Traditional and complementary medicine research center, addiction institute, nasibeh faculty of nursing and midwifery, Mazandaran university of medical sciences, Sari, Iran.
Traditional and Complementary medicine research center, Addiction institute, Mazandaran University of Medical Sciences, Sari, Iran.
Burns. 2023 Sep;49(6):1439-1447. doi: 10.1016/j.burns.2022.12.013. Epub 2022 Dec 26.
Burn patients feel a lot of physiological and mental stress during treatment and rehabilitation which often cause anxiety and body image dissatisfaction. This study aimed to compare the effects of the Benson relaxation technique and nature sounds on pain anxiety and body image in burn-injured patients admitted to a burn intensive care unit (BICU).
This single-blind randomized clinical trial studied 60 burn patients allocated into three groups (Benson relaxation, nature sounds, and control) from September 2021 to February 2022. The patients received the intervention for seven consecutive days in person. Burn Specific Pain Anxiety Scale (BSPAS), was completed on the 1st, 4th, and 7th days. The intervention continued for four weeks measuring body image using the Satisfaction with Appearance Scale (SWAP) at the end of the 1st, 3rd, and 5th weeks. Finally, the data were statistically analyzed using the Shapiro-Wilk test, chi-square test, Fisher's exact test, Bonferroni post hoc test, repeated measures ANOVA, Kruskal Wallis test, and Generalize Estimating Equations (GEE).
The mean pain anxiety and dissatisfaction with the appearance were high in the three groups in the pretest. On the 7th day after the intervention, the ANOVA showed that the mean pain anxiety decreased significantly in Benson's relaxation and nature sounds groups in three stages (before intervention (S1), after intervention (S2) and immediately after dressing change (S3) (P < 0.001). Correspondingly, the Kruskal Wallis test revealed that the body image dissatisfaction decreased significantly in the three groups at the end of the 3rd and 5th weeks (P < 0.001). The mean scores of pain anxiety showed that the nature sounds group proved more effective than the Benson relaxation technique. Also, the means scores of body image satisfaction showed that the Benson relaxation technique proved more effective than nature sounds.
The study findings suggested that the Benson relaxation technique and nature sounds effectively reduces pain, anxiety, and improves body image satisfaction in patients with burn injuries.
烧伤患者在治疗和康复过程中会感到很大的生理和心理压力，这常常导致焦虑和身体形象不满。本研究旨在比较本森放松技术和自然声音对烧伤重症监护病房（BICU）烧伤患者疼痛焦虑和身体形象的影响。
本单盲随机临床试验研究了 2021 年 9 月至 2022 年 2 月期间分为三组（本森放松组、自然声音组和对照组）的 60 名烧伤患者。患者连续 7 天接受干预。在第 1、4 和 7 天完成烧伤特定疼痛焦虑量表（BSPAS）。在第 1、3 和 5 周结束时，使用外观满意度量表（SWAP）干预四周后测量身体形象。最后，使用 Shapiro-Wilk 检验、卡方检验、Fisher 确切检验、Bonferroni 事后检验、重复测量方差分析、Kruskal-Wallis 检验和广义估计方程（GEE）对数据进行统计分析。
三组患者在预测试中疼痛焦虑和对外观的不满均值较高。干预后第 7 天，方差分析显示，本森放松组和自然声音组在三个阶段（干预前（S1）、干预后（S2）和立即换衣后（S3）疼痛焦虑均值显著降低（P < 0.001）。相应地，Kruskal-Wallis 检验显示，三组在第 3 周和第 5 周结束时身体形象不满显著降低（P < 0.001）。疼痛焦虑的平均得分显示，自然声音组比本森放松技术更有效。此外，身体形象满意度的平均得分表明，本森放松技术比自然声音更有效。
研究结果表明，本森放松技术和自然声音可有效减轻烧伤患者的疼痛、焦虑，提高身体形象满意度。
