The effect of play on the severity of pain burn dressing change in children: a clinical randomized trial

Background and Aim : Pain management in pediatric with burn is one of most important issue in pediatric medicine. Non-pharmacological methods of pain control can play an important role in suitable patients this study conducted with aim: To investigating the effect of Medical directed play on the severity of pain during burn dressing change.Methods : To conduct this two-group clinical trial, in 3-6 year-old children and burn surface area ranging less than 25% were, for their first burn dressing change. After obtaining the ethics approval for conducting the study, 78 children were placed as random allocation in control and intervention groups. For the intervention group, the pre-dressed Directed medical play was done and routine care was taken for the control group. The FLACC scale was used in both groups to measure the severity of pain before and during the dressing and the arterial blood oxygen level and heart rate were measured and compared. Results : There were significant differences between the two groups during burn dressing change of mean pain and pulse, and the mean of both indices in the control group was higher. The mean of the arterial blood oxygen level during burn dressing change did not differ significantly between the two groups.(p-value=1) Conclusion : Directed Medical play effectively reduces the pain of pediatric burn dressing change. This technique is cost-effective, so it can be widely used for pain management in pediatric with burn.

Keywords:

play , pain , burns , child