{"id":"https://openalex.org/W7128785768","doi":"https://doi.org/10.1007/s10055-026-01317-2","title":"Mindfulness-based guided relaxation exercises in a virtual natural environment to reduce periprocedural pain and anxiety in pediatrics","display_name":"Mindfulness-based guided relaxation exercises in a virtual natural environment to reduce periprocedural pain and anxiety in pediatrics","publication_year":2026,"publication_date":"2026-02-14","ids":{"openalex":"https://openalex.org/W7128785768","doi":"https://doi.org/10.1007/s10055-026-01317-2"},"language":"en","primary_location":{"id":"doi:10.1007/s10055-026-01317-2","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s10055-026-01317-2","pdf_url":null,"source":{"id":"https://openalex.org/S2495878607","display_name":"Virtual Reality","issn_l":"1359-4338","issn":["1359-4338","1434-9957"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Virtual Reality","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1007/s10055-026-01317-2","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5063849295","display_name":"Ilmari Jysk\u00e4","orcid":"https://orcid.org/0000-0002-8615-2878"},"institutions":[{"id":"https://openalex.org/I150589677","display_name":"Tampere University of Applied Sciences","ror":"https://ror.org/00bwtjf83","country_code":"FI","type":"education","lineage":["https://openalex.org/I150589677"]},{"id":"https://openalex.org/I4210133110","display_name":"Tampere University","ror":null,"country_code":"FI","type":null,"lineage":["https://openalex.org/I4210133110"]}],"countries":["FI"],"is_corresponding":true,"raw_author_name":"Ilmari Jysk\u00e4","raw_affiliation_strings":["TAUCHI Research Center, Faculty of Information Technology and Communication Sciences, Tampere University, 33014, Tampere, Finland"],"affiliations":[{"raw_affiliation_string":"TAUCHI Research Center, Faculty of Information Technology and Communication Sciences, Tampere University, 33014, Tampere, Finland","institution_ids":["https://openalex.org/I4210133110","https://openalex.org/I150589677"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5063830798","display_name":"Markku Turunen","orcid":"https://orcid.org/0000-0001-7395-0769"},"institutions":[{"id":"https://openalex.org/I150589677","display_name":"Tampere University of Applied Sciences","ror":"https://ror.org/00bwtjf83","country_code":"FI","type":"education","lineage":["https://openalex.org/I150589677"]},{"id":"https://openalex.org/I4210133110","display_name":"Tampere University","ror":null,"country_code":"FI","type":null,"lineage":["https://openalex.org/I4210133110"]}],"countries":["FI"],"is_corresponding":false,"raw_author_name":"Markku Turunen","raw_affiliation_strings":["TAUCHI Research Center, Faculty of Information Technology and Communication Sciences, Tampere University, 33014, Tampere, Finland"],"affiliations":[{"raw_affiliation_string":"TAUCHI Research Center, Faculty of Information Technology and Communication Sciences, Tampere University, 33014, Tampere, Finland","institution_ids":["https://openalex.org/I4210133110","https://openalex.org/I150589677"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5125975433","display_name":"Kaija Puura","orcid":null},"institutions":[{"id":"https://openalex.org/I150589677","display_name":"Tampere University of Applied Sciences","ror":"https://ror.org/00bwtjf83","country_code":"FI","type":"education","lineage":["https://openalex.org/I150589677"]},{"id":"https://openalex.org/I4210126318","display_name":"Tampere University Hospital","ror":"https://ror.org/02hvt5f17","country_code":"FI","type":"healthcare","lineage":["https://openalex.org/I4210126318"]},{"id":"https://openalex.org/I4210133110","display_name":"Tampere University","ror":null,"country_code":"FI","type":null,"lineage":["https://openalex.org/I4210133110"]}],"countries":["FI"],"is_corresponding":false,"raw_author_name":"Kaija Puura","raw_affiliation_strings":["Department of Child Psychiatry, Tampere University Hospital, Central Hospital, P.O. Box 2000, 33521, Tampere, Finland","TamCAM Research Center, Faculty of Medicine and Health Technology, Tampere University, 33014, Tampere, Finland"],"affiliations":[{"raw_affiliation_string":"Department of Child Psychiatry, Tampere University Hospital, Central Hospital, P.O. Box 