The Effect of Music-based Imagery and Musical Alternate Engagement on the Burn Debridement Process


The Journal of Burn Care & Rehabilitation




Management of pain is a primary concern in the treatment of burn patients. The intent of this study was to test the efficacy of music-based imagery and musical alternate engagement in assisting burn patients in managing their pain and anxiety during debridement. Twenty-five patients, 7 years of age and older, who were admitted to the Comprehensive Burn Care Center were enrolled in the study, which used a repeated-measures design with subjects serving as their own control. Subjects were randomly assigned to 1 of 2 groups. Those placed in Group A received music therapy intervention during their first dressing change, and no music therapy on the following day. Group B received no music therapy intervention during their first dressing change and music therapy during their next dressing, on the following day. Data were collected at 4 intervals in the medical procedure; in the patient's room before transfer to the treatment room, in the treatment room during debridement, in the treatment room after debridement, and upon returning to the patient's room. The measurements taken were pulse, patients' self-report of pain, patients' self-report of anxiety, and the nurse's observation of patients' tension. There was a significant reduction in the self-reporting of pain in those who received music therapy in contrast to those who did not receive music therapy (P < .03). Music therapy is a valuable noninvasive intervention for the treatment of pain after burn injury.

Music and Health Institute Terms

Anxiety; Anxiety Scales; Burns; Hospital Setting; Music Listening; Music Medicine; Pain; Pain Management and Control; Pain Score or Rating; Pulse Rate; Recorded Music Listening; Self-Report Measures; Vital Signs; Wound Care; Wound Pain

Indexed Terms

Adolescents; Elderly; Elderly; Analysis of Variance; Burn Units; Burns; Children; Combined Modality Therapy; Debridement; Florida; Follow-Up Studies; Injury Severity Score; Pain; Pain Management; Pain Measurement; Patient Satisfaction; Probability; Reference Values

Study Type

Quasi-Experimental Study; Quantitative Methods

PubMed ID


Document Type