{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T00:32:45Z","timestamp":1785457965838,"version":"3.56.0"},"reference-count":54,"publisher":"Akademiai Kiado Zrt.","issue":"2","license":[{"start":{"date-parts":[[2025,1,12]],"date-time":"2025-01-12T00:00:00Z","timestamp":1736640000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Kultur\u00e1lis \u00e9s Innov\u00e1ci\u00f3s Miniszt\u00e9rium","award":["\u00daNKP-23-3-II-SE-71"],"award-info":[{"award-number":["\u00daNKP-23-3-II-SE-71"]}]}],"content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2025,1,12]]},"abstract":"<jats:p>\u00c9vente vil\u00e1gszerte t\u00f6bb milli\u00f3 gyermeket altatnak k\u00fcl\u00f6nb\u00f6z\u0151 seb\u00e9szeti vagy\n                    diagnosztikus beavatkoz\u00e1sok miatt sz\u00fcks\u00e9gess\u00e9 v\u00e1l\u00f3 \u00e1ltal\u00e1nos \u00e9rz\u00e9stelen\u00edt\u00e9s\n                    kapcs\u00e1n. Magyarorsz\u00e1gon ez a sz\u00e1m \u00e9vente k\u00f6r\u00fclbel\u00fcl 20\u201330 ezer gyermek, akiket\n                    gyermekseb\u00e9szeti k\u00f6zpontokban kezelnek, tov\u00e1bbi 5\u201310 ezer gyermek ell\u00e1t\u00e1sa pedig\n                    feln\u0151tt g\u00e9g\u00e9szeti oszt\u00e1lyokon t\u00f6rt\u00e9nik. A gyermekek kezel\u00e9se k\u00fcl\u00f6n\u00f6sen nagy\n                    kih\u00edv\u00e1st jelent, mivel kognit\u00edv \u00e9s \u00e9rzelmi fejl\u0151d\u00e9si szintj\u00fck nehez\u00edti az\n                    el\u0151tt\u00fck \u00e1ll\u00f3 beavatkoz\u00e1sok meg\u00e9rt\u00e9s\u00e9t, \u00e9s bizonytalann\u00e1 teszi a beavatkoz\u00e1ssal\n                    j\u00e1r\u00f3 stresszes \u00e1llapot feldolgoz\u00e1s\u00e1t. Az altat\u00e1sok el\u0151tti szorong\u00e1s gyakran\n                    fokozott posztoperat\u00edv f\u00e1jdalomhoz, zavarts\u00e1ghoz \u00e9s hosszabb k\u00f3rh\u00e1zi\n                    tart\u00f3zkod\u00e1shoz vezethet, valamint nemk\u00edv\u00e1natos magatart\u00e1sbeli v\u00e1ltoz\u00e1sok is\n                    kialakulhatnak. A perioperat\u00edv szorong\u00e1s \u00e9s f\u00e1jdalom kezel\u00e9s\u00e9re k\u00fcl\u00f6nb\u00f6z\u0151\n                    m\u00f3dszerek (premedik\u00e1ci\u00f3k\u00e9nt adott szorong\u00e1scs\u00f6kkent\u0151k, sz\u00fcl\u0151i jelenl\u00e9t\n                    biztos\u00edt\u00e1sa az aneszt\u00e9zia indukci\u00f3jakor, posztoperat\u00edv f\u00e1jdalomcsillap\u00edt\u00f3k)\n                    \u00e1llnak rendelkez\u00e9sre. B\u00e1r a figyelemelterel\u0151 m\u00f3dszerek (zene, mesefilmek)\n                    hat\u00e9konynak bizonyultak, jelenleg tov\u00e1bbra is a farmakol\u00f3giai kezel\u00e9st tekintj\u00fck\n                    alapvet\u0151 m\u00f3dszernek. Az \u00fajabb, alternat\u00edv megold\u00e1sok (pszichoeduk\u00e1ci\u00f3, virtu\u00e1lis\n                    val\u00f3s\u00e1g) alkalmaz\u00e1sa m\u00e9g nem v\u00e1lt a mindennapi gyakorlat r\u00e9sz\u00e9v\u00e9. A virtu\u00e1lis\n                    val\u00f3s\u00e1g egy \u00faj, innovat\u00edv eszk\u00f6z, amely immerz\u00edv, h\u00e1romdimenzi\u00f3s, audiovizu\u00e1lis\n                    \u00e9lm\u00e9nyt ny\u00fajt, elvonva a gyermekek figyelm\u00e9t