Computer tablet distraction reduces pain and anxiety in pediatric burn patients undergoing hydrotherapy: A randomized trial.

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  • Author(s): Burns-Nader S;Burns-Nader S; Joe L; Joe L; Pinion K; Pinion K
  • Source:
    Burns : journal of the International Society for Burn Injuries [Burns] 2017 Sep; Vol. 43 (6), pp. 1203-1211. Date of Electronic Publication: 2017 Mar 18.
  • Publication Type:
    Journal Article; Randomized Controlled Trial
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Elsevier Country of Publication: Netherlands NLM ID: 8913178 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-1409 (Electronic) Linking ISSN: 03054179 NLM ISO Abbreviation: Burns Subsets: MEDLINE
    • Publication Information:
      Publication: Amsterdam : Elsevier
      Original Publication: [Guildford, Surrey, UK] : Butterworths, [c1989-
    • Subject Terms:
      Computers, Handheld*; Anxiety/*prevention & control ; Burns/*therapy ; Hydrotherapy/*methods ; Pain, Procedural/*prevention & control; Analgesics, Opioid/therapeutic use ; Anti-Anxiety Agents/therapeutic use ; Anxiety/etiology ; Anxiety/psychology ; Child ; Child, Preschool ; Female ; Humans ; Hydrotherapy/adverse effects ; Hydrotherapy/psychology ; Male ; Midazolam/therapeutic use ; Morphine/therapeutic use ; Pain Management/methods ; Pain, Procedural/etiology
    • Abstract:
      Background: Distraction is often used in conjunction with analgesics to minimize pain in pediatric burn patients during treatment procedures. Computer tablets provide many options for distraction items in one tool and are often used during medical procedures. Few studies have examined the effectiveness of tablet distraction in improving the care of pediatric burn patients.
      Aim: This study examines the effectiveness of tablet distraction provided by a child life specialist to minimize pain and anxiety in pediatric burn patients undergoing hydrotherapy.
      Methods: Thirty pediatric patients (4-12) undergoing hydrotherapy for the treatment of burns participated in this randomized clinical trial. The tablet distraction group received tablet distraction provided by a child life specialist while those in the control group received standard care. Pain was assessed through self-reports and observation reports. Anxiety was assessed through behavioral observations. Length of procedure was also recorded.
      Results: Nurses reported significantly less pain for the tablet distraction group compared to the control group. There was no significant difference between groups on self-reported pain. The tablet distraction group displayed significantly less anxiety during the procedure compared to the control group. Also, the tablet distraction group returned to baseline after the procedure while those in the control group displayed higher anxiety post-procedure. There was no difference in the length of the procedure between groups.
      Conclusions: These findings suggest tablet distraction provided by a child life specialist may be an effective method for improving pain and anxiety in children undergoing hydrotherapy treatment for burns.
      (Copyright © 2017 Elsevier Ltd and ISBI. All rights reserved.)
    • Contributed Indexing:
      Keywords: Burns; Distraction; Hydrotherapy; Pain; Pediatrics; Tablet
    • Accession Number:
      0 (Analgesics, Opioid)
      0 (Anti-Anxiety Agents)
      76I7G6D29C (Morphine)
      R60L0SM5BC (Midazolam)
    • Publication Date:
      Date Created: 20170321 Date Completed: 20180521 Latest Revision: 20180521
    • Publication Date:
      20221213
    • Accession Number:
      10.1016/j.burns.2017.02.015
    • Accession Number:
      28318748