Google Acadêmico | Citações: 958 | índice h: 12 | índice i10: 19
Realidade virtual como ferramenta terapêutica: impactos na dor, ansiedade e bem-estar psicofísico de pacientes oncológicos pediátricos
PDF

Palavras-chave

Adolescente
Ansiedade
Câncer
Criança
Dor
Realidade virtual

Como Citar

Realidade virtual como ferramenta terapêutica: impactos na dor, ansiedade e bem-estar psicofísico de pacientes oncológicos pediátricos. (2025). Revista Eletrônica Acervo Médico, 25, e21136. https://doi.org/10.25248/reamed.e21136.2025

Copyright © | Todos os direitos reservados.

A revista detém os direitos autorais exclusivos de publicação deste artigo nos termos da lei 9610/98.

Reprodução parcial
É livre o uso de partes do texto, figuras e questionário do artigo, sendo obrigatória a citação dos autores e revista.

Reprodução total
É expressamente proibida, devendo ser autorizada pela revista.

Resumo

Objetivo: Descrever os efeitos da aplicação da realidade virtual (RV) como intervenção não farmacológica no manejo da dor e da ansiedade em crianças e adolescentes submetidos a tratamentos oncológicos e avaliar seu impacto no bem-estar e na experiência hospitalar. Métodos: Trata-se de uma revisão integrativa da literatura, com artigos publicados nos últimos 5 anos nos idiomas inglês, português e francês, com acesso completo, gratuito, online. Utilizou-se como questão norteadora: Quais os efeitos da realidade virtual na dor, ansiedade e aspectos físico-psicológicos em pacientes oncológicos pediátricos? A pesquisa bibliográfica ocorreu em março e abril de 2025, sendo realizada buscas nas bases de dados: National Library of Medicine (PubMed), Web of Science e SCOPUS (Elsevier), por meio dos Descritores em Ciências da Saúde (DeCS): Criança, Adolescente, Jovem Adulto, Pediatria, Realidade Virtual, Terapia de Exposição à Realidade Virtual, Câncer, Oncologia Médica, Neoplasia, Quimioterapia, Controle da dor, Dor, Ansiedade, Gerenciamento do Atendimento ao Paciente, Revisão, realizando combinações com operador booleano “AND”, “OR” e “NOT”. Resultados: Identificou-se 193 estudos, dentre os quais 21 foram selecionados para análise. Considerações finais: A RV é uma intervenção eficaz, destacando-se em relação a métodos tradicionais de distração, especialmente por reduzir aspectos físico-psicológicos de pacientes pediátricos durante o tratamento oncológico.

PDF

Referências

AMALI RJ, CHAVAN SS. Effectiveness of virtual reality distraction on pain perception and fear among children with cancer undergoing IV cannulation. Indian Journal of Community Medicine: Official Publication of Indian Association of Preventive & Social Medicine, 2023; 48(6): 909–914.

BOTELHO LLR, et al. O método da revisão integrativa nos estudos organizacionais. Gestão e Sociedade, 2011; 5(11): 121-136.

CABALLERO R, et al. Beyond needles: pioneering pediatric care with virtual reality (VR) for TIVAD access in oncology. Cancers (Basel), 2024; 16(12): 2187-2194.

CHENG Z, et al. Virtual reality for pain and anxiety of pediatric oncology patients: a systematic review and meta-analysis. Asia-Pacific Journal of Oncology Nursing, 2022; 9(12): 100152-100158.

CHIU C-C, et al. Immersive virtual reality to distract from pain in children treated with L-asparaginase by intramuscular injection. Cureus, 2023; 15(1): e34317: 1-7.

DESSELLE MR, et al. A wanderer's tale": the development of a virtual reality application for pain and quality of life in Australian burns and oncology patients. Palliative & Supportive Care, 2023; 21(3): 454-460.

ERDŐS S, HORVÁTH K. The impact of virtual reality (VR) on psychological and physiological variables in children receiving chemotherapy: a pilot cross-over study. Integrative Cancer Therapies, 2023; 22: 1-8.

GERÇEKER GÖ, et al. The effect of virtual reality on pain, fear, and anxiety during access of a port with huber needle in pediatric hematology-oncology patients: randomized controlled trial. European Journal of Oncology Nursing, 2021; 50: 101886-101892.

