Category: Pain Rehabilitation; Complementary Integrative Rehabilitation Medicine; Technology (e.g. robotics, assistive technology, mHealth)
The aim of this study was to investigate the effects of music and/or tramadol on pain and anxiety in outpatients undergoing burn dressing changes.
This clinical randomized controlled trial designed to investigate the effects of oral tramadol and self-selected music on adults with severe burn injury related to dressing changes from November 2016 to May 2018.
This study is conducted at a constructive centre in Northeast China,Department of Burns.
Participants (or Animals, Specimens, Cadavers) :
The sample size was estimated 45 subjects for each groups(with a balanced randomized of 1:1:1:1) with power 80%,an alpha of 0.05,and 10%attrition rate.The study included a total of 180 participants(7 were excluded because of a lack of self-selected music).
The Tramadol group(TG)received 100 mg of tramadol orally 15 min before the dressing change,the Music group(MG)received self-selected music,the Music-plus-tramadol group(MTG)received both music and tramadol,and the Control group(CG)received a routine dressing change only.
Main Outcome Measure(s) : Pain and anxiety scores and overall patient satisfaction scores were collected based on subjective perception.To collect the data at seven different time points about the intervention,the McGill Pain Questionnaire Short Form(MPQ-SF)was ued for pain,the Persian version of Burn Specific Pain Anxiety Scale(BSPAS)were used for data gathering anxiety,heart rate documented by Portable Multi-Parameter Monitor,and overall patient satisfaction by patients.
The results showed that MTG had better outcomes with respect to pain and anxiety management during dressing changes.
Compared to music or tramadol alone,the integration of music and tramadol offers a secure and favourable treatment choice to relieve pain and anxiety,ultimately improving the satisfaction of burn patients during dressing changes.