Journal of Client-Centered Nursing Care
نشریه مراقبت پرستاری مددجو محور
JCCNC
Medical Sciences
http://jccnc.iums.ac.ir
1
admin
24764132
24764132
10.32598
en
jalali
1397
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gregorian
2019
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online
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en
The Effect of Medical-Directed Play on the Severity of Pediatric Pain During Burn Dressing Change in Children: A Clinical Randomized Trial
عمومى
General
پژوهشي
Research
<div style="text-align: justify;"><strong>Background</strong>: Pain management of children with a burn is one of the most important issues in pediatrics medicine. Non-pharmacological methods of pain control can play an important role in suitable some patients. This study was aimed conducted with the aim ofto investigating investigate the effect of Medical-directed play on the severity of pediatric pain during burn dressing change in children.<br>
<strong>Methods</strong>: A randomized controlled trial was conducted on 82, 3- to 6- year-old children referring to a burn center in Tehran, 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 starting 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 exact-test using in SPSS V. 20. <br>
<strong>Results</strong>: There was a significant difference between the groups between regarding the mean score of pain intensity during dressing between the groups (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.<br>
<strong>Conclusion</strong>: 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.</div>
Medical-directed play, Pediatrics, Procedural pain, Burn, Dressing change
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http://jccnc.iums.ac.ir/browse.php?a_code=A-10-169-4&slc_lang=en&sid=1
Atefeh
Moosavi
atefeh.nurse64@gmail.com
10031947532846006392
10031947532846006392
No
Department of Pediatric Nursing, School of Nursing and Midwhfery, Iran Universtiy of Medical Sciences, Tehran, Iran.
Mahnaz
Shoghi
azitashoghy@yahoo.com
10031947532846006393
10031947532846006393
No
Department of Pediatric Nursing, School of Nursing and Midwhfery, Iran Universtiy of Medical Sciences, Tehran, Iran.; Nursing Care Research Center, Iran Universtiy of Medical Sciences, Tehran, Iran.
Hamid
Haghani
Haghani511@yahoo.com
10031947532846006394
10031947532846006394
No
Department of Biostatistics, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.
Leili
Borimnejad
Borimnejad.l@iums.ac.ir
10031947532846006395
10031947532846006395
Yes
Nursing Care Research Center, School of Nursing & Midwifery, Iran Unversity of Medical Sciences, Tehran, Iran.