title: Improvement of burn pain management through routine pain monitoring and pain management protocol.
abstract: BACKGROUND
  Pain management is an important aspect of burn management. We developed a routine pain monitoring system and pain management protocol for burn patients. The purpose of this study is to evaluate the effectiveness of our new pain management system.
  
  
  METHODS
  From May 2011 to November 2011, the prospective study was performed with 107 burn patients. We performed control group (n=58) data analysis and then developed the pain management protocol and monitoring system. Next, we applied our protocol to patients and performed protocol group (n=49) data analysis, and compared this to control group data. Data analysis was performed using the Numeric Rating Scale (NRS) of background pain and procedural pain, Clinician-Administered PTSD Scale (CAPS), Hamilton Depression Rating Scale (HDRS), State-Trait Anxiety Inventory Scale (STAIS), and Holmes and Rahe Stress Scale (HRSS).
  
  
  RESULTS
  The NRS of background pain for the protocol group was significantly decreased compared to the control group (2.8±2.0 versus 3.9±1.9), and the NRS of procedural pain of the protocol group was significantly decreased compared to the control group (4.8±2.8 versus 3.7±2.5). CAPS and HDRS were decreased in the protocol group, but did not have statistical significance. STAIS and HRSS were decreased in the protocol group, but only the STAIS had statistical significance.
  
  
  CONCLUSIONS
  Our new pain management system was effective in burn pain management. However, adequate pain management can only be accomplished by a continuous and thorough effort. Therefore, pain control protocol and pain monitoring systems need to be under constant revision and improvement using creative ideas and approaches.
authors.affiliation: Department of Surgery, Burn Center, Hangang Sacred Heart Hospital, Hallym University Medical Center, 94-200, Youngdeungpo-dong, Youngdeungpo-gu, Seoul 150-719, Republic of Korea. yht0227@hanmail.net
authors.forename: Hyeong Tae
authors.initials: HT
authors.lastname: Yang
authors.forename: Giyeun
authors.initials: G
authors.lastname: Hur
authors.forename: In-Suk
authors.initials: IS
authors.lastname: Kwak
authors.forename: Haejun
authors.initials: H
authors.lastname: Yim
authors.forename: Yong Suk
authors.initials: YS
authors.lastname: Cho
authors.forename: Dohern
authors.initials: D
authors.lastname: Kim
authors.forename: Jun
authors.initials: J
authors.lastname: Hur
authors.forename: Jong Hyun
authors.initials: JH
authors.lastname: Kim
authors.forename: Boung Chul
authors.initials: BC
authors.lastname: Lee
authors.forename: Cheong Hoon
authors.initials: CH
authors.lastname: Seo
authors.forename: Wook
authors.initials: W
authors.lastname: Chun
mesh_terms: D000328:Adult; D001007:Anxiety / Q000209:etiology; D002056:Burns / Q000150:complications* / Q000523:psychology; D002985:Clinical Protocols / Q000592:standards*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000209:etiology / Q000517:prevention & control*; D059408:Pain Management / Q000379:methods* / Q000592:standards; D010147:Pain Measurement / Q000379:methods*; D011446:Prospective Studies; D011569:Psychiatric Status Rating Scales