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.

Abstract Pourpose This study aimed to compare the effect of audiovisual distraction on physiological indicators and pain of burn dressing change among 6–12 year-old children. Design and methods The study was a single-blind clinical trial with a three-group that sample size was 120 children aged 6–12 years admitted to the burn ward of Hamadan Besat Hospital. Data collection tools were the Oucher pain scale, a Cheklist form of the physiological Indicators, and apulse oximetry device. The cartoons were shown for visual group and the melodic poems were played for the auditory group 2 min before the dressing until the end of the procedure (at 2-min intervals). Data were analyzed by SPSS-16 software one-way, variance analysis and post-hoc Bonferroni test. Results Therewere statistically significant differences between visual, auditory and control groups in the mean pain intensity scores at all measurement times, the mean arterial blood oxygen saturation percentage at all measurement times except for the10 min before the dressing and the start of the procedure and the mean heart rate at all measurement times except for 10 min before dressing (p  Conclusion Audiovisual distraction is effective in reducing the fluctuations of physiological indicators and the burn dressing pain intensity in children at all times of measurement, especially during changedressing. Practice implications The findings of this study are relevant to clinical practice because they suggest preparing children before and during a burning procedure situation.