A randomized trial of a distraction‐type intervention to assist in managing dressing changes for children experienced burns. (15th December 2019) - Zhang, Xiu‐Hang
Abstract: Aim: To evaluate the impact of the specially designed medical dressing screen during wound dressing changes for children aged 1–3 who experienced a burn on their hand or foot. Design: Randomized controlled trial. Methods: The study was performed, between January 2019 ‐ April 2019, at a Burn Outpatient Ward. A total of 52 outpatient children who had suffered burns were included in the clinical trial. The burn area of these participants accounted for 1–5% of the total body surface area. The children were randomly divided into two equal‐sized groups, each receiving a different treatment. In the medical screen group ( N = 26), a medical screen was used for children during the dressing changes. In the control group ( N = 26), the children received only regular dressing changes. Pain level of the children during dressing change was the primary outcome, the satisfaction of children's parents and wound therapist were used as second outcomes. The Bonferroni method was used to perform pairwise comparisons of repeatedly measured data at different measurement times in two groups. Results: The results showed that the medical screen group had better outcomes with respect to pain management during dressing changes; in addition, the satisfaction score of the wound therapist and children's parents presented also better outcomes compared with the control group. Conclusion: This study demonstrated application of the medical screen for burns can relieve the pain of 1 ‐ 3‐year old children experienced a burn during dressing changes. In addition, the application of the medical screen also increased the satisfaction of the child's parents and wound therapist. Registration NO: 1, 900, 020, 953. Impact: Compared with conventional dressing methods, the medical screen can be used as a novel way to decrease the negative experience of burn patients ages 1–3 who require dressing changes. Abstract : 目的: 评价特制医用换药屏风对1‐3岁手、足部烧伤患儿换药的影响。 设计: 随机对照试验。 方法: 本项研究于2019年1月至2019年4月在烧伤门诊病房进行。共有52名烧伤门诊儿童参加了临床试验。这些儿童的烧伤面积占全身表面积的1‐5%。经随机分组, 分成人数相等的两组患儿, 每组接受不同的治疗方案。针对医用屏风组( N = 26), 在儿童换药期间使用了医用屏风。而对照组( N = 2)中的儿童仅接受定期换药。研究主要以儿童在换药过程中的疼痛程度作为评价结果, 其次为患儿父母和烧伤治疗人员的满意度。采用Bonferroni法对两组不同测量时间的重复测量数据进行配对比较。 结果: 结果表明, 与对照组相比, 医用屏风组在换药过程中的疼痛管理效果更好;此外, 烧伤治疗人员和患儿父母的满意度评分也优于对照组。 结论: 本项研究证明, 采用烧伤医用屏风可减轻1‐3岁烧伤患儿换药过程中的疼痛。同时, 使用医用屏风也提高了患儿父母和烧伤治疗人员的满意度。 注册号: 1900020953。 影响: 与传统换药方法相比, 医用屏风可作为一种新型方案来降低1‐3岁需换药的烧伤患儿的负面体验。