fa تاثیر استفاده از آشنایی با بخیه زدن از طریق عینک واقعیت مجازی بر شدت درد کودکان و رضایتمندی والدین از مدیریت درد هنگام بخیه زدن: یک کارآزمایی تصادفی شده شاهددار پرستاری nursing گزارش کوتاه Brief Report <span style="line-height:90%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span lang="FA" style="line-height:90%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.2pt">سابقه</span></span></span></span><span lang="AR-SA" style="line-height:90%"><span b="" koodak="" style="font-family:"><span style="color:black"><span style="letter-spacing:-.2pt"> و هدف:</span></span></span></span> <span b="" lang="AR-SA" style="font-family:" zar=""><span style="letter-spacing:-.2pt">آشنایی با رو<span style="line-height:2;">ش انجام رویه</span></span></span><span style="line-height:2;"><span lang="AR-SA" style="font-size: 11.5pt;"><span b="" style="font-family: " zar="">‌</span></span><span b="" lang="AR-SA" style="font-family: " zar=""><span style="letter-spacing: -0.2pt;">ها سبب همکاری بیمار می</span></span><span lang="AR-SA" style="font-size: 11.5pt;"><span b="" style="font-family: " zar="">‌</span></span><span b="" lang="AR-SA" style="font-family: " zar=""><span style="letter-spacing: -0.2pt;">شود از طرفی استفاده از هدست</span></span><span lang="AR-SA" style="font-size: 11.5pt;"><span b="" style="font-family: " zar="">‌</span></span><span b="" lang="AR-SA" style="font-family: " zar=""><span style="letter-spacing: -0.2pt;">های(سرافزار) واقعیت مجازی با درگیرکردن بیماران در فضایی چند بعدی سبب کاهش درد می</span></span><span lang="AR-SA" style="font-size: 11.5pt;"><span b="" style="font-family: " zar="">‌</span></span><span b="" lang="AR-SA" style="font-family: " zar=""><span style="letter-spacing: -0.2pt;">شود. بخیه</span></span><span lang="AR-SA" style="font-size: 11.5pt;"><span b="" style="font-family: " zar="">‌</span></span><span b="" lang="AR-SA" style="font-family: " zar=""><span style="letter-spacing: -0.2pt;">زدن با ایجاد درد موجب همکاری نکردن </span></span><span b="" lang="FA" style="font-family: " zar=""><span style="letter-spacing: -0.2pt;">کودک </span></span><span b="" lang="AR-SA" style="font-family: " zar=""><span style="letter-spacing: -0.2pt;">می</span></span><span lang="AR-SA" style="font-size: 11.5pt;"><span b="" style="font-family: " zar="">‌</span></span><span b="" lang="AR-SA" style="font-family: " zar=""><span style="letter-spacing: -0.2pt;">شود. بنابراین این مطالعه با تلفیق دو روش آشناسازی و واقعیت مجازی در پی آن است که تاثیر آشناسازی با بخیه</span></span><span lang="AR-SA" style="font-size: 11.5pt;"><span b="" style="font-family: " zar="">‌</span></span><span b="" lang="AR-SA" style="font-family: " zar=""><span style="letter-spacing: -0.2pt;">زدن از طریق عینک واقعیت مجازی را بر شدت درد کودکان و رضایت والدین هنگام بخیه زدن بررسی نماید.</span></span></span></span></span></span><br> <span style="line-height:2;"><span style="direction: rtl;"><span style="unicode-bidi: embed;"><span lang="AR-SA"><span b="" koodak="" style="font-family: "><span style="color: black;"><span style="letter-spacing: -0.1pt;">مواد و روش</span></span></span></span><span lang="FA"><span b="" style="font-family: " zar=""><span style="color: black;"><span style="letter-spacing: -0.1pt;">‌</span></span></span></span><span lang="AR-SA"><span b="" koodak="" style="font-family: "><span style="color: black;"><span style="letter-spacing: -0.1pt;">ها:</span></span></span></span> <span b="" lang="AR-SA" style="font-family: " zar="">مطالعه حاضر از نوع </span><span b="" lang="FA" style="font-family: " zar="">کارآزمایی تصادفی شده شاهددار</span> <span b="" lang="AR-SA" style="font-family: " zar="">است که در بیمارستان دانشگاهی شهر قزوین انجام شد. جامعه آماری 60 کودک 7-5 سال با بریدگی در اندام یا سر بود که به روش در دسترس با تخصیص تصادفی در گروه کنترل و مداخله </span><span lang="AR-SA"><span b="" style="font-family: " zar="">انتخاب شدند. شدت درد </span></span><span lang="FA"><span b="" style="font-family: " zar="">ناشی از صدمه برای همسانسازی گروه</span></span><span lang="AR-SA" style="font-size: 11.5pt;"><span b="" style="font-family: " zar="">‌</span></span><span lang="FA"><span b="" style="font-family: " zar="">ها</span></span><span lang="AR-SA"><span b="" style="font-family: " zar=""> با </span></span><span dir="LTR" style="font-size: 10pt;">Visual Analog Scale</span><span lang="AR-SA"><span b="" style="font-family: " zar=""> در هر <span style="letter-spacing: -0.2pt;">دو گروه قبل از مداخله سنجیده شد. در گروه مداخله از عینک مجازی 1 الی 3 دقیقه قبل از بخیه زدن استفاده شد. (انیمیشن</span> 1دقیقه و30 ثانیه</span></span><span lang="AR-SA" style="font-size: 11.5pt;"><span b="" style="font-family: " zar="">‌</span></span><span lang="AR-SA"><span b="" style="font-family: " zar="">ای حاوی نحوه بخیه</span></span><span lang="AR-SA" style="font-size: 11.5pt;"><span b="" style="font-family: " zar="">‌</span></span><span lang="AR-SA"><span b="" style="font-family: " zar="">زدن و آشنایی با محیط بیمارستان) پس از اتمام بخیه</span></span><span lang="AR-SA" style="font-size: 11.5pt;"><span b="" style="font-family: " zar="">‌</span></span><span lang="AR-SA"><span b="" style="font-family: " zar="">زدن شدت درد کودک مجددا اندازه</span></span><span lang="AR-SA" style="font-size: 11.5pt;"><span b="" style="font-family: " zar="">‌</span></span><span lang="AR-SA"><span b="" style="font-family: " zar="">گیری شد. رضایت والدین با استفاده از پرسشنامه رضایتمندی والدین از مدیریت درد پس از بخیه زدن تکمیل شد. در نهایت داده</span></span><span lang="AR-SA" style="font-size: 11.5pt;"><span b="" style="font-family: " zar="">‌</span></span><span lang="AR-SA"><span b="" style="font-family: " zar="">ها با استفاده از نرم‌افزار </span></span><span dir="LTR" style="font-size: 10pt;">SPSS 16</span><span lang="AR-SA"><span b="" style="font-family: " zar=""> تجزیه و تحلیل شد.</span></span></span></span><br> <span style="direction: rtl;"><span style="unicode-bidi: embed;"><span lang="AR-SA"><span b="" koodak="" style="font-family: "><span style="color: black;"><span style="letter-spacing: -0.2pt;">یافته</span></span></span></span><span lang="FA"><span b="" style="font-family: " zar=""><span style="color: black;"><span style="letter-spacing: -0.2pt;">‌</span></span></span></span><span lang="AR-SA"><span b="" koodak="" style="font-family: "><span style="color: black;"><span style="letter-spacing: -0.2pt;">ها:</span></span></span></span> <span lang="AR-SA"><span b="" style="font-family: " zar="">اطلاعات جمعیت شناختی دو گروه همسان بودند. نتایج تفاوت آماری معنی</span></span><span lang="AR-SA" style="font-size: 11.5pt;"><span b="" style="font-family: " zar="">‌</span></span><span lang="AR-SA"><span b="" style="font-family: " zar="">داری بین شدت درد کودکان در گروه کنترل (1/67 </span></span><span lang="FA" style="font-size: 10pt;">&plusmn; </span><span lang="AR-SA"><span b="" style="font-family: " zar="">8/6) و مداخله (3/21 </span></span><span lang="FA" style="font-size: 10pt;">&plusmn; </span><span lang="AR-SA"><span b="" style="font-family: " zar="">3/97) نشان داد (0/001=</span></span><span dir="LTR" style="font-size: 10pt;">P</span><span lang="FA"><span b="" style="font-family: " zar="">).</span></span><span lang="AR-SA"><span b="" style="font-family: " zar=""> رضایت والدین از مدیریت درد نیز در دو گروه </span></span><span lang="FA"><span b="" style="font-family: " zar="">(کنترل 11/76 </span></span><span lang="FA" style="font-size: 10pt;">&plusmn; </span><span lang="FA"><span b="" style="font-family: " zar="">48/03 و مداخله 8/67 </span></span><span lang="FA" style="font-size: 10pt;">&plusmn;</span><span lang="FA"><span b="" style="font-family: " zar=""> 68/83)</span></span> <span lang="AR-SA"><span b="" style="font-family: " zar="">تفاوت آماری معنی</span></span><span lang="AR-SA" style="font-size: 11.5pt;"><span b="" style="font-family: " zar="">‌</span></span><span lang="AR-SA"><span b="" style="font-family: " zar="">داری را نشان داد (0/001=</span></span><span dir="LTR" style="font-size: 10pt;">P</span><span lang="FA"><span b="" style="font-family: " zar="">).</span></span></span></span></span><br> <span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:90%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:2;"><span lang="AR-SA"><span b="" koodak="" style="font-family: "><span style="color: black;"><span style="letter-spacing: -0.2pt;">استنتاج:</span></span></span></span> <span b="" lang="AR-SA" style="font-family: " zar="">به نظر می</span><span lang="AR-SA" style="font-size: 11.5pt;"><span b="" style="font-family: " zar="">‌</span></span><span b="" lang="AR-SA" style="font-family: " zar="">رسد استفاده از واقعیت مجازی با هدف آشناسازی باعث کاهش شدت درد در کودکان حین بخیه زدن و افزایش رضایت والدین می</span><span lang="AR-SA" style="font-size: 11.5pt;"><span b="" style="font-family: " zar="">‌</span></span><span b="" lang="AR-SA" style="font-family: " zar="">شود. بنابراین به کارگیری این روش به</span><span lang="AR-SA" style="font-size: 11.5pt;"><span b="" style="font-family: " zar="">‌</span></span><span b="" lang="AR-SA" style="font-family: " zar="">عنوان روشی غیردارویی، بی</span><span lang="AR-SA" style="font-size: 11.5pt;"><span b="" style="font-family: " zar="">‌</span></span><span b="" lang="AR-SA" style="font-family: " zar="">خطر، غیرتهاجمی و ارزان توصیه می</span></span><span lang="AR-SA" style="font-size:11.5pt"><span style="line-height:90%"><span b="" style="font-family:" zar="">‌</span></span></span><span b="" lang="AR-SA" style="font-family:" zar="">شود.