncology, Biology, Physics·Douglas E HoltSarah A Milgrom
Dec 22, 2020·Journal of Children's Orthopaedics·Bejaan A JivrajKishore Mulpuri
May 20, 2021·Journal of Pediatric Urology·Esra Tural BuyukMerve Koyun
Jul 22, 2021·Technical Innovations & Patient Support in Radiation Oncology·Michelle TennantMaria C McCarthy
Oct 1, 2021·Archives of Disease in Childhood·Kai O Hensel, John Powell
Nov 7, 2021·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Mahlaqa ButtSergey Motov

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Methods Mentioned

BETA
medical procedure

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Power
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Random Allocation

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