Moradipoor Yaghob, Rejeh Nahid, Heravi Karimooi Majideh, Tadrisi Seyed Davood, Dahmardehei Mostafa, Bahrami Tahereh, Vaismoradi Mojtaba
Faculty of Nursing and Midwifery, Shahed University, Tehran 1865133191, Iran.
Trauma Research Center, Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran 1435916471, Iran.
Geriatrics (Basel). 2022 Apr 30;7(3):54. doi: 10.3390/geriatrics7030054.
Pain and anxiety are major issues among older patients with burn injuries. Complementary medicine and non-pharmacological methods can relieve pain and anxiety in older people, but comparison of the effects of these methods needs further research. This study aimed to compare the effects of auditory and visual distractions on pain severity and pain anxiety in older outpatients referred to a burn clinic for dressing change. In this randomized controlled clinical trial, older men were randomly assigned to three groups as auditory distraction, visual distraction, and control ( = 45 in each group). The Visual Analogue Scale (VAS) and the Burn Specific Pain Anxiety Scale (BSPAS) were used to asses pain severity and pain anxiety before and immediately after the interventions, and after wound dressing. Reduction in pain severity and pain anxiety after visual distraction was reported. Auditory distraction only reduced pain anxiety. Therefore, visual distraction had a better effect on alleviating pain anxiety compared with auditory distraction. Visual distraction is suggested to be used during dressing changes for older outpatients with burn injuries in outpatient clinics in order to reduce their burn-related suffering and improve their collaboration with the therapeutic regimen.
疼痛和焦虑是老年烧伤患者的主要问题。补充医学和非药物方法可以缓解老年人的疼痛和焦虑，但这些方法效果的比较需要进一步研究。本研究旨在比较听觉和视觉分散注意力对到烧伤诊所换药的老年门诊患者疼痛严重程度和疼痛焦虑的影响。在这项随机对照临床试验中，老年男性被随机分为三组，即听觉分散注意力组、视觉分散注意力组和对照组（每组45人）。采用视觉模拟量表（VAS）和烧伤特异性疼痛焦虑量表（BSPAS）在干预前、干预后即刻以及伤口换药后评估疼痛严重程度和疼痛焦虑。结果显示视觉分散注意力后疼痛严重程度和疼痛焦虑有所降低。听觉分散注意力仅降低了疼痛焦虑。因此，与听觉分散注意力相比，视觉分散注意力在缓解疼痛焦虑方面效果更好。建议在门诊为老年烧伤门诊患者换药时使用视觉分散注意力的方法，以减轻他们与烧伤相关的痛苦，并提高他们对治疗方案的依从性。
