The Effectiveness Of Virtual Reality Distraction On Reducing Pain Levels And Fear In Children During Injection Procedures At Rsij Cempaka Putih

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Callista Afzena

Abstract

Injection procedures are a primary source of pain and fear in children that can lead to psychological trauma and hinder compliance with future medical care. This study aimed to evaluate the effectiveness of virtual reality distraction techniques in reducing pain and fear levels in children during injection procedures at Jakarta Islamic Hospital Cempaka Putih. The study employed a quasi-experimental design with a one group pretest-posttest approach involving 36 child respondents aged 3-12 years undergoing repeated injection procedures. Pain measurement used the Wong-Baker FACES Pain Rating Scale and fear used the Children's Fear Scale, with data analysis using the Wilcoxon Signed Rank Test. Results showed significant reductions in pain and fear levels after virtual reality intervention, with significance values of 0.000 for all variables. Children's assessment showed no pain increased from 16.7% to 52.8%, while no fear increased from 2.8% to 72.2%. Researcher assessments also showed consistent reduction patterns. This study concludes that virtual reality is effective as a non-pharmacological intervention to reduce pain and fear in children during injection procedures, thus can be integrated into pediatric pain management protocols in healthcare facilities.

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How to Cite
Callista Afzena. (2026). The Effectiveness Of Virtual Reality Distraction On Reducing Pain Levels And Fear In Children During Injection Procedures At Rsij Cempaka Putih. International Journal of Health Engineering and Technology, 5(1). https://doi.org/10.55227/ijhet.v5i1.758
Section
Health

References

Ali, S., Ma, K., Rn, N. D., Vandermeer, B., Scott, S., Beran, T., Issawi, A., Curtis, S., Jou, H., Graham, T. A. D., Ba, L. S., & Hartling, L. (2021). Original Article A randomized trial of iPad distraction to reduce children ’ s pain and distress during intravenous cannulation in the paediatric emergency department. August 2020, 287–293. https://doi.org/10.1093/pch/pxaa089

Chan, E., Hovenden, M., & Ramage, E. (2019). Virtual Reality for Pediatric Needle Procedural Pain: Two Randomized Clinical Trials. 160–167.

Dumoulin, S., Thériault, J., & Dugas, C. (2019). Distraction techniques for children undergoing medical procedures: A comparative study. Pain Management Nursing, 20(3), 231–238. https://doi.org/10.1016/j.pmn.2018.10.004

Fern, A., Dobarrio-sanz, I., & Mar, I. (2020). New Technologies to Improve Pain , Anxiety and Depression in Children and Adolescents with Cancer : A Systematic Review.

Gold, J. I., Mahrer, N. E., Yee, J., & Palermo, T. M. (2021). Virtual Reality for Pediatric Pain Management: A Randomized Controlled Trial in Clinical Settings. Journal of Pediatric Psychology, 46(6), 478–689. https://doi.org/10.1093/jpepsy/jsab029

Gold, J. I., Soohoo, M., Laikin, A. M., Lane, A. S., & Klein, M. J. (2021). Effect of an Immersive Virtual Reality Intervention on Pain and Anxiety Associated With Peripheral Intravenous Catheter Placement in the Pediatric Setting A Randomized Clinical Trial. 4(8), 1–14. https://doi.org/10.1001/jamanetworkopen.2021.22569

Jenabi, E., Bashirian, S., Salehi, A. M., Rafiee, M., & Bashirian, M. (2023). Virtual reality for pain reduction during intravenous injection in pediatrics : a systematic review and meta-analysis of controlled clinical trials. 66(12), 533–537.

La, M. De, Herrera, C., Fuster-casanovas, A., & Catalina, Q. M. (2025). Use of virtual reality in the reduction of pain after the administration of vaccines among children in primary care centers in Central Catalonia : Randomized clinical trial. 1–17. https://doi.org/10.1371/journal.pone.0322840

Nordgård, R., & Låg, T. (2021). The Effects of Virtual Reality on Procedural Pain and Anxiety in Pediatrics : A Systematic Review and. 2(July). https://doi.org/10.3389/frvir.2021.699383

Sahin, C., Cinakli, S., Atar, S., Gulten, B., Nur, T., & Duygu, T. (2025). The effect of virtual reality on skin prick test ‑ related pain and fear in children : a randomized controlled trial. European Journal of Pediatrics, April 2024. https://doi.org/10.1007/s00431-025-06262-x

Sánchez-, M. I., Lluesma-, M., Tomás-, I., & Gutiérrez-, G. (2025). The effect of virtual reality versus standard- ­ care treatment on pain perception during paediatric vaccination : A randomised controlled trial. May 2024, 1045–1062. https://doi.org/10.1111/jocn.17287

Sayed, Y., Mohamed, S., & Abolwafa, N. (2020). Assessment of Pain Intensity among Preschool-age Children during Venipuncture. Minia Scientific Nursing Journal, 008(1), 56–64. https://doi.org/10.21608/msnj.2020.188041

Tan, E. C., Yip, C. L., & Lim, S. H. (2023). Efficacy of virtual reality compared to conventional distraction techniques for reducing procedural pain in children: A meta-analysis. Nurse Education Today, 122, 105730. https://doi.org/10.1016/j.nedt.2023.105730

Vitor, M. Z., Silva, T. L., Ph, D., Bitencourt, A. D. S., Fernandes, P., Ph, D., Echevarría-guanilo, M. E., Ph, D., Marques, L., Ph, D., Pina, J. C., Ph, D., Rocha, P. K., & Ph, D. (2025). Pain Management Nursing Virtual Reality for Pain Relief in Children During Vaccination : Randomized Pilot Study. Pain Management Nursing, 26(6), e530–e538. https://doi.org/10.1016/j.pmn.2025.06.014