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DOI 10.34014/2227-1848-2020-4-19-29

USING VIRTUAL REALITY FOR PAIN MANAGEMENT IN CHILDREN

N.S. Bofanova, E.V. Petrova, V.B. Kalistratov, E.N. Nesterenko, D.I. Chizh

Penza State University, Penza, Russia

Virtual reality is a relatively new tool for human-computer interaction. A person becomes an active participant in a virtual world. Virtual reality has quickly become the research subject in various medical fields. For example, today many medical procedures are accompanied by severe pain syndrome and require pain relievers. Virtual reality as an effective non-pharmacological means of reducing pain may become a new way of pain management. Currently, there is not enough scientific papers on the efficacy of the method, which has become the reason for this literature review.

The goal of the paper is to analyze electronic databases and scientific literature on the topic over the past 5 years (from 2014 to 2019).

Virtual reality has been used to reduce pain in children (4 to 17 years old) in the following medical procedures: intravenous injections, care for burn wounds, wound dressing, drug blockade, vaccination, and acute pain syndrome. The results obtained show that virtual reality is an effective non-pharmacological method of pain management. However, there are still some unresolved questions on the interaction between virtual exposure and some pain killers. Moreover, it is also unclear what is more preferable: the initial use of virtual reality therapy followed by a standard therapy, or vice versa.

Conclusion. More research is needed to understand the impact of virtual reality in pediatrics on both acute pain and chronic pain.

Keywords: virtual reality, pain syndrome, pediatrics.

Conflict of interest. The authors declare no conflict of interest.

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Received 30 June 2020; accepted 12 September 2020.

Information about the authors

Bofanova Nataliya Sergeevna, Candidate of Sciences (Medicine), Associate Professor, Chair of Neurology, Neurosurgery and Psychiatry, Penza State University. 440026, Russia, Penza, Krasnaya St., 40; e-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра., ORCID ID: http://orcid.org/0000-0002-5455-4987.

Petrova Elena Vladimirovna, Candidate of Sciences (Medicine), Associate Professor, Head of the Chair of Neurology, Neurosurgery and Psychiatry, Penza State University. 440026, Russia, Penza, Krasnaya St., 40; e-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра., ORCID ID: http://orcid.org/0000-0002-5941-8300.

Kalistratov Vladimir Borisovich, Candidate of Sciences (Medicine), Associate Professor, Chair of Neurology, Neurosurgery and Psychiatry, Penza State University. 440026, Russia, Penza, Krasnaya St., 40; e-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра., ORCID ID: http://orcid.org/0000-0002-5851-857X.

Nesterenko Evgeniy Nikolaevich, Candidate of Sciences History), Senior Lecturer, Chair of Neurology, Neurosurgery and Psychiatry, Penza State University. 440026, Russia, Penza, Krasnaya St., 40; e-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра., ORCID ID: http://orcid.org/0000-0002-8990-3454.

Chizh Dar'ya Ivanovna, Teaching Assistant, Chair of Neurology, Neurosurgery and Psychiatry, Penza State University. 440026, Russia, Penza, Krasnaya St., 40; e-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра., ORCID ID: http://orcid.org/0000-0002-9958-4426.

For citation

Bofanova N.S., Petrova E.V., Kalistratov V.B., Nesterenko E.N., Chizh D.I. Primenenie tekhnologii virtual'noy real'nosti dlya lecheniya bolevogo sindroma u detey [Using virtual reality for pain management in children]. Ul'yanovskiy mediko-biologicheskiy zhurnal. 2020; 4: 19–29. DOI: 10.34014/2227-1848-2020-4-19-29 (in Russian).

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УДК 616.8-009.6

DOI 10.34014/2227-1848-2020-4-19-29

ПРИМЕНЕНИЕ ТЕХНОЛОГИИ ВИРТУАЛЬНОЙ РЕАЛЬНОСТИ ДЛЯ ЛЕЧЕНИЯ БОЛЕВОГО СИНДРОМА У ДЕТЕЙ

Н.С. Бофанова, Е.В. Петрова, В.Б. Калистратов, Е.Н. Нестеренко, Д.И. Чиж

ФГБОУ ВО «Пензенский государственный университет», г. Пенза, Россия

Виртуальная реальность – относительно новый инструмент взаимодействия человека с компьютером, когда человек становится активным участником виртуального мира. Виртуальная реальность быстро стала предметом исследования в разных медицинских областях. Так, например, сегодня многие медицинские процедуры сопровождаются выраженным болевым синдромом и требуют применения обезболивающих препаратов. Новым направлением в обезболивании может стать применение виртуальной реальности как эффективного нефармакологического средства уменьшения болевого синдрома. В настоящее время опубликовано недостаточно научных работ об эффективности этого метода, что стало причиной проведения данного литературного обзора.

Цель – анализ электронных баз данных и научной литературы за последние 5 лет (с 2014 по 2019 г.).

Виртуальная реальность использовалась для уменьшения болевого синдрома у детей (от 4 до 17 лет) при следующих процедурах: внутривенные инъекции, уход за ожоговыми ранами, перевязка ран, проведение медикаментозных блокад, вакцинация, а также при остром болевом синдроме. Результаты проанализированных исследований показывают, что виртуальная реальность является эффективным нефармакологическим методом уменьшения болевого синдрома. Однако остаются нерешенными вопросы о взаимодействии между виртуальным воздействием и некоторыми обезболивающими препаратами, также неясно, что является более предпочтительным: первоначальное применение терапии с помощью виртуальной реальности, а затем без нее или наоборот.

Выводы. Необходимо проведение дополнительных исследований для лучшего понимания влияния виртуальной реальности в педиатрии как на острый болевой синдром, так и на хроническую боль.

Ключевые слова: виртуальная реальность, болевой синдром, педиатрия.

Конфликт интересов. Авторы заявляют об отсутствии конфликта интересов.

Литература

1. Данилов А.Б. Виртуальная реальность – метод лечения боли и аффективных нарушений. Лечение заболеваний нервной системы. М.: ООО «Неврология»; 2014: 11–17. URL: https://elibrary.ru/item.asp?id=22577472 (дата обращения: 11.12.2019).

2. Кузьмина А.С. Виртуальная реальность как средство безопасного контакта с травмирующей реальностью в психотерапии. Вестник Российского университета дружбы народов. 2014; 3: 77–82. URL: https://elibrary.ru/item.asp?id=21970476 (дата обращения: 25.11.2019).