Efficacy of a children's procedural preparation and distraction device on healing in acute burn wound care procedures: study protocol for a randomized controlled trial.

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Date
2013-01-14
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Abstract
BACKGROUND The intense pain and anxiety triggered by burns and their associated wound care procedures are well established in the literature Non pharmacological intervention is a critical component of total pain management protocols and is used as an adjunct to pharmacological analgesia An example is virtual reality which has been used effectively to dampen pain intensity and unpleasantness Possible links or causal relationships between pain anxiety stress and burn wound healing have previously not been investigated The purpose of this study is to investigate these relationships specifically by determining if a newly developed multi modal procedural preparation and distraction device Ditto used during acute burn wound care procedures will reduce the pain and anxiety of a child and increase the rate of re epithelialization METHODS DESIGN Children 4 to 12 years with acute burn injuries presenting for their first dressing change will be randomly assigned to either the 1 Control group standard distraction or 2 Ditto intervention group receiving Ditto procedural preparation and Ditto distraction It is intended that a minimum of 29 participants will be recruited for each treatment group Repeated measures of pain intensity anxiety stress and healing will be taken at every dressing change until complete wound re epithelialization Further data collection will aid in determining patient satisfaction and cost effectiveness of the Ditto intervention as well as its effect on speed of wound re epithelialization DISCUSSION Results of this study will provide data on whether the disease process can be altered by reducing stress pain and anxiety in the context of acute burn wounds TRIAL REGISTRATION ACTRN12611000913976
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Child, Client, Pilot, Functionality, Effectiveness, Experimental, Non-randomized, Burns, Video, Image, Text
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