Application of Virtual Reality in reducing preoperative anxiety and improving compliance during pediatric anesthesia induction

Downloads

Download data is not yet available.
PDF (Tiếng Việt) Download: 0 View: 0

Indexing

CÁC SỐ TỪ 2011-2023
Tạp chí Y Dược Học

Abstract

Background: Preoperative anxiety causes significant physical and psychological consequences in children during the perioperative period. Virtual reality is a promising intervention for reducing anxiety and enhancing children’s cooperation without medications therapy. Objective: To evaluate the effectiveness of virtual reality headsets in reducing preoperative anxiety and improving compliance during anesthesia induction in pediatric patients. Materials and methods: This randomized controlled trial included 158 children aged 5-12 years, randomly assigned to a virtual reality intervention group (VR) or a control group (NVR). Preoperative anxiety and compliance during anesthesia induction were assessed using the modified Yale Preoperative Anxiety Scale (mYPAS) and the Induction Compliance Checklist (ICC). The incidence of postoperative emergence agitation was evaluated using the Watcha scale. Results: The change in mYPAS at induction compared with baseline in the VR group was 12.9 [10.0 - 18.3], which was significantly lower than that in the NVR group, 22.5 [17.9 - 39.2]. The proportion of good compliance during induction was significantly higher in the VR group (87.8% vs. 50.6%). No significant difference was observed in the incidence of postoperative emergence agitation. Conclusion: Virtual reality headsets are effective in reducing preoperative anxiety and improving cooperation during anesthesia induction in children.

https://doi.org/10.34071/jmp.2026.3.941
Published 2026-06-28
Fulltext
PDF (Tiếng Việt) Download: 0 View: 0
Language
Issue Vol. 16 No. 3 (2026)
Section Original Articles
DOI 10.34071/jmp.2026.3.941
Keywords Virtual reality, preoperative anxiety, pediatric anesthesia induction, postoperative emergence agitation.

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Copyright (c) 2026 Hue Journal of Medicine and Pharmacy

Phan, T., & Tran, K. T. (2026). Application of Virtual Reality in reducing preoperative anxiety and improving compliance during pediatric anesthesia induction . Hue Journal of Medicine and Pharmacy, 16(3), 57–63. https://doi.org/10.34071/jmp.2026.3.941

Harris TB, Sibley A, Rodriguez C, Brandt ML. Teaching the psychosocial aspects of pediatric surgery. Semin Pediatr Surg. 2013;22(3):161-6.

Liang Y, Huang W, Hu X, Jiang M, Liu T, Yue H, et al. Preoperative anxiety in children aged 2-7 years old: a cross-sectional analysis of the associated risk factors. Transl Pediatr. 2021;10(8):2024-34.

Wang R, Huang X, Wang Y, Akbari M. Non-pharmacologic approaches in preoperative anxiety, a comprehensive review. Front Public health. 2022;10:854673.

Moura LA, Dias IM, Pereira LV. Prevalence and factors associated with preoperative anxiety in children aged 5-12 years. Rev Lat Am Enfermagem. 2016;24:e2708.

Jung MJ, Libaw JS, Ma K, Whitlock EL, Feiner JR, Sinskey JL. Pediatric distraction on induction of anesthesia with virtual reality and perioperative anxiolysis: a randomized controlled trial. Anesth Anal. 2021;132(3):798-806.

Kim J, Jo B, Oh H, Choi H, Lee Y. High anxiety, young age and long waits increase the need for preoperative sedatives in children. J Int Med Res. 2012;40(4):1381-9.

Varughese AM, Nick TG, Gunter J, Wang Y, Kurth CD. Factors predictive of poor behavioral compliance during inhaled induction in children. Anesth Analg. 2008;107(2):413-21.

Reduque LL, Verghese ST. Paediatric emergence delirium. Continuing Educ Anaesth Crit Care Pain. 2012;13(2):39-41.

Jabali SH, Daabiss MA, Almahi N, AlSafi E, Alosaimi MM. Effect of using virtual reality headset on children perioperative anxiety: a randomized clinical trial. Int J Clin Anesth. 2023;1:102.

Mathew PJ, Gopinath AM, Gupta A, Yaddanapudi S, Panda NB, Kohli A. Assessment of potential predictors affecting preoperative anxiety in Indian children- A prospective observational study. J Anaesthesiol Clin Pharmacol. 2023;39(2):279-84.

Kanaya A. Emergence agitation in children: risk factors, prevention, and treatment. J Anesth. 2016;30(2):261-7.