Procedural burn pain intensity under conditions of varying physical control by the patient.
Ten adult patients hospitalized as a result of major burn injury participated in a study that used a single-subject, repeated reversal design in which subject-reported pain during patient-performed washing was compared with subject-reported pain during nurse-performed washing. Analysis, by repeated-measures ANOVA, of verbal numeric pain scores obtained at regular intervals intraprocedurally, indicated that each of the 10 subjects experienced significantly less pain under the condition of patient-performed washing compared with the condition of nurse-performed washing (p < 0.001 through p < 0.05). The quality of washing did not differ significantly (p < 0.05) between conditions, nor did the amount of opioid medication administered (p < 0.05). Results support the active participation of patients with burn injuries in their dressing changes.
California State University, Sacramento 95819, USA.
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Sutherland
D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000700:Analgesics / Q000627:therapeutic use; D000704:Analysis of Variance; D002056:Burns / Q000503:physiopathology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement / Q000379:methods*; D017288:Pain Threshold / Q000502:physiology; D010148:Intractable Pain / Q000188:drug therapy / Q000209:etiology / Q000503:physiopathology*; D015203:Reproducibility of Results; D012494:Sampling Studies
D000700:Analgesics