This study aimed to compare the effect of audiovisual distraction on physiological indicators and pain of burn dressing change among 6-12 year-old children. Design and methods: The study was a single-blind clinical trial with a three-group that sample size was 120 children aged 6-12 years admitted to the burn ward of Hamadan Besat Hospital. Data collection tools were the Oucher pain scale, a Cheklist form of the physiological Indicators, and apulse oximetry device. The cartoons were shown for visual group and the melodic poems were played for the auditory group 2 min before the dressing until the end of the procedure (at 2-min intervals). Data were analyzed by SPSS-16 software one-way, variance analysis and post-hoc Bonferroni test. Results: Therewere statistically significant differences between visual, auditory and control groups in the mean pain intensity scores at all measurement times, the mean arterial blood oxygen saturation percentage at all measurement times except for the10 min before the dressing and the start of the procedure and the mean heart rate at all measurement times except for 10 min before dressing (p < 0.001). Post-hoc tests showed that the difference in the mean heart rate was related to the difference between the visual and auditory distraction groups during and at the end of the dressing (p < 0.05), the visual and control groups at all measurement times (P < 0.001) and the auditory and control groups at all measurement times (p < 0.05). Conclusion: Audiovisual distraction is effective in reducing the fluctuations of physiological indicators and the burn dressing pain intensity in children at all times of measurement, especially during changedressing. Practice implications: The findings of this study are relevant to clinical practice because they suggest preparing children before and during a burning procedure situation.
Background & objectives: Burn is one of the most common events in childhood. Pain relief in burned patients helps to stabilize the patient's hemodynamic parameters. The aim of this study was to determine the effect of auditory deviation on dressing replacement pain in children aged 6-12 years. Methods: In this single-blind clinical trial with a control group, 80 children aged 6-12 years admitted to the burn ward of Besat Hospital in Hamadan were selected by convenience sampling method and then randomly divided into two groups of control and intervention. Data were collected using a demographic profile checklist and Oucher pain scale. From two minutes before the end of the dressing, special children's music was played for the auditory group. In both groups, pain intensity was measured and recorded 10 minutes before dressing, at intervals of two minutes during dressing and 5 minutes after dressing. Data were analyzed using SPSS-16 software and chi-square tests, one-way analysis of variance and analysis of variance with repeated measures. Results:The results showed that no significant differences were found in the demographic characteristics of children and parents between the intervention and control groups. The mean pain intensity scores at all times of measurement were statistically significant between the intervention and control groups and in general, the pain intensity score in children in the intervention group was lower than the control group (p<0.001). Conclusion:In general, the results showed that the method of auditory aberration is effective in reducing the severity of burn pain in children. Therefore, nurses can use this method as a cheap and accessible method that has no side effects on and interference with other therapeutic interventions to improve the pain relief of changing children's burn dressings.
Background & aim: Anxiety before invasive procedures such as colonoscopy is one of the most common psychological problems in patients. Nowadays, providing education using different methods before invasive procedures to control patients' anxiety and pain has received a lot of attention. The aim of this study was to compare the effect of face-to-face training and educational videos on anxiety and physiological parameters of patients undergoing colonoscopy. Methods: In this quasi-experimental study, 105 candidates for colonoscopy referred to Shahid Beheshti Hospital of Hamadan were selected by available sampling method from February 2019 to September 2020 and assigned to two groups of face to face (n=52) and educational videos (n=53). Face-to-face training was performed for 15 minutes the night before the colonoscopy. The training video was broadcast to patients for 15 minutes the night before the colonoscopy. Patients' anxiety before and after training was measured by Spielberger Anxiety Questionnaire. Physiological indices were recorded by physiological index table, 5 minutes before, during and 5 minutes after colonoscopy. Data were analyzedby chi-square tests, Ttest, Paired t-testand analysis of variance with repeated measuresin SPSS 16 software. Results: In both groups of face-to-face training and educational video, the mean score of overt and covert anxiety after the intervention was significantly lower (p<0.001). There was no statistically significant difference between the mean scores of overt and covert anxieties in two groups before the intervention. However, after the intervention the mean score of anxiety in the educational film group was significantly lower than the face-to-face training group (p<0.05). From physiological indicators, only systolic blood pressure was statistically different between two groups at all times of measurement (p<0.05). Conclusion:The results of the study showed that training through educational videos has a greater effect on controlling anxiety in patients undergoing colonoscopy than face-to-face training. Therefore, according to the patient's condition, this method can be used instead of the usual method of face-to-face training to better train and control patients' anxiety.
Objective To determine the effect of physical activity by using the teach-back educational method on hemodialysis patients’ quality of life (QOL) and physical ability. Methods This is a single-blind clinical trial study involving a control group. A total of 90 patients who admitted to the dialysis centers of Beheshti and Besat hospitals in Hamadan were selected using a convenience sampling method and were randomly assigned to intervention (n = 45) and control (n = 45) groups. Data were collected using a demographic information checklist, a kidney disease QOL questionnaire, and a 6-minute-walk distance (6MWD) checklist. The patients’ QOL questionnaire was completed, and the 6MWD was recorded before and at the end of the 2nd, 4th, 6th, 8th, and 12th weeks of the intervention. In the intervention group, the patients were taught to perform physical activities with Pilates stretches in different resistances using the teach-back educational method during dialysis sessions for 12 weeks. Data were analyzed by using the independent t-test and chi-square test using SPSS-22 software. Results Before the intervention, no differences were observed between the experimental and control groups in terms of demographic characteristics, QOL, and physical ability (P > 0.05). The physical ability and QOL levels of patients exercising in the test group were higher than those in the control group after the intervention (P < 0.05). Based on the results, the 2 groups significantly differed with regard to the scores of various dimensions of QOL and physical ability after the intervention (P < 0.05). Conclusions Physical activity by using the teach-back method can effectively increase physical ability and improve QOL of hemodialysis patients. Therefore, the recommendations and inclusion of exercise in the dialysis care plan can effectively promote patients’ health.
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