Health Psychology

In collaboration with Payame Noor University and Iranian Health Psychology Association

Current Issue

By Issue

By Author

By Subject

Author Index

Keyword Index

About Journal

Aims and Scope

Editorial Board

Publication Ethics

Indexing and Abstracting

Related Links

FAQ

Peer Review Process

Journal Metrics

News

Title: Evaluation of the effect of hypnosis on the pain reduction in burn dressing change

Document Type : Scientific Research

Authors

1 Phd student of health psychology, Department of Psychology, Karaj Branch, Islamic Azad university, Karaj, Iran

2 Assistant Professor of Psychology, Department of Psychology, Karaj Branch, Islamic Azad university, Karaj, Iran.

3 Associate professor of anesthesia, Mashhad University of medical sciences, Iranian scientific society of clinical hypnosis

4 Professor of Psychology, Department of Psychology, Karaj Branch, Islamic Azad university, Karaj, Iran

Abstract

Objective:Dressing change is a routine care practiced for burn patients, which due to the skin injury of patients, can be associated with severe pain. In spite of drug intervention, 75% of adult patients with burn have to tolerate severe pain in this process. The results of studies suggest that non-pharmaceutical methods such as hypnosis can help pain management in burn patients beside drug treatments. Thus, this study seeks to explore the effectiveness of hypnosis in relieving pain associated with burn dressing change.
 
Method: In this study, 30 patients with second-degree burn hospitalized in Imam Reza Hospital of Mashhad, were assigned to two experiment and control groups. Both groups received the same drugs, and the pain scores were estimated by a Visual Analogue Scale (VAS)  before and after dress change. The experiment group was put under analgesic hypnosis during dressing change. The data were recorded for a week and mean and standard deviation were used for data description, and covariance analysis and significant level (p< 0/01) were used for data analysis.
 
Findings:The findings indicate a significant difference between the results of pretest and posttest group in the experiment group. The same significant difference was also observed in the results of posttest in the experiment and control groups as well. However, there was not any significant difference between pretest results of the control and experiment groups or the pretest and posttest results of the control group.
 
Conclusion:The results suggest  the efficacy of  hypnosis  in reducing pain  associated with burn  dressing  change

Keywords

References
Bras M, Loncar Z, Boban M, Gregurek R, Brajkovic´ L, Tomicic´H, et al.(2008). Acute stress disorder and posttraumatic stressdisorder: a prospective study of prevalence, course, and predictors in a sample with major burn injuries. J Burn CareRes;29:22–35
Berger MM1, Davadant M, Marin C, Wasserfallen JB, Pinget, C, Maravic P, Koch N, Raffoul W, Chiolero RL, (2010).Impact of a pain protocol including hypnosis in major burns.Burns.  Aug;36(5):639-46.
BlakJM,Hawks JH ,Knee AN .(2005).Medical surgical nursing. 6th ed. USA: Saunders
Byers J, Bridges S, Kijek J, Laborde P. (2001).Burn patients pain and anxiety experiences. Burn Care Rehabilitation; 22 (2): 144-49
Crawford HJ, Knebel T, VendemiaJMC ,(1998). The nature of hypnotic analgesia:    neurophysiological foundation and evidenceContemp Hypn,;15(1):22-33
Dehghani M, Hakimi H, Mousazadeh S.(2013). The Relationship between Pain and Anxiety throughout dressing among burn patients. Department of Nursing (Pediatrics), Instructor, School of Nursing and Midwifery; 30 - 37
Dillworth T, Jensen M.(2010).The Role of Suggestions in Hypnosis for Chronic Pain: A Review of the Literature. Open Pain J; 3(1): 39–51.
Eccleston, C.(1997). Pain and thinking: An introduction to cognitive psychology. London, Bailleiretindall; 35-53.
Edwards RR, Magyar-Russell G, Thombs B, Smith MT,Holavanahalli RK, Patterson DR, et al.(2007). Acute pain atdischarge from hospitalization is a prospective predictor oflong-term suicidal ideation after burn injury. Arch PhysMed Rehabil;88:S36–42.
Everett JJ, Patterson DR, Burns GL, Montgomery B, HeimbachD.(1993) Adjunctive interventions for burn pain control:comparison of hypnosis and ativan: the 1993 ClinicalResearch Award. J Burn Care Rehabil;14:676–83.
Faucher L, Furukawa K.(2006). Practice guidelines for the management of pain.J Burn Care Res:27(5):659-68.
Frenay M, Faymonville M, Devlieger S, Albert A ,VanderkelenA(2001).Psychological approaches during dressing changes of burned patients :A prospective randomized study comparing hypnosis against stress reducing strategy.Burns:27:739-9.
Frrell RB, Ebert’s TM, Maccafery M. (1991).Clinical Decision Making & pain. Cancer Nursing, 14(6), 289-297
Klein R.(2002). Severe background and procedural burn pain: develop a pain control plan, drug therapy perspective; 17 (20): 5-8.
Latarjet J, Lyon F,(2002). The management of pain associated with dressing changes in patients with burns. EWMA J. 2 (2): 5-9.
LatarjetJ,Choinere M.(1995). Pain in burn oatents. Burns.:21(5):344-8.
Lee J, Pyon Y.(2012).Use of Hypnosis in the Treatment of Pain. Korean J Pain. April; 25(2): 75–80.
Marvin J, Carrougher G, Baley E. (1992). Burn nursing Delphy Study: pain management. Journal of Burn Care and Rehabilitation; 13: 685-694
Mette M. Berger a,MaryseDavadant a, Christian Marin b, Jean-BlaiseWasserfallen c, Christophe Pinget c, Philippe Maravic a, Nathalie Koch d, WassimRaffoul d, Rene´ L.( 2 0 1 0). Impact of a pain protocol including hypnosis in major burns, Chiolero a b u rns 3 6 ,6 3 9 – 6 4 6
Morgan J. (2000). Ambulatory management of burns. AmFamily Physician. 62: 2015-2026.
Patterson DR, Ptacek JT. (1997).Baseline pain as a moderator of hypnotic analgesia for burn injury treatment. J Consult Clin Psychol;65:60–7.
Patterson DR,(2010). Clinical hypnosis for pain control. Washington: American Psychological Association.
Patterson DR, Hoffman HG, Weichman SA, Jensen MP, Sharar SR.( 2004). Optimizing control of pain from severe burns: a literature review. Am J Clin Hypn;47:43–54.
Shakibaei F1, Harandi AA, Gholamrezaei A, Samoei R, Salehi P,(2008). Hypnotherapy in management of pain and reexperiencing of trauma in burn patients.Int J ClinExpHypn.  Apr;56(2):185-97.
Smeltzer SC, Bare BG, Branner and suddarthis,(1999).text Book of Medical surgical Nursing. 10th ed.Philadelphia: LippincatWillams& Wilkins;.P.1704.
Vasee N, Badoohi N, Molavi M, Jahangiri K, Babaee A,(2009).to determine LA50 in Shahid Motahari burn hospital, Tehran, Iran. Payesh; 8: 297-301 [Persian]
Wall P.D, Melzac R.(1994).The pain of Burns .Text book of pain ,2nded . Churchill, Edinburgh. 402-8
Weinberg K, Birdsall C, Vail D, Marano MA, Petrone SJ, Mansour EH,(2000). Pain and anxiety with burn dressing changes: patient self-report. Burn Care Rehabilitation; 21 (2): 155-61.
Health Psychology
Volume 5, Issue 18 - Serial Number 18
July 2016
Pages 108-118
Files
Share
How to cite
Statistics