The effect of the active and passive distraction techniques on the burn children's pain intensity and anxiety during dressing changes

authors:

avatar Mahnaz Shoghi ORCID 1 , avatar Malihe Zand Aghtaii 2 , avatar Motahareh Kheradmand ORCID 3 , *

Department of Pediatric, Nursing Care Research Center, Faculty of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
Department of Pediatric, Faculty of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
Health Sciences Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran
Journal of Nursing and Midwifery Sciences: Vol.9, issue 3; 167-172
published online: September 05, 2022
article type: Research Article
received: August 30, 2021
revised: April 04, 2022
accepted: April 17, 2022
DOI: https://doi.org/10.4103/jnms.jnms_139_21

how to cite: Shoghi M, Zand Aghtaii M, Kheradmand M. The effect of the active and passive distraction techniques on the burn children's pain intensity and anxiety during dressing changes. J Nurs Midwifery Sci. 2022;9(3):e133504. https://doi.org/10.4103/jnms.jnms_139_21.

Abstract

Context: Pain and anxiety due to the dressing change make it hard to care for children with burn injuries.
Aims: This study aims to compare the effect of active and passive distraction techniques on the pain intensity
and anxiety related to burn dressing change.
Setting and Design: The participants of this quasi-experimental study were 120 children aged 3–6, referred
to the clinic in Shahid Motahari Hospital.
Materials and Methods: Convenience sampling was used, and the children were allocated into three groups:
active distraction technique (game), passive distraction technique (music), and control. The intervention
in the two experimental groups started 10 min before entering the dressing room and continued during
dressing change, while the control group received routine care. The Visual Analog Scale was applied
to measure pain, and their anxiety level was evaluated using the Observational Scale of Behavioral
Distress-Revised.
Statistical Analysis Used: Data were analyzed with independent t-test, ANOVA test, and ANCOVA test.
Results: The mean ages of patients in the control, game, and music groups were 4.30 ± 1.36, 4.01 ± 1.22,
and 4.23 ± 1.30 years (P = 0.79), respectively. The mean of the difference in pain intensity scores
during dressing change compared to before in the game, music, and control groups was 2.80 ± 3.22,
3.27 ± 3.71, and 4.30 ± 2.42, respectively (P = 0.1). Finally, the mean of differences during dressing
change anxiety scores compared to before in the game, music, and control groups was 0.60 ± 0.95,
0.50 ± 1.01, and 0.96 ± 1.06, respectively (P = 0.10).
Conclusion: Given that, playing game positively affected pain decrease and music had a positive effect on
reducing anxiety during a burn dressing change.