The Effect of Mirroring Display of Virtual Reality Tour of the Operating Theatre on Preoperative Anxiety: A Randomized Controlled Trial

A virtual reality (VR) tour of the operating theatre could reduce preoperative anxiety by providing a realistic experience for children. This randomized clinical trial was designed to determine whether parental co-experience of preoperative VR tour through a mirroring display could further reduce preoperative anxiety. Eighty children scheduled for elective surgery under general anesthesia were randomly allocated into either the control or mirroring group. Children in the control group watched a 4-min immersive VR video showing the operating theatre and explaining the preoperative process, via a head mounted display. In the mirroring group, parents of children watched the same video through mirroring display concurrently while their child experienced the immersive VR tour. Preoperative anxiety and satisfaction score were measured. Eighty children completed the final analysis (control group = 40 and mirroring group = 40). Preoperative anxiety of children (p = 0.025) and parents (p = 0.009) were lower in the mirroring group compared with the control group. Parents’ satisfaction in the mirroring group was significantly higher than those in the control group (p = 0.008). Parental co-experience of the VR tour with children through mirroring the display was effective in reducing preoperative anxiety in both children and parents.

[1]  E. Gulec,et al.  Preoperative informational video reduces preoperative anxiety and postoperative negative behavioral changes in children. , 2016, Minerva anestesiologica.

[2]  M. Aouad,et al.  Emergence agitation in children: an update , 2005, Current opinion in anaesthesiology.

[3]  Linda C. Mayes,et al.  Parental Presence during Induction of Anesthesia versus Sedative Premedication: Which Intervention Is More Effective? , 1998, Anesthesiology.

[4]  G. Rosano,et al.  Preoperative parental information and parents' presence at induction of anaesthesia. , 2006, Minerva anestesiologica.

[5]  E. Neri,et al.  Parental anxiety and stress before pediatric anesthesia: A pilot study on the effectiveness of preoperative clown intervention , 2014, Journal of health psychology.

[6]  M. Deniz,et al.  Effects of sociodemographic factors and maternal anxiety on preoperative anxiety in children , 2014, The Journal of international medical research.

[7]  S. Liguori,et al.  Effectiveness of an App for Reducing Preoperative Anxiety in Children: A Randomized Clinical Trial. , 2016, JAMA pediatrics.

[8]  D. Cicchetti,et al.  The Yale Preoperative Anxiety Scale: How Does It Compare with a "Gold Standard"? , 1997, Anesthesia and analgesia.

[9]  A. Molassiotis,et al.  The effects of an educational programme on the anxiety and satisfaction level of parents having parent present induction and visitation in a postanaesthesia care unit , 2002, Paediatric anaesthesia.

[10]  Laura Vagnoli,et al.  Clown Doctors as a Treatment for Preoperative Anxiety in Children: A Randomized, Prospective Study , 2005, Pediatrics.

[11]  C. Johnston,et al.  Preoperative parental anxiety predicts behavioural and emotional responses to induction of anaesthesia in children , 1990, Canadian journal of anaesthesia = Journal canadien d'anesthesie.

[12]  Jin-woo Park,et al.  Randomized clinical trial of immersive virtual reality tour of the operating theatre in children before anaesthesia , 2017, The British journal of surgery.

[13]  M. Park,et al.  Reliability and validity of Korean version of modified: Yale preoperative anxiety scale , 2015, Annals of surgical treatment and research.

[14]  T. Komatsu,et al.  Parental presence during induction enhances the effect of oral midazolam on emergence behavior of children undergoing general anesthesia , 2007, Acta anaesthesiologica Scandinavica.

[15]  A. Aytekin,et al.  The Effects of Distraction on Preoperative Anxiety Level in Children. , 2016, Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses.

[16]  L. Mayes,et al.  Distress during the induction of anesthesia and postoperative behavioral outcomes. , 1999, Anesthesia and analgesia.

[17]  Miad Faezipour,et al.  Desynchronization and Energy Efficiency of Gaussian Neurostimulation on Different Sites of the Basal Ganglia , 2017, 2017 IEEE 17th International Conference on Bioinformatics and Bioengineering (BIBE).