2000, 33521, Tampere, Finland","institution_ids":["https://openalex.org/I4210126318","https://openalex.org/I4210133110"]},{"raw_affiliation_string":"TamCAM Research Center, Faculty of Medicine and Health Technology, Tampere University, 33014, Tampere, Finland","institution_ids":["https://openalex.org/I4210133110","https://openalex.org/I150589677"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5125993614","display_name":"Arash Chaychi Maleki","orcid":null},"institutions":[{"id":"https://openalex.org/I150589677","display_name":"Tampere University of Applied Sciences","ror":"https://ror.org/00bwtjf83","country_code":"FI","type":"education","lineage":["https://openalex.org/I150589677"]},{"id":"https://openalex.org/I4210133110","display_name":"Tampere University","ror":null,"country_code":"FI","type":null,"lineage":["https://openalex.org/I4210133110"]}],"countries":["FI"],"is_corresponding":false,"raw_author_name":"Arash Chaychi Maleki","raw_affiliation_strings":["TAUCHI Research Center, Faculty of Information Technology and Communication Sciences, Tampere University, 33014, Tampere, Finland"],"affiliations":[{"raw_affiliation_string":"TAUCHI Research Center, Faculty of Information Technology and Communication Sciences, Tampere University, 33014, Tampere, Finland","institution_ids":["https://openalex.org/I4210133110","https://openalex.org/I150589677"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5125957572","display_name":"Elina Karppa","orcid":null},"institutions":[{"id":"https://openalex.org/I150589677","display_name":"Tampere University of Applied Sciences","ror":"https://ror.org/00bwtjf83","country_code":"FI","type":"education","lineage":["https://openalex.org/I150589677"]},{"id":"https://openalex.org/I4210126318","display_name":"Tampere University Hospital","ror":"https://ror.org/02hvt5f17","country_code":"FI","type":"healthcare","lineage":["https://openalex.org/I4210126318"]},{"id":"https://openalex.org/I4210133110","display_name":"Tampere University","ror":null,"country_code":"FI","type":null,"lineage":["https://openalex.org/I4210133110"]}],"countries":["FI"],"is_corresponding":false,"raw_author_name":"Elina Karppa","raw_affiliation_strings":["Department of Pediatrics, Tampere University Hospital, Central Hospital, P.O. Box 2000, 33521, Tampere, Finland","TamCAM Research Center, Faculty of Medicine and Health Technology, Tampere University, 33014, Tampere, Finland"],"affiliations":[{"raw_affiliation_string":"Department of Pediatrics, Tampere University Hospital, Central Hospital, P.O. Box 2000, 33521, Tampere, Finland","institution_ids":["https://openalex.org/I4210126318","https://openalex.org/I4210133110"]},{"raw_affiliation_string":"TamCAM Research Center, Faculty of Medicine and Health Technology, Tampere University, 33014, Tampere, Finland","institution_ids":["https://openalex.org/I4210133110","https://openalex.org/I150589677"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5125897303","display_name":"Sauli Palmu","orcid":null},"institutions":[{"id":"https://openalex.org/I150589677","display_name":"Tampere University of Applied Sciences","ror":"https://ror.org/00bwtjf83","country_code":"FI","type":"education","lineage":["https://openalex.org/I150589677"]},{"id":"https://openalex.org/I4210126318","display_name":"Tampere University Hospital","ror":"https://ror.org/02hvt5f17","country_code":"FI","type":"healthcare","lineage":["https://openalex.org/I4210126318"]},{"id":"https://openalex.org/I4210133110","display_name":"Tampere University","ror":null,"country_code":"FI","type":null,"lineage":["https://openalex.org/I4210133110"]}],"countries":["FI"],"is_corresponding":false,"raw_author_name":"Sauli Palmu","raw_affiliation_strings":["Department of Pediatrics, Tampere University Hospital, Central Hospital, P.O. Box 2000, 33521, Tampere, Finland","TamCAM Research Center, Faculty of Medicine and Health Technology, Tampere University, 33014, Tampere, Finland"],"affiliations":[{"raw_affiliation_string":"Department of Pediatrics, Tampere University Hospital, Central Hospital, P.O. Box 2000, 33521, Tampere, Finland","institution_ids":["https://openalex.org/I4210126318","https://openalex.org/I4210133110"]},{"raw_affiliation_string":"TamCAM Research Center, Faculty of Medicine and Health