Effectiveness of Audiovisual Distraction in Reducing Children's Anxiety for Pain During Medical and Dental Treatments: A Systematic Review and Meta-analysis

被引:0
作者
Patil, Raju Umaji [1 ]
Onkari, Prajakta Somappa [1 ]
Gurunathan, Deepa [2 ]
机构
[1] Sinhgad Dent Coll & Hosp, Dept Pediat & Prevent Dent, 44-1 Vadgaon Bk,Sinhgad Rd, Pune 411041, Maharashtra, India
[2] Saveetha Dent Coll, Dept Pedodont, Chennai, Tamil Nadu, India
关键词
Audiovisual aids; anxiety; child; dental anxiety; distraction; pain; VIRTUAL-REALITY; MANAGEMENT;
D O I
10.4103/sjmms.sjmms_275_23
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Audiovisual distraction is a potentially good technique to reduce medical treatment procedure-related fear and anxiety among children. However, few studies have assessed its effectiveness. Objective: To conduct a systematic review and meta-analysis for evaluating the effectiveness of audiovisual distraction in reducing pain anxiety in pediatrics. Methods: Randomized control trials and experimental studies that reported the use of audiovisual distraction during medical/dental treatments among children aged 3-8 years, used the Face, Legs, Activity, Cry, Consolability (FLACC) scale to assess pain, and were published between 2005-2021 and in English were retrieved from PubMed, Scopus, and Web of Science. A random-effects model was used for evidence analysis. Results: A total of four studies were included in the systematic review and meta-analysis: two were from South Asia and one each were from Africa and North America. Three of these studies were randomized control trials. The variability among the studies was high. Three of the four studies found that AV techniques were significantly effective in reducing pain during procedures compared with the control group (P < 0.00001), while one study found no difference; the cumulative evidence in the forest plot was similar. Conclusion: Cumulative evidence suggests that the use of audiovisual distraction is an effective strategy in reducing medical/dental procedures-related pain anxiety among children aged 3-8 years. However, evidence on this is currently limited, and thus further studies are required using various AD techniques and on different populations to substantiate these findings.
引用
收藏
页码:252 / 258
页数:7
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