GERÇEKER GÖ, et al. The effect of virtual reality distraction and fatigue training on anxiety and fatigue levels in children with cancer: a randomized controlled study. Seminars in Oncology Nursing, 2024; 40: e6: 151725-151732.

GERSHON J, et al. A pilot and feasibility study of virtual reality as a distraction for children with cancer. Journal of the American Academy of Child and Adolescent Psychiatry, 2004; 43(10):1243-1249.

HASEI J, et al. Utilizing the Metaverse to Provide Innovative Psychosocial Support for Pediatric, Adolescent, and Young Adult Patients with Rare Cancer, Cancers, 2024; 16(15): 2617-2631.

HOAG JA, et al. Distracting Through Procedural Pain and Distress: A Randomized Controlled Trial of Virtual Reality and Guided Imagery in Pediatric, Adolescent, and Young Adult Patients (Preprint). Journal of Medical Internet Research, 2022; 24(4): e30260: 1-33.

HUNDERT AS, et al. A pilot randomized controlled trial of virtual reality distraction to reduce procedural pain during subcutaneous port access in children and adolescents with cancer. Clinical Journal of Pain, 2021; 38(3): 189-196.

JBEBLI E, et al. Impact de la réalité virtuelle sur la perception de la douleur procédurale en oncologie pédiatrique. La Tunisie Médicale, 2024; 102(10): 677-681.

KANAD N, et al. The effect of virtual reality on pain, fear and emotional appearance during blood draw in pediatric patients at the hematology-oncology outpatient clinic: a randomized controlled study. European Journal of Oncology Nursing, 2024; 68: 102495-102501.

REITZE A, et al. Impact of virtual reality on peri-interventional pain, anxiety and distress in a pediatric oncology outpatient clinic: a randomized controlled trial. BMC Pediatrics, 2024; 24(1): 501-508.

RUSSO L, et al. Feasibility of a VR Intervention to Decrease Anxiety in Children with Tumors Undergoing CVC Dressing. Revista Internacional de Pesquisa Ambiental e Saúde Pública, 2022; 19(19): 11953-11960.

RYGH L, et al. Virtual reality for pediatric oncology port-A-cath access: a pilot effectiveness study. Journal of Pediatric Hematology/Oncology Nursing, 2023; 40(6): 379–385.

SAEIDI M, et al. The effect of virtual reality and Hugo point massage on the pain and anxiety of school-aged children with cancer: crossover clinical trial. The Open Nursing Journal, 2023; 17(1): e187443462309110: 1-7.

SAVAŞ EH, et al. A Biofeedback Based Virtual Reality Game for Pediatric Population (BioVirtualPed): A Feasibility Trial. Seminars in Oncology Nursing, 2024; 40(2): 151615-151621.

SAVAŞ EH, et al. The effect of biofeedback-based virtual reality game on pain, fear, and anxiety levels during port catheter needle insertion in pediatric oncology patients: a randomized controlled study. European Journal of Oncology Nursing, 2024; 70: 102621-102629.

SHARIFPOUR S, et al. Effects of virtual reality therapy on perceived pain intensity, anxiety, catastrophising and self-efficacy among adolescents with cancer. Counselling and Psychotherapy Research, 2020; 21, e1: 218-226.

TENNANT M, et al. Feasibility, acceptability, and clinical implementation of an immersive virtual reality intervention to address psychological well-being in children and adolescents with cancer. Journal of Pediatric Oncology Nursing, 2020; 37(4): 265-277.

TENNANT M, et al. Effects of immersive virtual reality exposure in preparing pediatric oncology patients for radiation therapy. Technical Innovations & Patient Support in Radiation Oncology, 2021; 19: 18–25.

THOMAS MK, et al. Virtual reality in cancer care: enhancing knowledge and reducing anxiety about chemotherapy among patients and caregivers. International Journal of Environmental Research and Public Health, 2024; 21(9): 1163-1184.

VALLS-ESTEVE A, et al. Exploring the potential of three-dimensional imaging, printing, and modeling in pediatric surgical oncology: a new era of precision surgery. Children (Basel), 2023; 10(5): 832-851.

WONG CL, et al. Effects of immersive virtual reality for preventing and managing anxiety, nausea and vomiting among pediatric cancer patients receiving their first chemotherapy: a study protocol for an exploratory trial. PLOS ONE, 2021; 16(10): e0258514: 1-13.