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A specially designed medical screen for children suffering from burns: A randomized trial of a distraction-type
Xiu-Hang Zhang1, Chang-Lei Cui2, Kai-Ki Lee3
1Department of Burn Surgery, The First Hospital of Jilin University, Chaoyang District, Xinmin Street, Street 71, Changchun City, Jilin Province 130021, China.
Insights
A specialized medical screen significantly reduced pain during burn dressing changes for children. This intervention also improved parent and therapist satisfaction, offering a better patient experience.
Area of Science:
- Pediatric burn care
- Pain management in children
- Medical device innovation
Background:
- Burn injuries in children necessitate frequent, often painful, wound dressing changes.
- Current methods for managing procedural pain during dressing changes can be insufficient.
- Distraction techniques are commonly employed to mitigate pain and anxiety.
Purpose of the Study:
- To evaluate the effectiveness of a novel medical dressing screen in reducing pain during wound care for pediatric burn patients.
- To assess the impact of the medical screen on parent and wound therapist satisfaction.
- To compare pain levels across different intervention groups during burn dressing changes.
Main Methods:
- A randomized controlled trial involving 120 children with minor to moderate burns (1-5% total body surface area).
- Participants were divided into three groups: control (regular dressing changes), computer (touch-screen computer use), and medical screen (medical screen with touch-screen computer).
- Pain was assessed by medical staff and parents, with therapist satisfaction also recorded over four daily dressing changes.
Main Results:
- The medical screen group showed significantly lower pain scores compared to both the control and computer groups, as evaluated by medical staff.
- Pain levels reported by parents were also significantly lower in the medical screen group.
- Wound therapists reported higher satisfaction levels when using the medical screen intervention.
Conclusions:
- The use of a medical dressing screen is an effective method for alleviating pain in young children (1-3 years) undergoing burn dressing changes.
- This intervention enhances overall patient comfort and improves satisfaction for both parents and healthcare providers.
- The medical screen represents a valuable tool for improving the quality of care in pediatric burn management.
Objective:
To evaluate the impact of the specially designed medical dressing screen during wound dressing changes of children who suffered burns to their hand or foot.
Design:
Randomized controlled trial.
Setting:
Burns and Plastic Reconstruction Unit.
Participants:
Children (N=120) with burns on up to 1-5% of the total body surface area.
Interventions:
The patients were selected and randomly allocated to 3 equal-sized groups as follows: control group (N=40): the children received only regular dressing changes; computer group (N=40): a touch-screen computer was used for children during dressing changes; medical screen group (N=40): a medical screen combined with the touch-screen computer were used for children during dressing changes. All patients underwent a dressing change once per day for four days. Data were distributed four times: immediately after the initial dressing change (T1); and immediately after each times at next three consecutive days (T2-T4).
Main Outcome Measures:
The Pain level of the children evaluated by medical staffs was the primary outcome, the Pain level of the children evaluated by children's parents and the satisfaction of wound therapist were used as second outcomes.
Results:
The mean scores related to pain level at the medical screen group displayed significantly better results than those of control group and those of the computer group. Additionally, the results of the pain evaluated by parents and satisfaction score of the wound therapist at the medical screen group was also better than other groups.
Conclusions:
This study demonstrated "that the" application of the medical screen for burns can relieve the pain of 1-3 years old children suffering from a burns during dressing changes. Additionally, the application of the medical screen also increased the satisfaction of the parents and the wound therapist performing the dressing changes.
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