Effects of Augmented Reality Use for Distraction, Along with Cold-Vibration Therapy on Children’s Pain and Heart Rate during Intravenous Puncture
- 1Assistant Professor, Department of Nurse Anesthesia, Vocational School,Universitas Sebelas Maret, Surakarta, Central Java, Indonesia.
- 2Assistant Professor, Department of Nurse Anesthesia, Vocational School, Universitas Sebelas Maret, Surakarta, Central Java, Indonesia.
Abstract
Introduction: The Intravenous (IV) puncture procedure can cause pain and fear in children. Objectives: This study aimed to identify the effect of using Augmented Reality (AR) for distraction along with combined cold-vibration therapy on children’s pain and Heart Rate (HR) during IV puncture. Materials and Methods: This quasi-experimental study was conducted from May to July 2023 on 60 children aged 5-14 years admitted to a referral hospital in Central Java, Indonesia. They were selected through purposive sampling and were randomly allocated to the intervention and control groups (30 per group). Children in the intervention group received AR distraction (in the form of an animated cartoon) and combined cold-vibration therapy for 30 seconds before IV puncture. The Visual Analog Scale (VAS) measured the pain intensity. The physiological response (HR) was measured using a digital stopwatch by counting the pulse for one full minute. Data were analyzed using descriptive statistics (frequency, percentage, mean, and standard deviation) and inferential statistics (independent and paired t-tests). Results: Most children were female (60% in the intervention group and 56.7% in the control group. Their mean age was 6.87±2.10 in the intervention group and 6.23±1.83 in the control group. The mean VAS score after the intervention was 3.7±1.639 in the intervention group and 6.27±1.660 in the control group, and this difference was statistically significant (p=0.001). Mean HR after intervention was 91.40±6.790 in the intervention group and 97.70±8.875 in the control group (p=0.001). Conclusions: AR use for distraction, along with combined cold-vibration therapy, can be used as an effective, inexpensive, and easy non-pharmacological method to reduce children's pain and HR during IV puncture.
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BibTeX
@article{wulandari2026effects,
title = {{Effects of Augmented Reality Use for Distraction, Along with Cold-Vibration Therapy on Children’s Pain and Heart Rate during Intravenous Puncture}},
author = {Ika Subekti Wulandari and Anis Laela Megasari and Sri Mulyani},
journal = {Journal of Holistic Nursing and Midwifery},
year = {2026},
month = sep,
note = {CC BY-NC},
}
RIS
TY - JOUR
TI - Effects of Augmented Reality Use for Distraction, Along with Cold-Vibration Therapy on Children’s Pain and Heart Rate during Intravenous Puncture
AU - Ika Subekti Wulandari
AU - Anis Laela Megasari
AU - Sri Mulyani
PY - 2026
DA - 2026/09/01
JO - Journal of Holistic Nursing and Midwifery
AB - Introduction: The Intravenous (IV) puncture procedure can cause pain and fear in children. Objectives: This study aimed to identify the effect of using Augmented Reality (AR) for distraction along with combined cold-vibration therapy on children’s pain and Heart Rate (HR) during IV puncture. Materials and Methods: This quasi-experimental study was conducted from May to July 2023 on 60 children aged 5-14 years admitted to a referral hospital in Central Java, Indonesia. They were selected through purposive sampling and were randomly allocated to the intervention and control groups (30 per group). Children in the intervention group received AR distraction (in the form of an animated cartoon) and combined cold-vibration therapy for 30 seconds before IV puncture. The Visual Analog Scale (VAS) measured the pain intensity. The physiological response (HR) was measured using a digital stopwatch by counting the pulse for one full minute. Data were analyzed using descriptive statistics (frequency, percentage, mean, and standard deviation) and inferential statistics (independent and paired t-tests). Results: Most children were female (60% in the intervention group and 56.7% in the control group. Their mean age was 6.87±2.10 in the intervention group and 6.23±1.83 in the control group. The mean VAS score after the intervention was 3.7±1.639 in the intervention group and 6.27±1.660 in the control group, and this difference was statistically significant (p=0.001). Mean HR after intervention was 91.40±6.790 in the intervention group and 97.70±8.875 in the control group (p=0.001). Conclusions: AR use for distraction, along with combined cold-vibration therapy, can be used as an effective, inexpensive, and easy non-pharmacological method to reduce children's pain and HR during IV puncture.
SN - 2588-3712
SN - 2588-3720
ER -