Technology, Tampere University, 33014, Tampere, Finland","institution_ids":["https://openalex.org/I4210133110","https://openalex.org/I150589677"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5125891649","display_name":"Jari Viik","orcid":null},"institutions":[{"id":"https://openalex.org/I150589677","display_name":"Tampere University of Applied Sciences","ror":"https://ror.org/00bwtjf83","country_code":"FI","type":"education","lineage":["https://openalex.org/I150589677"]},{"id":"https://openalex.org/I4210133110","display_name":"Tampere University","ror":null,"country_code":"FI","type":null,"lineage":["https://openalex.org/I4210133110"]}],"countries":["FI"],"is_corresponding":false,"raw_author_name":"Jari Viik","raw_affiliation_strings":["Finnish Cardiovascular Research Center, Faculty of Medicine and Health Technology, Tampere University, 33014, Tampere, Finland"],"affiliations":[{"raw_affiliation_string":"Finnish Cardiovascular Research Center, Faculty of Medicine and Health Technology, Tampere University, 33014, Tampere, Finland","institution_ids":["https://openalex.org/I150589677","https://openalex.org/I4210133110"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5013649439","display_name":"John M\u00e4kel\u00e4","orcid":"https://orcid.org/0000-0002-1284-5698"},"institutions":[{"id":"https://openalex.org/I150589677","display_name":"Tampere University of Applied Sciences","ror":"https://ror.org/00bwtjf83","country_code":"FI","type":"education","lineage":["https://openalex.org/I150589677"]},{"id":"https://openalex.org/I4210133110","display_name":"Tampere University","ror":null,"country_code":"FI","type":null,"lineage":["https://openalex.org/I4210133110"]}],"countries":["FI"],"is_corresponding":false,"raw_author_name":"John M\u00e4kel\u00e4","raw_affiliation_strings":["TAUCHI Research Center, Faculty of Information Technology and Communication Sciences, Tampere University, 33014, Tampere, Finland"],"affiliations":[{"raw_affiliation_string":"TAUCHI Research Center, Faculty of Information Technology and Communication Sciences, Tampere University, 33014, Tampere, Finland","institution_ids":["https://openalex.org/I4210133110","https://openalex.org/I150589677"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":8,"corresponding_author_ids":["https://openalex.org/A5063849295"],"corresponding_institution_ids":["https://openalex.org/I150589677","https://openalex.org/I4210133110"],"apc_list":{"value":2290,"currency":"EUR","value_usd":2890},"apc_paid":{"value":2290,"currency":"EUR","value_usd":2890},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.49762915,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"30","issue":"2","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11292","display_name":"Pediatric Pain Management Techniques","score":0.942300021648407,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11292","display_name":"Pediatric Pain Management Techniques","score":0.942300021648407,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10708","display_name":"Mindfulness and Compassion Interventions","score":0.01640000008046627,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11768","display_name":"Music Therapy and Health","score":0.01590000092983246,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/anxiety","display_name":"Anxiety","score":0.7634999752044678},{"id":"https://openalex.org/keywords/relaxation","display_name":"Relaxation (psychology)","score":0.6208000183105469},{"id":"https://openalex.org/keywords/breathing","display_name":"Breathing","score":0.5673999786376953},{"id":"https://openalex.org/keywords/virtual-reality","display_name":"Virtual reality","score":0.5436999797821045},{"id":"https://openalex.org/keywords/stress","display_name":"Stress (linguistics)","score":0.41819998621940613},{"id":"https://openalex.org/keywords/virtual-patient","display_name":"Virtual patient","score":0.4115999937057495},{"id":"https://openalex.org/keywords/adverse-effect","display_name":"Adverse effect","score":0.41019999980926514},{"id":"https://openalex.org/keywords/heart-rate","display_name":"Heart rate","score":0.4090000092983246}],"concepts":[{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.7634999752044678},{"id":"https://openalex.org/C2776029896","wikidata":"https://www.wikidata.org/wiki/Q3935810","display_name":"Relaxation (psychology)","level":2,"score":0.6208000183105469},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.6061000227928162},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5716000199317932},{"id":"https://openalex.org/C39300077","wikidata":"https://www.wikidata.org/wiki/Q9530","display_name":"Breathing","level":2,"score":0.5673999786376953},{"id":"https://openalex.org/C194969405","wikidata":"https://www.wikidata.org/wiki/Q170519","display_name":"Virtual reality","level":2,"score":0.5436999797821045},{"id":"https://openalex.org/C21036866","wikidata":"https://www.wikidata.org/wiki/Q181767","display_name":"Stress (linguistics)","level":2,"score":0.41819998621940613},{"id":"https://openalex.org/C2778533338","wikidata":"https://www.wikidata.org/wiki/Q7935148","display_name":"Virtual patient","level":2,"score":0.4115999937057495},{"id":"https://openalex.org/C197934379","wikidata":"https://www.wikidata.org/wiki/Q2047938","display_name":"Adverse effect","level":2,"score":0.41019999980926514},{"id":"https://openalex.org/C2777953023","wikidata":"https://www.wikidata.org/wiki/Q1073121","display_name":"Heart rate","level":3,"score":0.4090000092983246},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.39169999957084656},{"id":"https://openalex.org/C2775944032","wikidata":"https://www.wikidata.org/wiki/Q22907659","display_name":"Patient satisfaction","level":2,"score":0.3856000006198883},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.3544999957084656},{"id":"https://openalex.org/C71635504","wikidata":"https://www.wikidata.org/wiki/Q933954","display_name":"Heart rate variability","level":4,"score":0.2904999852180481},{"id":"https://openalex.org/C2780579538","wikidata":"https://www.wikidata.org/wiki/Q1727182","display_name":"Guided imagery","level":3,"score":0.28630000352859497},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.2802000045776367},{"id":"https://openalex.org/C20463939","wikidata":"https://www.wikidata.org/wiki/Q811123","display_name":"Diaphragmatic breathing","level":3,"score":0.2759999930858612},{"id":"https://openalex.org/C8213797","wikidata":"https://www.wikidata.org/wiki/Q754250","display_name":"Respiratory rate","level":4,"score":0.26820001006126404},{"id":"https://openalex.org/C176217482","wikidata":"https://www.wikidata.org/wiki/Q860554","display_name":"Metric (unit)","level":2,"score":0.258899986743927},{"id":"https://openalex.org/C2776304158","wikidata":"https://www.wikidata.org/wiki/Q1751958","display_name":"Progressive muscle relaxation","level":3,"score":0.2529999911785126}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1007/s10055-026-01317-2","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s10055-026-01317-2","pdf_url":null,"source":{"id":"https://openalex.org/S2495878607","display_name":"Virtual Reality","issn_l":"1359-4338","issn":["1359-4338","1434-9957"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Virtual Reality","raw_type":"journal-article"},{"id":"pmh:oai:trepo.tuni.fi:10024/235255","is_oa":true,"landing_page_url":"https://trepo.tuni.fi/handle/10024/235255","pdf_url":null,"source":{"id":"https://openalex.org/S7407055260","display_name":"Trepo - Institutional Repository of Tampere University","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"article"}],"best_oa_location":{"id":"doi:10.1007/s10055-026-01317-2","is_oa":true,"landing_page_url":"https://doi.org/10.1007/s10055-026-01317-2","pdf_url":null,"source":{"id":"https://openalex.org/S2495878607","display_name":"Virtual Reality","issn_l":"1359-4338","issn":["1359-4338","1434-9957"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Virtual Reality","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Life in