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Tytuł:
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Impact of orally administered tramadol combined with self-selected music on adult outpatients with burns undergoing dressing change: A randomized controlled trial.
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Autorzy:
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Zhang XH; Department of Burn Surgery, The First Hospital of Jilin University, Changchun 130021, China. Electronic address: .
Gao XX; Department of Burn Surgery, The First Hospital of Jilin University, Changchun 130021, China. Electronic address: .
Wu WW; Department of Burn Surgery, The First Hospital of Jilin University, Changchun 130021, China. Electronic address: .
Yu JA; Department of Burn Surgery, The First Hospital of Jilin University, Changchun 130021, China. Electronic address: .
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Źródło:
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Burns : journal of the International Society for Burn Injuries [Burns] 2020 Jun; Vol. 46 (4), pp. 850-859. Date of Electronic Publication: 2019 Oct 29.
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Typ publikacji:
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Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't
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Język:
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English
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Imprint Name(s):
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Publication: Amsterdam : Elsevier
Original Publication: [Guildford, Surrey, UK] : Butterworths, [c1989-
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MeSH Terms:
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Bandages*
Music Therapy*
Analgesics, Opioid/*therapeutic use
Anxiety/*therapy
Burns/*therapy
Pain, Procedural/*therapy
Tramadol/*therapeutic use
Administration, Oral ; Adult ; Anxiety/psychology ; Body Surface Area ; Burns/pathology ; Female ; Heart Rate ; Humans ; Male ; Middle Aged ; Music ; Pain Management/methods ; Pain Measurement ; Pain, Procedural/psychology ; Patient Satisfaction ; Young Adult
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Contributed Indexing:
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Keywords: Anxiety; Burns; Music; Pain; Tramadol
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Molecular Sequence:
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ChiCTR ChiCTR1900020892
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Substance Nomenclature:
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0 (Analgesics, Opioid)
39J1LGJ30J (Tramadol)
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Entry Date(s):
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Date Created: 20191102 Date Completed: 20210621 Latest Revision: 20210621
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Update Code:
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20240104
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DOI:
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10.1016/j.burns.2019.10.010
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PMID:
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31672469
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Objective: To investigate the effects of music and/or tramadol on pain and anxiety in burn outpatients undergoing dressing changes.
Design: Randomized controlled trial.
Setting: Burns and Plastic Reconstruction Unit.
Participants: Patients (N=180) with burns on up to 10%-30% of the total body surface area (TBSA).
Interventions: The patients were randomly allocated to 4 equal-sized groups as follows: (1) tramadol group (TG), patients received 100mg of tramadol orally 20min before the dressing change; (2) music group (MG), patients listened to self-selected music during the dressing change; (3) music-plus-tramadol group (MTG), patients received tramadol and listened to self-selected music; and (4) control group (CG), patients received a routine dressing change only. All patients underwent the interventions once per day for 2days.
Main Outcome Measures: McGill Pain Questionnaire Short Form (MPQ-SF) (primary outcome), McGill Pain Persian version of Burn Specific Pain Anxiety Scale (BSPAS) (primary outcome), and heart rate (HR) and overall patient satisfaction (secondary outcomes).
Results: The results showed that music-plus-tramadol group (MTG) had better outcomes with respect to pain and anxiety management during dressing changes.
Conclusions: In comparison with music or tramadol alone, the integration of music and tramadol offers a secure and favorable treatment choice to relieve pain and anxiety, ultimately improving the satisfaction levels of burn outpatients during dressing changes.
(Copyright © 2019 Elsevier Ltd and ISBI. All rights reserved.)