a kellemetlen tapasztalatokr\u00f3l. A\n                    virtu\u00e1lis val\u00f3s\u00e1g alkalmaz\u00e1sa gyermekgy\u00f3gy\u00e1szati k\u00f6rnyezetben k\u00fcl\u00f6n\u00f6sen\n                    \u00edg\u00e9retes, mivel a gyermekek figyelme k\u00f6nnyen lek\u00f6thet\u0151 virtu\u00e1lis j\u00e1t\u00e9kokkal, ami\n                    cs\u00f6kkenti a beavatkoz\u00e1sok okozta szorong\u00e1st \u00e9s f\u00e1jdalmat. A jelenlegi k\u00f6zlem\u00e9ny\n                    a virtu\u00e1lis val\u00f3s\u00e1g gyermekgy\u00f3gy\u00e1szati vonatkoz\u00e1sait, annak procedur\u00e1lis \u00e9s\n                    perioperat\u00edv k\u00f6rnyezetben val\u00f3 haszn\u00e1lat\u00e1nak lehet\u0151s\u00e9geit mutatja be irodalmi\n                    adatok alapj\u00e1n annak kapcs\u00e1n, hogy a m\u00f3dszerrel t\u00f6rt\u00e9n\u0151 saj\u00e1t tapasztalatszerz\u00e9s\n                    elindult a Semmelweis Egyetem Gyermekgy\u00f3gy\u00e1szati Klinik\u00e1j\u00e1n. Orv Hetil. 2025;\n                    166(2): 50\u201359.<\/jats:p>","DOI":"10.1556\/650.2025.33183","type":"journal-article","created":{"date-parts":[[2025,1,14]],"date-time":"2025-01-14T08:43:16Z","timestamp":1736844196000},"page":"50-59","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":4,"title":["A virtu\u00e1lis val\u00f3s\u00e1g haszn\u00e1lat\u00e1nak lehet\u0151s\u00e9gei gyermekek perioperat\u00edv ell\u00e1t\u00e1s\u00e1ban"],"prefix":"10.1556","volume":"166","author":[{"given":"Sarolta Haiyen","family":"Trinh","sequence":"first","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Neonatol\u00f3giai Tansz\u00e9k, Gyermekgy\u00f3gy\u00e1szati Klinika Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melinda","family":"Kis-Tam\u00e1s","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Aneszteziol\u00f3giai \u00e9s Perioperat\u00edv Betegell\u00e1t\u00f3 Int\u00e9zet Budapest, \u00dcll\u0151i \u00fat 78\/B, 1082 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00e1nos","family":"P\u00e1pai","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Gyermekgy\u00f3gy\u00e1szati Klinika Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Attila","family":"K\u00e1lm\u00e1n","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Gyermekgy\u00f3gy\u00e1szati Klinika Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melinda","family":"Cser\u00e9p","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Gyermekgy\u00f3gy\u00e1szati Klinika Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c1gnes","family":"Jermendy","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Neonatol\u00f3giai Tansz\u00e9k, Gyermekgy\u00f3gy\u00e1szati Klinika Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bal\u00e1zs","family":"Hauser","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Aneszteziol\u00f3giai \u00e9s Perioperat\u00edv Betegell\u00e1t\u00f3 Int\u00e9zet Budapest, \u00dcll\u0151i \u00fat 78\/B, 1082 Magyarorsz\u00e1g"},{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Tansz\u00e9k Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Kain ZN, Mayes LC, O\u2019Connor TZ, et al. 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