The Effect of Therapeutic Story on Pain, Fear and Anxiety Levels

NCT06583668 | Completed

• 1 other identifier: NSS0
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

Aim: The aim of this study was to evaluate the effect of therapeutic story on pain, anxiety, fear and physiological parameters in children undergoing burn dressing. Methods: A randomised controlled trial was conducted between April 2023 and June 2024 with 60 patients who were admitted to the burn unit of a hospital in Istanbul and met the inclusion criteria. Patients in the story group (n=30) were listened to the digitised story during burn dressing, while patients in the control group (n=30) did not receive any intervention other than routine care. Data were collected using the Descriptive Characteristics Form, Child Anxiety Scale-Situation Scale, Child Fear Scale, Wong-Barker Pain Scale, Parental Satisfaction Scale (VAS) and Physiological Parameters Form.

Conditions

Pain; Burns; Fear; Anxiety

Keywords

Anxiety; Burn; Child; Pain; Fear

Outcome Measures

Primary Outcomes (3)

• The effect of therapeutic history on pain

  Wong Barker Pain Scale The Facial Expressions Rating Scale (Wong Baker) consists of six facial expressions. The facial expressions are graded as 'No pain=0 points' and 'Unbearable pain=10 points'. It is a scale based on the child's self-report and is suitable for use in children aged 3-18 years. In this scale, pain scores are given according to the numerical values given to the faces. The lowest score is '1' and the highest score is '5'. As the score obtained from the scale increases, pain tolerance decreases and as the score decreases, tolerance increases. This scale was used before, during and after the burn dressing.

  15 month

• The effect of therapeutic history on fear

  The scale is used to assess fear in children aged 4-10 years. The scale consists of five drawn facial expressions ranging from neutral expression (0=no anxiety) to frightened face (4=severe anxiety). This scale was used before, during and after the burn dressing.

  15 month

• The effect of therapeutic history anxiety

  Child Anxiety Scale-Dispositional (CAS-D) Scale The Child Anxiety Scale-Dispositional (CAS-D) Scale aims to determine the anxiety levels of children aged 4-10 years. The CAS-D is shaped like a thermometer with a light bulb at the bottom and horizontal lines with intervals going upwards. In order to measure the state anxiety level, the child is asked to mark how he/she feels 'at the moment'. A transparent metre is placed over the child's rating on which ½ point increments are marked, then the ½ point increment is rounded up to the nearest number. The score can range from 0 to 10.It is determined that as the score value increases, the anxiety level increases, and as the score value decreases, the anxiety level decreases. This scale was used before, during and after the burn dressing.

  15 month

Secondary Outcomes (4)

• The effect of the therapeutic story applied to children on parents' anxiety levels

  15 month

• The effect of therapeutic history on blood pressure/systolic -diastolic

  15 month

• The effect of therapeutic history on pulse rate

  15 month

• The effect of therapeutic history on saturation levels

  15 month

Study Arms (2)

Experimental: Therapeutic Story group

EXPERIMENTAL

I. Assessment:Before the burn dressing II. Assessment: During burn dressing II. Assessment: After burn dressing

Other: Therapeutic Story

Standard care

NO INTERVENTION

I. Assessment:Before the burn dressing II. Assessment: During burn dressing II. Assessment: After burn dressing

Interventions

Therapeutic Story OTHER

Listening and watching the therapeutic story in digital media

Experimental: Therapeutic Story group

Eligibility Criteria

• Age: 3 Years - 6 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• \- To be between 3-6 years old,
• Consideration of the first dressing of the child in the burn centre
• nd degree superficial and deep burns (2nd degree burns requiring hospital treatment and high pain level)
• Percentage of burns below 10 per cent (light sedation for children with burn injuries above 10 per cent)
• Not having any chronic disease other than burns
• The child's willingness to participate in the research
• It is the absence of mental, communication problems and visual impairment.

You may not qualify if:

• The child's dressing has been done in a burn center before
• Presence of 1st and 3rd degree burn areas
• Burn percentage is over 10%

Sponsors & Collaborators

• Okan University: lead

Study Sites (1)

Istanbul- City Hospital

Istanbul, Turkey (Türkiye)

Location

Related Publications (4)

• Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res (Hoboken). 2011 Nov;63 Suppl 11:S240-52. doi: 10.1002/acr.20543. No abstract available.

  PMID: 22588748 BACKGROUND

• Farzan R, Parvizi A, Haddadi S, Sadeh Tabarian M, Jamshidbeigi A, Samidoust P, Ghorbani Vajargah P, Mollaei A, Takasi P, Karkhah S, Firooz M, Hosseini SJ. Effects of non-pharmacological interventions on pain intensity of children with burns: A systematic review and meta-analysis. Int Wound J. 2023 Sep;20(7):2898-2913. doi: 10.1111/iwj.14134. Epub 2023 Mar 1.

  PMID: 36859758 BACKGROUND

• Chester SJ, Stockton K, De Young A, Kipping B, Tyack Z, Griffin B, Chester RL, Kimble RM. Effectiveness of medical hypnosis for pain reduction and faster wound healing in pediatric acute burn injury: study protocol for a randomized controlled trial. Trials. 2016 Apr 29;17(1):223. doi: 10.1186/s13063-016-1346-9.

  PMID: 27129580 BACKGROUND

• Jeffs D, Dorman D, Brown S, Files A, Graves T, Kirk E, Meredith-Neve S, Sanders J, White B, Swearingen CJ. Effect of virtual reality on adolescent pain during burn wound care. J Burn Care Res. 2014 Sep-Oct;35(5):395-408. doi: 10.1097/BCR.0000000000000019.

  PMID: 24823326 BACKGROUND

MeSH Terms

Conditions

Pain; Burns; Anxiety Disorders

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Wounds and Injuries; Mental Disorders

Study Officials

• Niran ÇOBAN, Dr

  Okan University

  STUDY DIRECTOR

• Niran ÇOBAN, Dr

  https://www.okan.edu.tr/

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Asst.Prof.Dr.

Study Record Dates

• First Submitted: August 27, 2024
• First Posted: September 4, 2024
• Study Start: April 1, 2023
• Primary Completion: June 1, 2024
• Study Completion: July 1, 2024
• Last Updated: September 19, 2024

Record last verified: 2024-09

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)