@文章{信息:doi/10.2196/30260，作者=“Hoag, Jennifer A和Karst, Jeffrey和Bingen, Kristin和Palou-Torres, Akasha和Yan, Ke”，标题=“利用虚拟现实和引导图像在儿童、青少年和青年患者中分散注意力:随机对照试验”，期刊=“J Med Internet Res”，年=“2022”，月=“4”，日=“18”，卷=“24”，数=“4”，页=“e30260”，关键词=“虚拟现实”;程序;疼痛;焦虑;儿科;背景:患有急慢性疾病的儿童经历了频繁、痛苦和痛苦的治疗过程。目的:本随机对照试验用于评估引导成像(GI)与虚拟现实(VR)对儿童和青少年接受非镇静手术的手术疼痛和状态焦虑的有效性。我们探讨了特质焦虑和疼痛灾难化在干预反应中的作用。方法:从某儿童医院的血液学、肿瘤学、血液和骨髓移植诊所招募儿童和年轻人。每个研究参与者在独立但连续的非镇静过程中完成GI和VR干预。 Self-report measures of pain and anxiety were completed before and after the procedures. Results: A total of 50 participants (median age 13 years) completed both interventions. GI and VR performed similarly in the management of procedural pain. Those with high pain catastrophizing reported experiencing less nervousness about pain during procedures that used VR than those using GI. State anxiety declined pre- to postprocedure in both interventions; however, the decrease reached the level of significance during the VR intervention only. Those with high trait anxiety had less pain during GI. Conclusions: In our sample, VR worked as well as GI to manage the pain and distress associated with common procedures experienced by children with acute or chronic illnesses. Children who are primed for pain based on beliefs about pain or because of their history of chronic pain had a better response to VR. GI was a better intervention for those with high trait anxiety. Trial Registration: ClinicalTrials.gov NCT04892160; https://clinicaltrials.gov/ct2/show/NCT04892160 ", issn="1438-8871", doi="10.2196/30260", url="//www.mybigtv.com/2022/4/e30260", url="https://doi.org/10.2196/30260", url="http://www.ncbi.nlm.nih.gov/pubmed/35436209" }