Nurse's Role Clinical Trial
Official title:
Effect of Virtual Reality Distraction Versus Positive Pre-Visit Imagery Intervention on Children's Dental Fear and Anxiety : Implications for EvidenceāBased Practice
Aim
This study aimed to determine the effect of virtual reality distraction versus positive
pre-visit imagery intervention on children's dental fear and anxiety during local anaesthesia
injection.
Research Hypotheses
1. Children who receive Virtual reality distraction or Positive pre-visit imagery
intervention exhibit less dental fear and anxiety levels during LA injection than those
who do not.
2. Children who receive Virtual reality distraction exhibit less dental fear and anxiety
levels during LA injection than those who receive Positive pre-visit imagery
intervention.
Promoting children's health is a crucial nursing role. Dental health and psychological
well-being are basic components of the health promotion for young children. Dental procedures
especially local anesthesia injection is one of the most unpleasant experiences for young
children. Dental Fear and Anxiety are considered pervasive psychological problems accompanied
with strong negative feelings among a large portion of young children. Basically, dental fear
and anxiety have been reported as one of the most important reasons for avoidance of dental
treatments among young children, thereby results in an adverse effects on their oral and
psychological health.
Nurses face a great challenge to minimize dental fear and anxiety and stabilize young
children psychologically during restorative dental procedures. Such stabilization is the
cornerstone of successful local anaesthesia injection and facilitating dentist's mission.
Virtual reality refers to a human-computer interface that completely immerse the child in a
simulated environment. It integrates multiple perceptual senses including; the visual,
auditory and kinaesthetic stimulation modalities. Virtual reality diverts children's
attention away from the negative feelings associated with unpleasant experience.
Positive pre-visit imagery is one of the superior cognitive- behavioral interventions. It is
kind of psychological preparation that is designed to provide children with a step-by-step
explanation of the dental local anaesthesia injection in an attractive approach. It helps
them to anticipate, deal with, and be empowered to gain mastery over the events they will
experience. It also plays a role in counteracting the distorted beliefs that invading the
children's conscious awareness.
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