Impact of Orally Administered Tramadol Combined With Self-selected Music on Adult Outpatients With Burns Undergoing Dressing Change: A Randomized Controlled Trial






OBJECTIVE: To investigate the effects of music and/or tramadol on pain and anxiety in burn outpatients undergoing dressing changes. DESIGN: Randomized controlled trial. SETTING: Burns and Plastic Reconstruction Unit. PARTICIPANTS: Patients (N=180) with burns on up to 10%-30% of the total body surface area (TBSA). INTERVENTIONS: The patients were randomly allocated to 4 equal-sized groups as follows: (1) tramadol group (TG), patients received 100mg of tramadol orally 20min before the dressing change; (2) music group (MG), patients listened to self-selected music during the dressing change; (3) music-plus-tramadol group (MTG), patients received tramadol and listened to self-selected music; and (4) control group (CG), patients received a routine dressing change only. All patients underwent the interventions once per day for 2days. MAIN OUTCOME MEASURES: McGill Pain Questionnaire Short Form (MPQ-SF) (primary outcome), McGill Pain Persian version of Burn Specific Pain Anxiety Scale (BSPAS) (primary outcome), and heart rate (HR) and overall patient satisfaction (secondary outcomes). RESULTS: The results showed that music-plus-tramadol group (MTG) had better outcomes with respect to pain and anxiety management during dressing changes. CONCLUSIONS: In comparison with music or tramadol alone, the integration of music and tramadol offers a secure and favorable treatment choice to relieve pain and anxiety, ultimately improving the satisfaction levels of burn outpatients during dressing changes.

Music and Health Institute Terms

Anxiety; Burns; Heart Rate; Music Listening; Music Medicine; Outpatient Rehabilitation; Pain; Pain Management and Control; Pain Score or Rating; Patient Satisfaction; Procedural Pain; Questionnaires; Recorded Music Listening; Vital Signs; Wound Care; Wound Pain

Indexed Terms

Administration, Oral; Opioid Analgesics; Anxiety; Bandages; Body Surface Area; Burns; Heart Rate; Pain Management; Pain Measurement; Procedural Pain; Patient Satisfaction; Tramadol; Anxiety; Burns; Pain; Tramadol

Study Type

Quantitative Methods; Randomized Controlled Trial

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