The effect of adult coloring (mandala pattern) on pain and anxiety associated with dressing changes in burn patients: A randomized controlled trial.

Scars, burns & healing Pub Date : 2024-02-08 eCollection Date: 2024-01-01 DOI:10.1177/20595131231218062
Hamidreza Sadeqi, Kobra Rahzani, Davood Hekmatpou, Siamak Rakei Isfahani
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Abstract

Introduction: The study investigated the effect of mandala coloring on pain and anxiety associated with dressing changes in burn patients.

Method: This clinical trial was conducted on 60 patients in two groups. At the beginning of the study [baseline (T1)], anxiety and pain were assessed using the BSPAS and VAS. A mandala pattern with colored pencils was provided to the patients in the intervention group. Each patient was given 30 min to color. Anxiety was measured at the 35th minute (T2). A dressing change was performed and 15 min later, the variables were measured again (T3). The control group received no intervention.

Results: The mean anxiety at the baseline (T1), 35th minute (T2), and 15 min after dressing changes (T3) in the intervention and control groups were 38.73  ±  5.55, 26.20  ±  6.08 and 28  ±  8.53, and 39.17  ±  4.17, 41.27  ±  3.68 and 41.63  ±  2.97, respectively. Anxiety at T1 was at the same for both groups. The anxiety in the intervention group decreased (P < 0.001) at T2 and T3 and increased in the control group. The mean pain intensity at the baseline (T1) and 15 min after dressing changes (T2) in the intervention group was 8.47  ±  1.432 and 5.9  ±  1.9, respectively, and in the control group was 8.33  ±  0.802 and 8.77  ±  0.626. Pain intensity at T1 was at the same level for both groups. The pain in the intervention group decreased at T2 (P < 0.001), whilst it increased in the control group.

Conclusion: Mandala coloring can reduce pain and anxiety during dressing changes in burn patients. It can be used as adjuvant treatment.

Lay summary: Wound dressing in burn patients is accompanied by pain. This painful experience can lead to wound dressing anxiety in these patients. For this purpose, a study was conducted to check whether coloring before wound dressing can reduce the pain and anxiety of dressing in adults. Two groups of patients were included in the study; before the dressing, one group received a pre-prepared image of mandela designs along with colored pencils and colored the design to their taste. The other group did not receive any intervention. The intensity of pain and the level of anxiety of the two groups were measured before and after the dressing. The results showed that the coloring of the mandela design before dressing reduced the pain and anxiety related to the proceedure.

成人涂色(曼陀罗图案)对烧伤患者换药时的疼痛和焦虑的影响:随机对照试验。
简介:本研究探讨了曼陀罗涂色对烧伤患者换药时疼痛和焦虑的影响:本研究探讨了曼陀罗涂色对烧伤患者换药时的疼痛和焦虑的影响:本临床试验针对 60 名患者,分为两组。研究开始时(基线(T1)),使用 BSPAS 和 VAS 评估焦虑和疼痛。为干预组患者提供了一个用彩色铅笔绘制的曼陀罗图案。每位患者有 30 分钟的涂色时间。第 35 分钟(T2)时测量焦虑程度。换药后 15 分钟再次测量变量(T3)。对照组未接受任何干预:干预组和对照组在基线(T1)、第 35 分钟(T2)和换药后 15 分钟(T3)的平均焦虑分别为 38.73 ± 5.55、26.20 ± 6.08 和 28 ± 8.53,以及 39.17 ± 4.17、41.27 ± 3.68 和 41.63 ± 2.97。两组在 T1 阶段的焦虑程度相同。干预组的焦虑程度有所减轻(P 结论:曼陀罗涂色可以减轻疼痛和焦虑:曼陀罗涂色可以减轻烧伤患者换药时的疼痛和焦虑。总结:烧伤患者在伤口换药时会感到疼痛。这种痛苦体验会导致这些患者产生伤口包扎焦虑。为此,我们进行了一项研究,以检验在伤口包扎前涂抹颜色是否能减轻成人的疼痛和包扎焦虑。研究包括两组患者;在包扎前,一组患者会收到事先准备好的曼德拉设计图片和彩色铅笔,并根据自己的喜好为设计上色。另一组没有接受任何干预。在包扎前后测量了两组患者的疼痛强度和焦虑程度。结果表明,在包扎前为曼德拉图案上色可减轻与手术有关的疼痛和焦虑。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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