Related Experiment Video
Updated: Jan 2, 2026
A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis
Published on: March 14, 2025
A randomized trial of a distraction-type intervention to assist in managing dressing changes for children experienced
Xiu-Hang Zhang1, Chang-Lei Cui2, Jia-Ju Ren3
1Department of Burn Surgery, The First Hospital of Jilin University, Changchun, China.
Insights
A medical screen significantly reduced pain during burn dressing changes for young children (1-3 years old). This innovative approach also improved satisfaction for both parents and wound care professionals.
Area of Science:
- Pediatric Burn Care
- Wound Management
- Pain Alleviation
Background:
- Pediatric burn patients aged 1-3 years often experience significant pain and distress during wound dressing changes.
- Conventional dressing methods can be traumatic for young children, impacting their emotional well-being and cooperation.
Purpose of the Study:
- To assess the effectiveness of a specially designed medical dressing screen in mitigating pain during wound dressing changes for pediatric burn patients.
- To evaluate the impact of the medical screen on the satisfaction levels of parents and wound therapists.
Main Methods:
- A randomized controlled trial involving 52 pediatric outpatients (ages 1-3) with hand or foot burns (1-5% total body surface area).
- Participants were divided into two groups: one receiving dressing changes with a medical screen (N=26) and a control group with standard dressing changes (N=26).
- Pain levels during dressing changes were the primary outcome, with parent and therapist satisfaction as secondary outcomes. Statistical analysis included the Bonferroni method.
Main Results:
- Children in the medical screen group exhibited significantly lower pain levels during dressing changes compared to the control group.
- The medical screen intervention led to higher satisfaction scores reported by both parents and wound therapists.
Conclusions:
- The medical dressing screen is an effective tool for reducing pain in 1-3-year-old children undergoing burn dressing changes.
- Implementing the medical screen enhances the overall experience, increasing satisfaction for children, parents, and healthcare providers.
Aim:
To evaluate the impact of the specially designed medical dressing screen during wound dressing changes for children aged 1-3 who experienced a burn on their hand or foot.
Design:
Randomized controlled trial.
Methods:
The study was performed, between January 2019 - April 2019, at a Burn Outpatient Ward. A total of 52 outpatient children who had suffered burns were included in the clinical trial. The burn area of these participants accounted for 1-5% of the total body surface area. The children were randomly divided into two equal-sized groups, each receiving a different treatment. In the medical screen group (N = 26), a medical screen was used for children during the dressing changes. In the control group (N = 26), the children received only regular dressing changes. Pain level of the children during dressing change was the primary outcome, the satisfaction of children's parents and wound therapist were used as second outcomes. The Bonferroni method was used to perform pairwise comparisons of repeatedly measured data at different measurement times in two groups.
Results:
The results showed that the medical screen group had better outcomes with respect to pain management during dressing changes; in addition, the satisfaction score of the wound therapist and children's parents presented also better outcomes compared with the control group.
Conclusion:
This study demonstrated application of the medical screen for burns can relieve the pain of 1 - 3-year old children experienced a burn during dressing changes. In addition, the application of the medical screen also increased the satisfaction of the child's parents and wound therapist. Registration NO: 1,900,020,953.
Impact:
Compared with conventional dressing methods, the medical screen can be used as a novel way to decrease the negative experience of burn patients ages 1-3 who require dressing changes.
Related Concept Videos
01:22Burn Injuries
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
01:26Peripheral Artery Disease IV: Nursing Management
01:13Randomized Experiments
Simple randomization
Simple...