Volume 5, Issue 1 (In Progress 2019)                   JCCNC 2019, 5(1): 5-6 | Back to browse issues page

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Moosavi A, shoghi M, Haghani H, Borimnejad L. The Effect of Medical-Directed Play on the Severity of Pain During Burn Dressing Change in Children: A Clinical Randomized Trial. JCCNC. 2019; 5 (1) :5-6
URL: http://jccnc.iums.ac.ir/article-1-194-en.html
1- Iran Unversity of Medical Sciences.
2- Iran university of Medical sciences.
3- Nursing care research center. , Borimnejad.l@iums.ac.ir
Abstract:   (86 Views)
Background: Pain management of children with a burn is one of the most important issues in pediatrics. Non-pharmacological methods of pain control can play an important role in some patients. This study aimed to investigate the effect of medical-directed play on the severity of pain during burn dressing change in children.
Methods:  A randomized controlled trial was conducted on eighty-two, 3- to 6-year-old children referring to a burn center in Tehran City, Iran, for their first burn dressing change.  The children were assigned into control (n=41) and intervention (n=41) groups by random allocation method. The face, legs, activity, cry, consolability (FLACC) scale was used to measure the severity of pain before and during the dressings. The arterial blood oxygen level and pulse rate were also measured by a pulse oximeter. In the intervention group, the children were taught about the dressing steps 15 minutes before the procedure using a doll. The control group received routine care. The pain intensity, pulse rate, and arterial blood oxygen were compared between the groups by the Independent t test, Paired t test, Chi-square, and Fisher’s exact test in SPSS20. 
Results: There was a significant difference between the groups regarding the mean score of pain intensity during dressing (P = 0.041). A significant difference was also found in the mean heart rate of the groups during dressing (P < 0.001).  No significant difference was seen in the arterial blood oxygen saturation between the groups.
Conclusion: Medical-directed play effectively reduces pediatric procedural pain through children's cooperation during dressing changes. This cost-effective, non-invasive technique can be widely used for pain management in children with a burn.
     
Type of Study: Research | Subject: General
Received: 2018/12/28 | Accepted: 2019/06/2 | Published: 2019/06/11

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