Department of Nursing, Shazand School of Nursing, Arak University of Medical Sciences, Arāk, Iran; Traditional and Complementary Medicine Research Center (TCMRC), Arak University of Medical Sciences, Arak, Iran.
Student Research Committee, Department of Nursing, School of Nursing, Arak University of Medical Sciences, Arak, Iran.
Burns. 2024 Feb;50(1):212-218. doi: 10.1016/j.burns.2023.07.004. Epub 2023 Jul 26.
Burns often cause severe pain, especially during dressing changes. This study aimed to investigate the effect of acupressure on pain during dressing changes in burn patients.
This randomized clinical trial was conducted on 76 burn patients. The eligible patients were randomly assigned to the intervention and control groups after obtaining informed consent. Eligible patients were randomly assigned to the intervention and control groups by blocking. The study was conducted over two days using the same method. Before entering the dressing room, acupressure was performed in the intervention group for 10 min in acupressure points and the control group in other points. Pain intensity was measured in two groups 30 min before entering the dressing room and 15 and 30 min after leaving the dressing room using VAS. Finally, the data were analyzed using SPSS software 25th edition.
Pain scores were similar for the two groups before the dressing change. The results of this study revealed a significant decrease in the patient's pain intensity mean in the test group following acupressure compared to the control group on day one which remained on day two (P < 0.05).
Considering the experience of severe pain in burn patients, acupressure is recommended as a complementary method along with modern medicine to reduce these patients' pains.
烧伤常引起剧烈疼痛，尤其是在换药时。本研究旨在探讨穴位按压对烧伤患者换药时疼痛的影响。
这是一项随机临床试验，共纳入 76 例烧伤患者。在获得知情同意后，将符合条件的患者随机分为干预组和对照组。采用区组随机化方法将合格患者随机分为干预组和对照组。研究共进行两天，采用相同方法。进入换药室前，干预组在穴位按压 10 分钟，对照组在其他部位按压。两组患者均在进入换药室前 30 分钟、离开换药室后 15 分钟和 30 分钟使用视觉模拟评分法（VAS）测量疼痛强度。最后采用 SPSS 25 版软件进行数据分析。
两组患者在换药前疼痛评分相似。与对照组相比，试验组患者在接受穴位按压后，其疼痛强度的平均值在第一天和第二天均显著降低（P<0.05）。
鉴于烧伤患者经历剧烈疼痛，建议穴位按压作为一种补充方法与现代医学相结合，以减轻这些患者的疼痛。
