Effects of Applying Streaming Media on Reducing Pain in Patient With Second-degree Burn During Changing Dressing

To Investigate the Effects of Applying Streaming Media on Reducing Pain Medication, Anxiety, and Pain and Related Factors in Patient With Second-degree Burn During Changing Dressing：A Cross-over Randomization Study

During the acute phase of burn injuries, the focus for patients is primarily on wound pain and infection care. Patients often describe the pain during dressing changes as a sharp, stabbing sensation. Pain is a distressing experience for burn injury patients, affecting both their physical and mental well-being, as well as influencing wound healing. The pain caused by dressing changes is a significant issue that leads to physical and emotional suffering for patients.

Study Overview

• Status: Not yet recruiting
• Conditions: Burns; Anxiety; Pain, Burning
• Intervention / Treatment: Behavioral: Streaming Media

Detailed Description

Background: During the acute phase of burn injuries, the focus for patients is primarily on wound pain and infection care. In this stage of treatment, frequent dressing changes are necessary, with some wounds requiring daily cleansing to promote healing and prevent infection. Patients often describe the pain during dressing changes as a sharp, stabbing sensation. Pain is a distressing experience for burn injury patients, affecting both their physical and mental well-being, as well as influencing wound healing. The pain caused by dressing changes is a significant issue that leads to physical and emotional suffering for patients.

Objective: The aim of this study is to conduct a cross-over randomized clinical trial to compare the effects of with using streaming media (video and audio) on reducing pain medication use, anxiety, pain intensity, and factors related to pain during dressing changes for second-degree burn patients.

Methods: This study plans to utilize a cross-over randomized clinical trial design with patients from the burn injury ward of a regional teaching hospital in Chiayi. Research instruments include demographic characteristics, disease information, Burn Pain Anxiety Scale, Numerical Pain Scale, and vital signs. Statistical methods will encompass descriptive statistics, independent samples t-test, chi-square test, generalized estimating equations, and multiple linear regression to identify the effectiveness of streaming media usage during dressing changes for second-degree burn patients in reducing pain medication use and anxiety, as well as related factors.

Expected outcomes: It is anticipated that the use of streaming media during dressing changes for second-degree burn patients will lead to reduced pain medication use, anxiety, and related factors. The results of this study can provide evidence for the intervention of using streaming media to alleviate dressing change pain effectively during the care of second-degree burn patients, thereby enhancing the quality of pain care.

• Study Type: Interventional
• Enrollment (Estimated): 40
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Chun-Man Pan; Phone Number: 7198 05-2765041; Email: cych06121@gmail.com
• Study Contact Backup: Name: Jun-Yu Fan; Phone Number: 5501 03-2118999; Email: jyfan@mail.cgust.edu.tw

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Must stay in the burn ward for 2 days
• Have clear consciousness
• Aged 20 years old (inclusive) and above superior
• Patients with superficial 2 degree burns accounting for 10% of the body surface area or deep 2 degree burns accounting for 5% of the body surface area were diagnosed by physicians
• Can communicate in Chinese and Taiwanese and agree to participate in this study

Exclusion Criteria:

• Mental disease.
• Cognitive impairment.
• Visual and hearing impairment.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Randomized
• Interventional Model: Crossover Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Routine care; Analgesic use
Experimental: lntervention; streaming media (video and audio) use	Behavioral: Streaming Media; The aim of this study is to conduct a cross-over randomized clinical trial to compare the effects of with using streaming media (video and audio) on reducing pain medication use, anxiety, pain intensity, and factors related to pain during dressing changes for second-degree burn patients.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Numerical Rating Scale (NRS) : 0 means no pain, and 10 means very painful.	The intensity of pain 30 minutes before the dressing change; The intensity of pain when starting the dressing change (remove gauze); The intensity of pain when at the dressing change (washing the wound); The intensity of pain when at the end of the dressing change (the dressing is wrapped); The intensity of pain 30 minutes after the dressing change	one year
Burns Specific Pain Anxiety Scale (BSPAS) : 0 represents not anxious, and 10 represents very anxious	The intensity of anxiety 30 minutes before the dressing change; The intensity of anxiety 30 minutes after the dressing change	one year

Collaborators and Investigators

• Sponsor: Chiayi Christian Hospital
• Investigators: Study Chair: Chun-Man Pan, Ditmanson Medical Foundation Chia-Yi Christian Hospital

Study record dates

Study Major Dates

• Study Start (Estimated): September 30, 2023
• Primary Completion (Estimated): January 1, 2024
• Study Completion (Estimated): September 1, 2024

Study Registration Dates

• First Submitted: September 18, 2023
• First Submitted That Met QC Criteria: October 7, 2023
• First Posted (Estimated): October 10, 2023

Study Record Updates

• Last Update Posted (Estimated): October 10, 2023
• Last Update Submitted That Met QC Criteria: October 7, 2023
• Last Verified: October 1, 2023

More Information

Terms related to this study

• Keywords: pain; anxiety; pain medication; dressing change; second-degree burns; streaming
• Additional Relevant MeSH Terms: Mental Disorders; Neurologic Manifestations; Wounds and Injuries; Burns; Anxiety Disorders; Pain
• Other Study ID Numbers: IRB2023051

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No