Land","id":"https://metadata.un.org/sdg/15","score":0.5678268074989319}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":66,"referenced_works":["https://openalex.org/W107711697","https://openalex.org/W1204490507","https://openalex.org/W2010170393","https://openalex.org/W2032404423","https://openalex.org/W2050509157","https://openalex.org/W2101004019","https://openalex.org/W2124126925","https://openalex.org/W2615517069","https://openalex.org/W2617009123","https://openalex.org/W2759190050","https://openalex.org/W2792172828","https://openalex.org/W2794152948","https://openalex.org/W2886039652","https://openalex.org/W2901865331","https://openalex.org/W2914950643","https://openalex.org/W2944363024","https://openalex.org/W2947250242","https://openalex.org/W2951211556","https://openalex.org/W2952551874","https://openalex.org/W2955599831","https://openalex.org/W2960234410","https://openalex.org/W2971986629","https://openalex.org/W2973709831","https://openalex.org/W2997041521","https://openalex.org/W3005182045","https://openalex.org/W3007378486","https://openalex.org/W3019210801","https://openalex.org/W3046140805","https://openalex.org/W3087180117","https://openalex.org/W3092204818","https://openalex.org/W3099598170","https://openalex.org/W3129220733","https://openalex.org/W3157864365","https://openalex.org/W3168018452","https://openalex.org/W3186317448","https://openalex.org/W3200041500","https://openalex.org/W3210210889","https://openalex.org/W3210694330","https://openalex.org/W4200554027","https://openalex.org/W4206184958","https://openalex.org/W4211004307","https://openalex.org/W4220945780","https://openalex.org/W4225320208","https://openalex.org/W4281951761","https://openalex.org/W4283066032","https://openalex.org/W4284973266","https://openalex.org/W4292603262","https://openalex.org/W4296312158","https://openalex.org/W4303644997","https://openalex.org/W4308185316","https://openalex.org/W4308770719","https://openalex.org/W4310379468","https://openalex.org/W4320711756","https://openalex.org/W4321004225","https://openalex.org/W4385546015","https://openalex.org/W4385798149","https://openalex.org/W4387307869","https://openalex.org/W4387729406","https://openalex.org/W4388530237","https://openalex.org/W4389553545","https://openalex.org/W4389574044","https://openalex.org/W4390790114","https://openalex.org/W4391661536","https://openalex.org/W4396590099","https://openalex.org/W4402552082","https://openalex.org/W4406451139"],"related_works":[],"abstract_inverted_index":{"Abstract":[0],"The":[1,84,135],"fear":[2,180],"of":[3,9,25,46,54,87,120,181,188],"needles":[4],"is":[5],"a":[6,27,33,50,76,171],"common":[7],"cause":[8],"stress":[10,40,94],"and":[11,22,117,142,144,160,195],"negative":[12],"patient":[13,39,162],"experiences":[14],"in":[15,32,75,80,197],"pediatrics.":[16],"This":[17,59],"article":[18],"reports":[19],"the":[20,97,103,124,127,152,186],"effects":[21,147],"user":[23,136],"experience":[24,137],"using":[26],"mindfulness-based":[28,166],"guided":[29],"relaxation":[30],"exercise":[31,155],"virtual":[34,77,98],"natural":[35,78],"environment":[36,79],"to":[37,64,102,151,202],"address":[38],"during":[41,96,123],"an":[42,61],"intravenous":[43],"cannulation":[44,125],"procedure":[45],"20":[47],"children":[48,128],"with":[49,71,164,178],"mean":[51],"age":[52],"(SD)":[53],"10.6":[55],"(\u00b1":[56],"1.26)":[57],"years.":[58],"was":[60,138],"extension":[62],"study":[63,90],"prior":[65],"research,":[66],"which":[67],"found":[68],"positive":[69,139],"results":[70,184],"deep":[72,153],"breathing":[73,154],"exercises":[74],"this":[81,88,165,189],"use":[82],"context.":[83],"key":[85],"findings":[86],"preliminary":[89],"include":[91],"significantly":[92],"reduced":[93],"levels":[95],"reality":[99],"intervention":[100],"according":[101],"heart":[104],"rate":[105],"variability":[106],"measurements":[107],"(SDNN,":[108],"p":[109,114,132],"=":[110,115,133],"0.006;":[111],"Stress":[112],"Index,":[113],"0.037)":[116],"lower":[118],"level":[119],"pain":[121,158,194],"experienced":[122],"than":[126],"expected":[129],"(VAS-A":[130],"Pain,":[131],"0.037).":[134],"among":[140],"patients":[141,177],"pediatricians":[143],"no":[145],"adverse":[146],"were":[148],"found.":[149],"Comparison":[150],"suggests":[156],"improved":[157],"reduction":[159],"higher":[161],"satisfaction":[163],"method":[167,190],"but":[168],"also":[169],"implies":[170],"less":[172],"reliable":[173],"stress-reducing":[174],"effect":[175],"for":[176,191],"strong":[179],"needles.":[182],"These":[183],"illustrate":[185],"feasibility":[187],"addressing":[192],"periprocedural":[193],"anxiety":[196],"pediatrics,":[198],"particularly":[199],"regarding":[200],"minor":[201],"medium":[203],"cases.":[204]},"counts_by_year":[],"updated_date":"2026-03-23T07:41:27.035349","created_date":"2026-02-14T00:00:00"}