The Effect of Therapeutic Story on Pain, Fear and Anxiety Levels in Children With Burn Dressing
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- The effect of therapeutic history on pain
研究概览
简要总结
Aim: The aim of this study was to evaluate the effect of therapeutic story on pain, anxiety, fear and physiological parameters in children undergoing burn dressing.
Methods: A randomised controlled trial was conducted between April 2023 and June 2024 with 60 patients who were admitted to the burn unit of a hospital in Istanbul and met the inclusion criteria. Patients in the story group (n=30) were listened to the digitised story during burn dressing, while patients in the control group (n=30) did not receive any intervention other than routine care. Data were collected using the Descriptive Characteristics Form, Child Anxiety Scale-Situation Scale, Child Fear Scale, Wong-Barker Pain Scale, Parental Satisfaction Scale (VAS) and Physiological Parameters Form.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 3 Years 至 6 Years（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •- To be between 3-6 years old,
- •Consideration of the first dressing of the child in the burn centre
- •2nd degree superficial and deep burns (2nd degree burns requiring hospital treatment and high pain level)
- •Percentage of burns below 10 per cent (light sedation for children with burn injuries above 10 per cent)
- •Not having any chronic disease other than burns
- •The child's willingness to participate in the research
- •It is the absence of mental, communication problems and visual impairment.
排除标准
- •• The child's dressing has been done in a burn center before
- •Presence of 1st and 3rd degree burn areas
- •Burn percentage is over 10%
结局指标
主要结局
The effect of therapeutic history on pain
时间窗: 15 month
Wong Barker Pain Scale The Facial Expressions Rating Scale (Wong Baker) consists of six facial expressions. The facial expressions are graded as 'No pain=0 points' and 'Unbearable pain=10 points'. It is a scale based on the child's self-report and is suitable for use in children aged 3-18 years. In this scale, pain scores are given according to the numerical values given to the faces. The lowest score is '1' and the highest score is '5'. As the score obtained from the scale increases, pain tolerance decreases and as the score decreases, tolerance increases. This scale was used before, during and after the burn dressing.
The effect of therapeutic history on fear
时间窗: 15 month
The scale is used to assess fear in children aged 4-10 years. The scale consists of five drawn facial expressions ranging from neutral expression (0=no anxiety) to frightened face (4=severe anxiety). This scale was used before, during and after the burn dressing.
The effect of therapeutic history anxiety
时间窗: 15 month
Child Anxiety Scale-Dispositional (CAS-D) Scale The Child Anxiety Scale-Dispositional (CAS-D) Scale aims to determine the anxiety levels of children aged 4-10 years. The CAS-D is shaped like a thermometer with a light bulb at the bottom and horizontal lines with intervals going upwards. In order to measure the state anxiety level, the child is asked to mark how he/she feels 'at the moment'. A transparent metre is placed over the child's rating on which ½ point increments are marked, then the ½ point increment is rounded up to the nearest number. The score can range from 0 to 10.It is determined that as the score value increases, the anxiety level increases, and as the score value decreases, the anxiety level decreases. This scale was used before, during and after the burn dressing.
次要结局
- The effect of the therapeutic story applied to children on parents' anxiety levels(15 month)
- The effect of therapeutic history on blood pressure/systolic -diastolic(15 month)
- The effect of therapeutic history on pulse rate(15 month)
- The effect of therapeutic history on saturation levels(15 month)
研究者
Niran Coban
Asst.Prof.Dr.
Okan University