</span></span></span></span></span></span> <span style="line-height:135%"><b><span style="font-size:10.0pt"><span style="line-height:135%"><span arial="" style="font-family:"><span style="letter-spacing:-.2pt">Background and purpose:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="line-height:135%">Familiarity with procedures method makes the patient cooperate. Besides, using virtual reality headsets decreases pain through involving patients in a multidimensional space. Stitching causes the child to not cooperate due to the pain occurring during the procedure. <span style="letter-spacing:-.1pt">Therefore, this study combined these two methods to investigate the effect of familiarization with stitching</span> through virtual reality headset on children&#39;s pain intensity and parents&#39; satisfaction during stitching.</span></span></span><br> <span style="text-justify:kashida"><span style="text-kashida:0%"><span style="line-height:135%"><span style="text-autospace:none"><b><span style="font-size:10.0pt"><span style="line-height:135%"><span arial="" style="font-family:">Materials and methods:</span></span></span></b><b> </b><span style="font-size:10.0pt"><span style="line-height:135%">The present study was a clinical trial. The statistical population consisted of 60 children aged 5-7 years with a cut in the limb or head. These children were selected by the convenience method and randomly allocated into two groups. Pain related to laceration was measured using Visual Analog Scale in both groups before the intervention. In the intervention group, virtual headset was used 1 to 3 minutes before stitching (playing 1 minute and 30 seconds animation containing how to stitch and getting familiar with the hospital environment). After the procedure, the child&#39;s pain intensity was measured again. Parents were asked to complete a parents&#39; satisfaction questionnaire on pain management after stitching. Finally, the data were analyzed using SPSS V16.</span></span></span></span></span></span><br> <span style="line-height:135%"><b><span style="font-size:10.0pt"><span style="line-height:135%"><span arial="" style="font-family:"><span style="letter-spacing:-.3pt">Results:</span></span></span></span></b><b> </b><span style="font-size:10.0pt"><span style="line-height:135%">The demographic data did not show any significant differences. The results showed a statistically significant difference between the pain intensity of children in the control (8.6&plusmn;1.67) and intervention (3.97&plusmn;3.21) groups (P=0.001). Parents&#39; satisfaction (control 48.03&plusmn;11.76 and intervention 68.83&plusmn;8.67) with pain management also showed a statistically significant difference between the two groups (P=0.001).</span></span></span><br> <span style="line-height:135%"><span style="vertical-align:top"><b><span style="font-size:10.0pt"><span style="line-height:135%"><span arial="" style="font-family:">Conclusion:</span></span></span></b><span style="font-size:10.0pt"><span style="line-height:135%"> It seems that using virtual reality for the purpose of familiarization reduces the intensity of pain in children during stitching and increases parents&#39; satisfaction. Therefore, it is recommended to use this method as a non-drug, safe, non-invasive, and cheap method.</span></span></span></span> واقعیت مجازی؛ شدت درد؛ بخیه؛ رضایت, درد virtual reality, pain intensity, stitching, satisfaction, pain 197 203 http://jmums.mazums.ac.ir/browse.php?a_code=A-10-12898-2&slc_lang=fa&sid=1 Mahya Farmani محیا فرمانی mahyafarmanii@gmail.com 1003194753284600161096 0009-0004-2976-0000 No MSc in Pediatric Nursing, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran کارشناسی ارشد پرستاری کودکان، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تهران، تهران، ایران hadi Ranjbar هادی رنجبر hadiranjbar@gmail.com 1003194753284600161097 1003194753284600161097 No Assisstant Professor, Nursing Research Center, Iran University of Medical Sciences, Tehran, Iran استادیار، مرکز تحقیقات پرستاری، دانشگاه علوم پزشکی ایران، تهران، ایران Akram Sadat Sadat Hoseini اکرم السادات سادات حسینی ashoseini@tums.ac.ir 1003194753284600161098 1003194753284600161098 Yes Associate Professor, Department of Pediatrics Nursing and Neonatal Intensive Care, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran دانشیار، گروه کودکان و مراقبت ویژه نوزادان، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تهران، تهران، ایران