Investigating the impact of patient-centered peer counseling on anxiety and pain among burn patients: A randomized controlled trial

IF 3.2 3区医学 Q2 CRITICAL CARE MEDICINE

Burns Pub Date : 2024-07-31 DOI:10.1016/j.burns.2024.07.034

Mohammad Rahimkhani , Ali Mohammadabadi , Mohammadreza Askari , Masoud Abdollahi

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引用次数: 0

Abstract

Objective

Pain and anxiety are common complications in burn patients, significantly impacting treatment effectiveness and overall patient well-being. Peer counseling, a form of patient education provided by individuals with shared experiences, may hold potential to alleviate this pain and anxiety. This study seeks to investigate the effectiveness of patient-centered education through peer counseling on background pain and state anxiety levels in these patients.

Methods

A two-arm, parallel, randomized, controlled trial design was employed. A total of 86 participants were randomly allocated to one of two groups: control and intervention groups. State anxiety and background pain levels were assessed using the Spielberger State Anxiety Inventory (STAI) and Visual Analogue Scale (VAS), respectively, before and after intervention. Statistical analyses, including Chi-square test, Fisher's exact test, independent t-test, and paired t-test, were employed to analyze the data.

Results

The intervention significantly reduced pain and anxiety in the intervention group compared to baseline (p < .001). There was no significant difference between the control and intervention groups in baseline levels, but there was a significant difference after the intervention (p < .001).

Conclusion

This study demonstrates the efficacy of patient-centered education through peer counseling in reducing background pain and state anxiety levels in burn patients. Compared to standard education, peer counseling led to a more pronounced reduction in both pain and anxiety, suggesting its potential as a valuable nonpharmaceutical intervention to improve patient well-being during burn recovery.

Practice implications

Based on our findings, we recommend that healthcare providers consider implementing peer-based education programs in burn care settings.

查看原文本刊更多论文

研究以患者为中心的同伴咨询对烧伤患者焦虑和疼痛的影响：随机对照试验。

目的：疼痛和焦虑是烧伤患者常见的并发症：疼痛和焦虑是烧伤患者常见的并发症，严重影响治疗效果和患者的整体健康。同伴咨询是一种由具有共同经历的人提供的患者教育形式，可能会减轻这种疼痛和焦虑。本研究旨在探讨通过同伴咨询开展以患者为中心的教育对这些患者的背景疼痛和状态焦虑水平的影响：方法：采用双臂、平行、随机对照试验设计。共有 86 名参与者被随机分配到两组中的一组：对照组和干预组。干预前后分别使用斯皮尔伯格状态焦虑量表（STAI）和视觉模拟量表（VAS）评估状态焦虑和背景疼痛水平。统计分析包括卡方检验、费雪精确检验、独立t检验和配对t检验：结果：与基线相比，干预组患者的疼痛和焦虑明显减轻（P 结论：干预组患者的疼痛和焦虑明显减轻：本研究表明，通过同伴咨询开展以患者为中心的教育，对减轻烧伤患者的背景疼痛和状态焦虑水平有一定效果。与标准教育相比，同伴咨询能更明显地减轻疼痛和焦虑，这表明同伴咨询有可能成为一种有价值的非药物干预措施，以改善烧伤恢复期患者的健康状况：根据我们的研究结果，我们建议医疗服务提供者考虑在烧伤护理环境中实施同伴教育计划。

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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来源期刊

Burns 医学-皮肤病学

CiteScore

4.50

自引率

18.50%

发文量

304

审稿时长

72 days

期刊介绍： Burns aims to foster the exchange of information among all engaged in preventing and treating the effects of burns. The journal focuses on clinical, scientific and social aspects of these injuries and covers the prevention of the injury, the epidemiology of such injuries and all aspects of treatment including development of new techniques and technologies and verification of existing ones. Regular features include clinical and scientific papers, state of the art reviews and descriptions of burn-care in practice. Topics covered by Burns include: the effects of smoke on man and animals, their tissues and cells; the responses to and treatment of patients and animals with chemical injuries to the skin; the biological and clinical effects of cold injuries; surgical techniques which are, or may be relevant to the treatment of burned patients during the acute or reconstructive phase following injury; well controlled laboratory studies of the effectiveness of anti-microbial agents on infection and new materials on scarring and healing; inflammatory responses to injury, effectiveness of related agents and other compounds used to modify the physiological and cellular responses to the injury; experimental studies of burns and the outcome of burn wound healing; regenerative medicine concerning the skin.