Comparative study of the effects of muscle relaxation and mental imagery techniques on pain intensity in patients with the second-degree burn wounds
Abstract
Background & Aim: Pain is a major problem after burn injury. Therapeutic practices do not provide suffi-cient pain relief for patients with burn. Therefore, non-pharmacological interventions such as muscle relaxa-tion and mental imagery can be effective in reducing pain. This study aimed to compare the effects of mus-cle relaxation and mental imagery techniques on pain intensity in patients with second-degree burn.
Methods & Materials: This was a clinical trial study using convenience-sampling method of 135 patients with burn assigned into two groups of experiment, and control group. Pain intensity was measured in the control group on the first and second day after burn injury before and after dressing besides routine practices without any interventions. When the patients in control group were dis-charged, the patients in the men wards 1 and 2 were trained in Benson’s muscle relaxation technique and the mental imagery technique, respectively, and patients’ pain intensity was measured. Then, the mean scores of pain intensity were compared between three groups.
Results: There was no significant difference between three groups in the mean scores of pain intensi-ty before and after dressing on the first day of burn injury and before dressing on the second day of burn injury (P > 0.05). A significant difference was observed in the mean score of pain intensity after dressing on the second day of burn (P < 0.05). There was no significant difference in the mean score of pain intensity between the two experimental groups.
Conclusion: Both techniques reduced burn patients’ pain, and mental imagery had more reducing effect on pain intensity.
American Burn Association. Advanced burn life sup- port [Online]. [cited 2011]; Available from: URL: http://www.ameriburn.org/ablscoursedescriptions.php
Wibbenmeyer L, Eid A, Kluesner K, Heard J, Zimmerman B, Kealey GP, et al. An evaluation of factors related to postoperative pain control in burn patients. J Burn Care Res 2015; 36(5): 580-6.
Rafii F, Mohammadi Fakhar F, Jamshidi Orak R, Inanloo M. Effect of jaw relaxation on pain intensity of burn dressing. Iran J Crit Care Nurs 2010; 3(2): 51-6. [In Persian].
Thakrar S, Hunter TA, Medved MI, Hiebert- Murphy D, Brockmeier J, Sareen J, et al. Men, fire, and burns: Stories of fighting, healing, and emotions. Burns 2015; 41(8): 1664-73.
Konstantatos AH, Angliss M, Costello V, Cleland H, Stafrace S. Predicting the effectiveness of vir- tual reality relaxation on pain and anxiety when added to PCA morphine in patients having burns dressings changes. Burns 2009; 35(4): 491-9.
Avazeh A, Ghorbani F, Vahedian Azimi A, Rabi'i Siahkali S, Khodadadi MT, Mahdizadeh S. Eval- uation of the effect of reciting the word "Allah" on the pain and anxiety of dressing change in burn patients. Quran Med 2011; 1(1): 36-9.
Lalegani H, Esmaili S, Safdari A. The effects of breathing techniques on pain intensity of burn dressing. Journal of Clinical Nursing and Mid- wifery 2014; 4(3): 61-8. [In Persian].
Mazlom SR, Hosseini Amiri M, Tavoosi SH, Manzari ZS, Mirhosseini H. Effect of direct transcranial current stimulation on pain intensi- ty of burn dressing. Evid Basic Care 2015; 4(4):35-46. [In Persian].
Laycock H, Valente J, Bantel C, Nagy I. Pe- ripheral mechanisms of burn injury-associated pain. Eur J Pharmacol 2013; 716(1-3): 169-78.
Wang KA, Sun Y, Wu GS, Wang YR, Xia ZF.Epidemiology and outcome analysis of hand burns: A 5-year retrospective review of 378 cases in a burn center in Eastern China. Burns 2015; 41(7): 1550-5.
Varvani Farahani P, Hekmatpou D,Shamsikhani S. Effectiveness of muscle relaxa- tion on pain, pruritus and vital signs of patients with burns. Iran J Crit Care Nurs 2013; 6(2):87-94. [In Persian].
Miller K, Rodger S, Bucolo S, Greer R, Kimble RM. Multi-modal distraction. Using technology to combat pain in young children with burn in- juries. Burns 2010; 36(5): 647-58.
Berger MM, Davadant M, Marin C, Wasserfall- en JB, Pinget C, Maravic P, et al. Impact of a pain protocol including hypnosis in major burns. Burns 2010; 36(5): 639-46.
Hashemy S, Zakerimoghadam M. Comparative study of the effect of muscle relaxation and mu- sic therapy on anxiety level in patients waiting for cardiac catheterization. Cardiovascular Nursing Journal 2013; 1(4): 22-30. [In Persian].
Hajian S, Mirzaie K, Keramat A, Mirzaei H. Sys- tematic investigation of the effects of muscle re- laxation and guided imagery techniques to re- duce pain and distress caused by illness or the ef- fects of treatment in women with breast cancer. Iran J Breast Dis 2008; 1(4): 32-44. [In Persian].
Saedi S, Abolghasemy SH. The effect of guided imagery and relaxation therapy on allaying the headache and headache-caused disability in women with migraine. Woman and Culture 2011; 3(10): 39-53. [In Persian].
Pourhajary S. The effects of hand massage, foot and swollen hands and feet Shiatsu technique on pain of burn patients. A clinical trial of Nurs- ing and Midwifery.2014.Pages:77
Foji S, Tadayonfar M, Rakhshani MH, Mohsenpour M. Effects of guided imagery on pain and anxiety in patients undergoing coro- nary angiography. Complement Med J Fac Nurs Midwifery 2014; 4(2): 798-808. [In Persian].
Naderi F, Aghayi A, Mohammadzadeh M, Nazemi S, Salmani F, Rashvand M. Comparing the effect of music on pain threshold, anxiety, behavioral responses to pain and the hemody- namic parameters during dressing change in burn patients. Ofogh-e-Danesh 2014; 20(1): 63-8. [In Persian].
Mahajan J, Nagendra A. Developing a training model using orca (assistive technology) to teach IT for visually impaired students. Procedia Economics and Finance 2014; 11: 500-9.
Files | ||
Issue | Vol 3 No 1 (2016): Winter | |
Section | Original Article(s) | |
Keywords | ||
muscle relaxation mental imagery pain intensity second degree burn |
Rights and permissions | |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |