Review
BibTex RIS Cite

The Effectiveness of Non-Pharmacological Methods in the Management of Wound Dressing Pain: A Systematic Review

Year 2023, Issue: 3, 53 - 59, 31.10.2023
https://doi.org/10.26650/CURARE.2023.1295198

Abstract

Wound dressing changes can be painful experiences for patients. This study aims to systematically analyze the research conducted on the non-pharmacological methods used for the management of dressing pain.
The study includes research published in the CINAHL, EBSCO, Medline, Pubmed, Cochrane, Ovid, Science Direct, Scopus, Web of Science, and Wiley Online Library databases between 2010-2022 and used non-pharmacological wound pain, dressing change pain, complementary therapies in wound pain, and wound dressing pain management as keywords to arrive at a total of 863 studies. Of these, the article evaluates the 25 studies that met the inclusion criteria.
At 80.77%, burn wounds were the most studied wound type in the included research. Of the studies, 60% were performed on adult patients, and 69.23% were randomized controlled clinical trials. The most commonly used methods were distraction (20%), virtual reality (20%), and music therapy (20%).

Using non-pharmacological methods can help reduce pain and pain-related anxiety during dressing changes. Clinics should develop protocols for the implementation of non-pharmacological methods and take into consideration patients’ experiences and preferences regarding non-pharmacological methods.

Project Number

1

References

  • Kujath P, Michelsen A. Wounds-From physiology to wound dressing. Deutsches Arzteblatt International 2008;105(13):239. google scholar
  • Hollinworth H, Collier M. Nurses’ views about pain and trauma at dressing changes: Results of a national survey. Journal of Wound Care 2000;9(8):369-73. google scholar
  • Bowers K, Barrett S. Wound-related pain: Features, assessment and treatment. Primary Health Care 2009;24(10):47-56. google scholar
  • Upton D, Solowiej K. Pain and stress as contributors to delayed wound healing. Wound Practice & Research: Journal of the Australian Wound Management Association 2010;18(3):114-22. google scholar
  • Briggs M, i Bou JT. Addressing the pain: Understanding the origins of wound pain during dressing change. Ostomy-Wound Management 2002;49(2):10-2. google scholar
  • Hua Y, Qiu R, Yao W-y, Zhang Q, Chen X-l. The effect of virtual reality distraction on pain relief during dressing changes in children with chronic wounds on lower limbs. Pain Management Nursing 2015;16(5):685-91. google scholar
  • Cheraghi F, Kalili A, Soltanian A, Eskandarlou M, Sharifian P. A Comparison of the effect of visual and auditory distractions on physiological indicators and pain of burn dressing change among 6-12-year-oldchildren: A clinical trial study. Journal of Pediatric Nursing 2021;58:e81-e6. google scholar
  • Pölkki T, Vehvilainen-Julkunen K, Pietila AM. Nonpharmacological methods in relieving children’s postoperative pain: A survey on hospital nurses in Finland. Journal of Advanced Nursing 2001;34(4):483-92. google scholar
  • Hsu K-C, Chen LF, Hsiep PH. Effect of music intervention on burn patients’ pain and anxiety during dressing changes. Burns 2016;42(8):1789-96. google scholar
  • Sema M, Göktaş S. Determination of the use of nonpharmacologic methods by nurses for postoperative pain management. University of Health Sciences Journal of Nursing 2019;1(2):76-83. google scholar
  • Subirana M, Sola I, Garcia JM, Gich I, Urrutia G. A nursing qualitative systematic review required MEDLINE and CINAHL for study identification. Journal of Clinical Epidemiology. 2005;58(1):20-5. google scholar
  • Gülşah H. The PRISMA Checklist 2020 Update. Online Turkish Journal of Health Sciences 2021;6(4):603-5. google scholar
  • Morris LD, Louw QA, Grimmer-Somers K. The effectiveness of virtual reality on reducing pain and anxiety in burn injury patients: A systematic review. The Clinical Journal Of Pain. 2009;25(9):815-26. google scholar
  • Wismeijer AA, Vingerhoets AJ. The use of virtual reality and audiovisual eyeglass systems as adjunct analgesic techniques: a review of the literature. Annals of Behavioral Medicine 2005;30(3):268-78. google scholar
  • Mott J, Bucolo S, Cuttle L, Mill J, Hilder M, Miller K, et al. The efficacy of an augmented virtual reality system to alleviate pain in children undergoing burns dressing changes: A randomised controlled trial. Burns 2008;34(6):803-8. google scholar
  • Ding J, He Y, Chen L, Zhu B, Cai Q, Chen K, et al. Virtual reality distraction decreases pain during daily dressing changes following haemorrhoid surgery. Journal of International Medical Research 2019;47(9):4380-8. google scholar
  • Small C, Stone R, Pilsbury J, Bowden M, Bion J. Virtual restorative environment therapy as an adjunct to pain control during burn dressing changes: Study protocol for a randomised controlled trial. Trials 2015;16:1-7. google scholar
  • Miller K, Rodger S, Bucolo S, Greer R, Kimble RM. Multi-modal distraction. Using technology to combat pain in young children with burn injuries. Burns 2010;36(5):647-58. google scholar
  • Kaheni S, Sadegh Rezai M, Bagheri-Nesami M, Goudarzian AH. The effect of distraction technique on the pain of dressing change among 3-6 year-old children. International Journal of Pediatrics 2016;4(4):1603-10. google scholar
  • Malloy KM, Milling LS. The effectiveness of virtual reality distraction for pain reduction: A systematic review. Clinical psychology review 2010;30(8):1011-8. google scholar
  • Zhang XH, Cui CL, Ren JJ, Cheng D, Wu WW, Yu JA. A randomized trial of a distraction-type intervention to assist in managing dressing changes for children experienced burns. Journal of Advanced Nursing 2020;76(3):878-87. google scholar
  • Xiang H, Shen J, Wheeler KK, Patterson J, Lever K, Armstrong M, et al. Efficacy of smartphone active and passive virtual reality distraction vs standard care on burn pain among pediatric patients: A randomized clinical trial. JAMA Network Open 2021;4(6):e2112082-e. google scholar
  • Chu H, Brailey R, Clarke E, Sen S. Reducing pain through distraction therapy in small acute paediatric burns. Burns 2021;47(7):1635-8. google scholar
  • Moosavi A, Shoghi M, Haghani H, Borimnejad L. The effect of medical-directed play on the severity of pediatric pain during burn dressing change in children: A clinical randomized trial. Journal of Client-Centered Nursing Care 2019;5(1):25-32. google scholar
  • Özsoy F, Ulus B. Comparison of two different methods in reducing pain and fear due to dressing change in 7-10 years old children. The Journal of Pediatric Research 2022;9(1):66-75. google scholar
  • Koller D, Goldman RD. Distraction techniques for children undergoing procedures: A critical review of pediatric research. Journal of Pediatric Nursing 2012;27(6):652-81. google scholar
  • Hyland EJ, D’Cruz R, Harvey JG, Moir J, Parkinson C, Holland AJ. An assessment of early child life therapy pain and anxiety management: A prospective randomised controlled trial. Burns 2015;41(8):1642-52. google scholar
  • Asgharipour N, Shariati M, Borhani M. Assessment of guided imagery effect on reducing anxiety and pain associated with wound dressing changes in burn patients. Iranian Journal of Psychiatry and Behavioral Sciences 2017;11(3):e547. google scholar
  • Tatrow K, Montgomery GH. Cognitive behavioral therapy techniques for distress and pain in breast cancer patients: A meta-analysis. Journal of behavioral medicine 2006;29:17-27. google scholar
  • Kaçal Z, Demirsoy N. Spiritual Assessment in Intensive Care Patients. Sakarya Medical Journal 2018;8(2):170-5. google scholar
  • Keivan N, Daryabeigi R, Alimohammadi N. Effects of religious and spiritual care on burn patients’ pain intensity and satisfaction with pain control during dressing changes. Burns 2019;45(7):1605-13. google scholar
  • Nasiri M, Bahdori H, Heydari A, Jafari AA. Effect of Reciting the Name of God on the Pain and Anxiety Experienced by Burn Patients during Dressing. Health, Spirituality and Medical Ethics. 2020;7(3):3-8. google scholar
  • Davodabady F, Naseri-Salahshour V, Sajadi M, Mohtarami A, Rafiei F. Randomized controlled trial of the foot reflexology on pain and anxiety severity during dressing change in burn patients. Burns 2021;47(1):215-21. google scholar
  • Hoseinzadeh-Karimkoshteh M, Firouzkouhi M, Abdollahimohammad A. Effect of regular smooth breathing on the intensity of pain caused by dressing change in patients with second-degree burns: A clinical trial. Medical-Surgical Nursing Journal 2019;8(2):e92321. google scholar
  • Park E, Oh H, Kim T. The effects of relaxation breathing on procedural pain and anxiety during burn care. Burns 2013;39(6):1101-6. google scholar
  • Bozorg-Nejad M, Azizkhani H, Ardebili FM, Mousavi SK, Manafi F, Hosseini AF. The effect of rhythmic breathing on pain of dressing change in patients with burns referred to Ayatollah Mousavi hospital. World Journal of Plastic Surgery 2018;7(1):51-7. google scholar
  • Tabatabaeichehr M, Mortazavi H. The effectiveness of aromatherapy in the management of labor pain and anxiety: A systematic review. Ethiopian Journal of Health Sciences 2020;30(3). google scholar
  • Akgül EA, Karakul A, Altın A, Doğan P, Hoşgör M, Oral A. Effectiveness of lavender inhalation aromatherapy on pain level and vital signs in children with burns: A randomized controlled trial. Complementary Therapies in Medicine 2021;60:102758. google scholar
  • Tang SK, Tse M. Aromatherapy: Does it help to relieve pain, depression, anxiety, and stress in community-dwelling older persons? BioMed Research International 2014;2014:430195. google scholar
  • Uyar M, Korhan EA. The effect of music therapy on pain and anxiety in intensive care patient. The Journal of The Turkish Society of Algology 2011;23(4):139-46. google scholar
  • Li-Yuan W, Hai-Yun G, Yu W, Ming-Hui M. Effect of moxibustion combined with five-element music therapy on postoperative pain relief after mixed hemorrhoid operation. Journal of Integrative Nursing 2020;2(1):22-6. google scholar
  • Kahar NABA, Kanageswari, Tay YB, Koh KX. A pilot study of the effects of music listening for pain relief among burns patients. Proceedings of Singapore Healthcare 2011;20(3):162-73. google scholar
  • Zhang X-H, Gao X-X, Wu W-W, Yu J-A. Impact of orally administered tramadol combined with self-selected music on adult outpatients with burns undergoing dressing change: A randomized controlled trial. Burns 2020;46(4):850-9. google scholar
  • Ferraz MCL, Santana-Santos E, Pinto JS, Nunes Ribeiro CJ, Santana JFNB, Alves JAB, et al. Analgesic effect of music during wound care among patients with diaphyseal tibial fractures: Randomized controlled trial. European Journal of Pain 2021;25(3):541-9. google scholar
  • Fakhar FM, Rafii F, Orak RJ. The effect of jaw relaxation on pain anxiety during burn dressings: Randomised clinical trial. Burns 2013;39(1):61-7. google scholar
  • Carroll D, Bowsher D. Pain: Management and nursing care: Butterworth-Heinemann Medical; 1993. google scholar
Year 2023, Issue: 3, 53 - 59, 31.10.2023
https://doi.org/10.26650/CURARE.2023.1295198

Abstract

Supporting Institution

YOK

Project Number

1

Thanks

Bize yayın fırsatı sunduğu için CURARE dergisi editörü ve çalışanlarına çok teşekkür ederim.

References

  • Kujath P, Michelsen A. Wounds-From physiology to wound dressing. Deutsches Arzteblatt International 2008;105(13):239. google scholar
  • Hollinworth H, Collier M. Nurses’ views about pain and trauma at dressing changes: Results of a national survey. Journal of Wound Care 2000;9(8):369-73. google scholar
  • Bowers K, Barrett S. Wound-related pain: Features, assessment and treatment. Primary Health Care 2009;24(10):47-56. google scholar
  • Upton D, Solowiej K. Pain and stress as contributors to delayed wound healing. Wound Practice & Research: Journal of the Australian Wound Management Association 2010;18(3):114-22. google scholar
  • Briggs M, i Bou JT. Addressing the pain: Understanding the origins of wound pain during dressing change. Ostomy-Wound Management 2002;49(2):10-2. google scholar
  • Hua Y, Qiu R, Yao W-y, Zhang Q, Chen X-l. The effect of virtual reality distraction on pain relief during dressing changes in children with chronic wounds on lower limbs. Pain Management Nursing 2015;16(5):685-91. google scholar
  • Cheraghi F, Kalili A, Soltanian A, Eskandarlou M, Sharifian P. A Comparison of the effect of visual and auditory distractions on physiological indicators and pain of burn dressing change among 6-12-year-oldchildren: A clinical trial study. Journal of Pediatric Nursing 2021;58:e81-e6. google scholar
  • Pölkki T, Vehvilainen-Julkunen K, Pietila AM. Nonpharmacological methods in relieving children’s postoperative pain: A survey on hospital nurses in Finland. Journal of Advanced Nursing 2001;34(4):483-92. google scholar
  • Hsu K-C, Chen LF, Hsiep PH. Effect of music intervention on burn patients’ pain and anxiety during dressing changes. Burns 2016;42(8):1789-96. google scholar
  • Sema M, Göktaş S. Determination of the use of nonpharmacologic methods by nurses for postoperative pain management. University of Health Sciences Journal of Nursing 2019;1(2):76-83. google scholar
  • Subirana M, Sola I, Garcia JM, Gich I, Urrutia G. A nursing qualitative systematic review required MEDLINE and CINAHL for study identification. Journal of Clinical Epidemiology. 2005;58(1):20-5. google scholar
  • Gülşah H. The PRISMA Checklist 2020 Update. Online Turkish Journal of Health Sciences 2021;6(4):603-5. google scholar
  • Morris LD, Louw QA, Grimmer-Somers K. The effectiveness of virtual reality on reducing pain and anxiety in burn injury patients: A systematic review. The Clinical Journal Of Pain. 2009;25(9):815-26. google scholar
  • Wismeijer AA, Vingerhoets AJ. The use of virtual reality and audiovisual eyeglass systems as adjunct analgesic techniques: a review of the literature. Annals of Behavioral Medicine 2005;30(3):268-78. google scholar
  • Mott J, Bucolo S, Cuttle L, Mill J, Hilder M, Miller K, et al. The efficacy of an augmented virtual reality system to alleviate pain in children undergoing burns dressing changes: A randomised controlled trial. Burns 2008;34(6):803-8. google scholar
  • Ding J, He Y, Chen L, Zhu B, Cai Q, Chen K, et al. Virtual reality distraction decreases pain during daily dressing changes following haemorrhoid surgery. Journal of International Medical Research 2019;47(9):4380-8. google scholar
  • Small C, Stone R, Pilsbury J, Bowden M, Bion J. Virtual restorative environment therapy as an adjunct to pain control during burn dressing changes: Study protocol for a randomised controlled trial. Trials 2015;16:1-7. google scholar
  • Miller K, Rodger S, Bucolo S, Greer R, Kimble RM. Multi-modal distraction. Using technology to combat pain in young children with burn injuries. Burns 2010;36(5):647-58. google scholar
  • Kaheni S, Sadegh Rezai M, Bagheri-Nesami M, Goudarzian AH. The effect of distraction technique on the pain of dressing change among 3-6 year-old children. International Journal of Pediatrics 2016;4(4):1603-10. google scholar
  • Malloy KM, Milling LS. The effectiveness of virtual reality distraction for pain reduction: A systematic review. Clinical psychology review 2010;30(8):1011-8. google scholar
  • Zhang XH, Cui CL, Ren JJ, Cheng D, Wu WW, Yu JA. A randomized trial of a distraction-type intervention to assist in managing dressing changes for children experienced burns. Journal of Advanced Nursing 2020;76(3):878-87. google scholar
  • Xiang H, Shen J, Wheeler KK, Patterson J, Lever K, Armstrong M, et al. Efficacy of smartphone active and passive virtual reality distraction vs standard care on burn pain among pediatric patients: A randomized clinical trial. JAMA Network Open 2021;4(6):e2112082-e. google scholar
  • Chu H, Brailey R, Clarke E, Sen S. Reducing pain through distraction therapy in small acute paediatric burns. Burns 2021;47(7):1635-8. google scholar
  • Moosavi A, Shoghi M, Haghani H, Borimnejad L. The effect of medical-directed play on the severity of pediatric pain during burn dressing change in children: A clinical randomized trial. Journal of Client-Centered Nursing Care 2019;5(1):25-32. google scholar
  • Özsoy F, Ulus B. Comparison of two different methods in reducing pain and fear due to dressing change in 7-10 years old children. The Journal of Pediatric Research 2022;9(1):66-75. google scholar
  • Koller D, Goldman RD. Distraction techniques for children undergoing procedures: A critical review of pediatric research. Journal of Pediatric Nursing 2012;27(6):652-81. google scholar
  • Hyland EJ, D’Cruz R, Harvey JG, Moir J, Parkinson C, Holland AJ. An assessment of early child life therapy pain and anxiety management: A prospective randomised controlled trial. Burns 2015;41(8):1642-52. google scholar
  • Asgharipour N, Shariati M, Borhani M. Assessment of guided imagery effect on reducing anxiety and pain associated with wound dressing changes in burn patients. Iranian Journal of Psychiatry and Behavioral Sciences 2017;11(3):e547. google scholar
  • Tatrow K, Montgomery GH. Cognitive behavioral therapy techniques for distress and pain in breast cancer patients: A meta-analysis. Journal of behavioral medicine 2006;29:17-27. google scholar
  • Kaçal Z, Demirsoy N. Spiritual Assessment in Intensive Care Patients. Sakarya Medical Journal 2018;8(2):170-5. google scholar
  • Keivan N, Daryabeigi R, Alimohammadi N. Effects of religious and spiritual care on burn patients’ pain intensity and satisfaction with pain control during dressing changes. Burns 2019;45(7):1605-13. google scholar
  • Nasiri M, Bahdori H, Heydari A, Jafari AA. Effect of Reciting the Name of God on the Pain and Anxiety Experienced by Burn Patients during Dressing. Health, Spirituality and Medical Ethics. 2020;7(3):3-8. google scholar
  • Davodabady F, Naseri-Salahshour V, Sajadi M, Mohtarami A, Rafiei F. Randomized controlled trial of the foot reflexology on pain and anxiety severity during dressing change in burn patients. Burns 2021;47(1):215-21. google scholar
  • Hoseinzadeh-Karimkoshteh M, Firouzkouhi M, Abdollahimohammad A. Effect of regular smooth breathing on the intensity of pain caused by dressing change in patients with second-degree burns: A clinical trial. Medical-Surgical Nursing Journal 2019;8(2):e92321. google scholar
  • Park E, Oh H, Kim T. The effects of relaxation breathing on procedural pain and anxiety during burn care. Burns 2013;39(6):1101-6. google scholar
  • Bozorg-Nejad M, Azizkhani H, Ardebili FM, Mousavi SK, Manafi F, Hosseini AF. The effect of rhythmic breathing on pain of dressing change in patients with burns referred to Ayatollah Mousavi hospital. World Journal of Plastic Surgery 2018;7(1):51-7. google scholar
  • Tabatabaeichehr M, Mortazavi H. The effectiveness of aromatherapy in the management of labor pain and anxiety: A systematic review. Ethiopian Journal of Health Sciences 2020;30(3). google scholar
  • Akgül EA, Karakul A, Altın A, Doğan P, Hoşgör M, Oral A. Effectiveness of lavender inhalation aromatherapy on pain level and vital signs in children with burns: A randomized controlled trial. Complementary Therapies in Medicine 2021;60:102758. google scholar
  • Tang SK, Tse M. Aromatherapy: Does it help to relieve pain, depression, anxiety, and stress in community-dwelling older persons? BioMed Research International 2014;2014:430195. google scholar
  • Uyar M, Korhan EA. The effect of music therapy on pain and anxiety in intensive care patient. The Journal of The Turkish Society of Algology 2011;23(4):139-46. google scholar
  • Li-Yuan W, Hai-Yun G, Yu W, Ming-Hui M. Effect of moxibustion combined with five-element music therapy on postoperative pain relief after mixed hemorrhoid operation. Journal of Integrative Nursing 2020;2(1):22-6. google scholar
  • Kahar NABA, Kanageswari, Tay YB, Koh KX. A pilot study of the effects of music listening for pain relief among burns patients. Proceedings of Singapore Healthcare 2011;20(3):162-73. google scholar
  • Zhang X-H, Gao X-X, Wu W-W, Yu J-A. Impact of orally administered tramadol combined with self-selected music on adult outpatients with burns undergoing dressing change: A randomized controlled trial. Burns 2020;46(4):850-9. google scholar
  • Ferraz MCL, Santana-Santos E, Pinto JS, Nunes Ribeiro CJ, Santana JFNB, Alves JAB, et al. Analgesic effect of music during wound care among patients with diaphyseal tibial fractures: Randomized controlled trial. European Journal of Pain 2021;25(3):541-9. google scholar
  • Fakhar FM, Rafii F, Orak RJ. The effect of jaw relaxation on pain anxiety during burn dressings: Randomised clinical trial. Burns 2013;39(1):61-7. google scholar
  • Carroll D, Bowsher D. Pain: Management and nursing care: Butterworth-Heinemann Medical; 1993. google scholar
There are 46 citations in total.

Details

Primary Language English
Subjects Nursing (Other)
Journal Section Reviews
Authors

Ayper Önal Alkan 0000-0003-2585-2958

Yasemin Uslu 0000-0001-5727-3753

Project Number 1
Publication Date October 31, 2023
Published in Issue Year 2023 Issue: 3

Cite

APA Önal Alkan, A., & Uslu, Y. (2023). The Effectiveness of Non-Pharmacological Methods in the Management of Wound Dressing Pain: A Systematic Review. CURARE Journal of Nursing(3), 53-59. https://doi.org/10.26650/CURARE.2023.1295198
AMA Önal Alkan A, Uslu Y. The Effectiveness of Non-Pharmacological Methods in the Management of Wound Dressing Pain: A Systematic Review. CURARE Journal of Nursing. October 2023;(3):53-59. doi:10.26650/CURARE.2023.1295198
Chicago Önal Alkan, Ayper, and Yasemin Uslu. “The Effectiveness of Non-Pharmacological Methods in the Management of Wound Dressing Pain: A Systematic Review”. CURARE Journal of Nursing, no. 3 (October 2023): 53-59. https://doi.org/10.26650/CURARE.2023.1295198.
EndNote Önal Alkan A, Uslu Y (October 1, 2023) The Effectiveness of Non-Pharmacological Methods in the Management of Wound Dressing Pain: A Systematic Review. CURARE Journal of Nursing 3 53–59.
IEEE A. Önal Alkan and Y. Uslu, “The Effectiveness of Non-Pharmacological Methods in the Management of Wound Dressing Pain: A Systematic Review”, CURARE Journal of Nursing, no. 3, pp. 53–59, October 2023, doi: 10.26650/CURARE.2023.1295198.
ISNAD Önal Alkan, Ayper - Uslu, Yasemin. “The Effectiveness of Non-Pharmacological Methods in the Management of Wound Dressing Pain: A Systematic Review”. CURARE Journal of Nursing 3 (October 2023), 53-59. https://doi.org/10.26650/CURARE.2023.1295198.
JAMA Önal Alkan A, Uslu Y. The Effectiveness of Non-Pharmacological Methods in the Management of Wound Dressing Pain: A Systematic Review. CURARE Journal of Nursing. 2023;:53–59.
MLA Önal Alkan, Ayper and Yasemin Uslu. “The Effectiveness of Non-Pharmacological Methods in the Management of Wound Dressing Pain: A Systematic Review”. CURARE Journal of Nursing, no. 3, 2023, pp. 53-59, doi:10.26650/CURARE.2023.1295198.
Vancouver Önal Alkan A, Uslu Y. The Effectiveness of Non-Pharmacological Methods in the Management of Wound Dressing Pain: A Systematic Review. CURARE Journal of Nursing. 2023(3):53-9.