Bozorg-Nejad Mehri, Azizkhani Hammed, Mohaddes Ardebili Fatimah, Mousavi Sayed Kazem, Manafi Farzad, Hosseini Agha Fatemeh
Department of Medical-Surgical Nursing, Faculty of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Department of Surgery, Iran University of Medical Sciences, Tehran, Iran.
World J Plast Surg. 2018 Jan;7(1):51-57.
Burn is the worst tragedy among modern societies that individuals may experience. One of the most important problems of burns is pain; particularly at the time of treatment including burn dressings, debridement, surgical incisions and physiotherapy. The aim of this study was to determine the effect of rhythmic breathing on pain of dressing change in patients with burns.
This semi-experimental clinical trial study with a control group was conducted on 60 eligible burn patients who were selected using convenient sampling method and allocated randomly in two groups of test and control (each n=30). Data collection tools included demographic data and pain observation questionnaires. The rhythmic breathing was individually and orally trained to the patients of test group in a room separated by dividers for a 20-minute session. The pain intensity in test and control groups before and after dressing was investigated for three consecutive days.
Friedman test results showed that pain intensity in both control and test groups had statistically significant differences. The pain intensity after rhythmic breathing reduced more in the test group, and this reduction was more significant during 3 days.
Rhythmic breathing is an effective method on pain reduction of dressing change in patients with burn injuries.
烧伤是现代社会中个人可能遭遇的最严重悲剧之一。烧伤最重要的问题之一是疼痛，尤其是在治疗期间，包括烧伤换药、清创、手术切口和物理治疗时。本研究的目的是确定有节奏呼吸对烧伤患者换药疼痛的影响。
本半实验性临床试验研究设有对照组，对60名符合条件的烧伤患者进行研究，采用方便抽样法选取患者，并随机分为试验组和对照组（每组n = 30）。数据收集工具包括人口统计学数据和疼痛观察问卷。在一个用隔板隔开的房间里，对试验组患者进行单独的口头有节奏呼吸训练，训练时长为20分钟。连续三天调查试验组和对照组换药前后的疼痛强度。
弗里德曼检验结果显示，对照组和试验组的疼痛强度均有统计学显著差异。试验组有节奏呼吸后的疼痛强度降低得更多，且在三天内这种降低更为显著。
有节奏呼吸是减轻烧伤患者换药疼痛的有效方法。
