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Design and User Experience of VirNE Application: Deep Breathing Exercise in a Virtual Natural Environment to Reduce Treatment Anxiety in Pediatrics
 
 
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Article

Effects of Using Guided Deep Breathing Exercises in a Virtual Natural Environment to Reduce Stress during Pediatric Treatment

1
TAUCHI Research Center, Faculty of Information Technology and Communication Sciences, Tampere University, FI-33014 Tampere, Finland
2
TamCAM Research Center, Faculty of Medicine and Health Technology, Tampere University, FI-33014 Tampere, Finland
3
Department of Pediatrics, Tampere University Hospital, Central Hospital, P.O. Box 2000, FI-33521 Tampere, Finland
4
Finnish Cardiovascular Research Center, Faculty of Medicine and Health Technology, Tampere University, FI-33014 Tampere, Finland
5
Department of Child Psychiatry, Tampere University Hospital, Central Hospital, P.O. Box 2000, FI-33521 Tampere, Finland
*
Author to whom correspondence should be addressed.
Healthcare 2023, 11(24), 3140; https://doi.org/10.3390/healthcare11243140
Submission received: 31 October 2023 / Revised: 30 November 2023 / Accepted: 7 December 2023 / Published: 11 December 2023
(This article belongs to the Special Issue Virtual Reality Technologies in Health Care)

Abstract

There exists a need for new methods to address treatment anxiety in pediatrics—at the same time, deep breathing exercises and virtual natural environments have both been known to have stress-reducing qualities. This article reports the combined effect of these two methods in a pediatric setting. A feasibility study was conducted in a local hospital. The study had a within-subjects design, and it included 21 child patients aged 8 to 12 years old, who used a virtual reality (VR) relaxation application developed for this purpose during an intravenous cannulation procedure related to their treatment. The key findings highlight a statistically very significant stress reduction associated with the utilized VR intervention, demonstrated by heart rate variability measurements (SDNN, p < 0.001; RMSSD, p = 0.002; Stress Index, p < 0.001; LF/HF ratio, p = 0.010). This effect was consistent regardless of the level of general anxiety or the level of needle phobia of the patient, and no adverse effects were observed. The results show the strong potential of using deep breathing exercises in virtual natural environments for addressing treatment anxiety related to invasive pediatric procedures.
Keywords: virtual reality; child; anxiety; stress; nature; analgesia; virtual natural environments; deep breathing; heart rate variability virtual reality; child; anxiety; stress; nature; analgesia; virtual natural environments; deep breathing; heart rate variability

Share and Cite

MDPI and ACS Style

Jyskä, I.; Turunen, M.; Chaychi Maleki, A.; Karppa, E.; Palmu, S.; Viik, J.; Mäkelä, J.; Puura, K. Effects of Using Guided Deep Breathing Exercises in a Virtual Natural Environment to Reduce Stress during Pediatric Treatment. Healthcare 2023, 11, 3140. https://doi.org/10.3390/healthcare11243140

AMA Style

Jyskä I, Turunen M, Chaychi Maleki A, Karppa E, Palmu S, Viik J, Mäkelä J, Puura K. Effects of Using Guided Deep Breathing Exercises in a Virtual Natural Environment to Reduce Stress during Pediatric Treatment. Healthcare. 2023; 11(24):3140. https://doi.org/10.3390/healthcare11243140

Chicago/Turabian Style

Jyskä, Ilmari, Markku Turunen, Arash Chaychi Maleki, Elina Karppa, Sauli Palmu, Jari Viik, John Mäkelä, and Kaija Puura. 2023. "Effects of Using Guided Deep Breathing Exercises in a Virtual Natural Environment to Reduce Stress during Pediatric Treatment" Healthcare 11, no. 24: 3140. https://doi.org/10.3390/healthcare11243140

APA Style

Jyskä, I., Turunen, M., Chaychi Maleki, A., Karppa, E., Palmu, S., Viik, J., Mäkelä, J., & Puura, K. (2023). Effects of Using Guided Deep Breathing Exercises in a Virtual Natural Environment to Reduce Stress during Pediatric Treatment. Healthcare, 11(24), 3140. https://doi.org/10.3390/healthcare11243140

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