The Effect of Auditory Distraction on Pain of Dressing Change in 6-12 Years Old Children: a Clinical Trial Study

Background & objectives: Burn is one of the most common events in childhood. Pain relief in burned patients helps to stabilize the patientchr('39')s hemodynamic parameters. The aim of this study was to determine the effect of auditory deviation on dressing replacement pain in children aged 6-12 years. Methods: In this single-blind clinical trial with a control group, 80 children aged 6-12 years admitted to the burn ward of Besat Hospital in Hamadan were selected by convenience sampling method and then randomly divided into two groups of control and intervention. Data were collected using a demographic profile checklist and Oucher pain scale. From two minutes before the end of the dressing, special childrenchr('39')s music was played for the auditory group. In both groups, pain intensity was measured and recorded 10 minutes before dressing, at intervals of two minutes during dressing and 5 minutes after dressing. Data were analyzed using SPSS-16 software and chi-square tests, one-way analysis of variance and analysis of variance with repeated measures. Results: The results showed that no significant differences were found in the demographic characteristics of children and parents between the intervention and control groups. The mean pain intensity scores at all times of measurement were statistically significant between the intervention and control groups and in general, the pain intensity score in children in the intervention group was lower than the control group (p<0.001). Conclusion: In general, the results showed that the method of auditory aberration is effective in reducing the severity of burn pain in children. Therefore, nurses can use this method as a cheap and accessible method that has no side effects on and interference with other therapeutic interventions to improve the pain relief of changing childrenchr('39')s burn dressings.