31st Biennial Congress of International Society of University Colon and Rectal Surgeons - 1 st ISUCRS Joint Nursing Congress, İstanbul, Türkiye, 27 - 29 Ekim 2022, ss.207-208, (Özet Bildiri)
Aims: Dressing changes can be painful experiences for patients. Besides the physical discomfort, pain can induce stress, anxiety, fear, and depression. Pain is often not addressed or may be addressed inadequately. The aim of this study is to systematically analyze the studies conducted on the nonpharmacological methods used for the relief of dressing change pain. Materials-Methods: Studies published in CINAHL, EBSCO, Ovid, Science Direct, Scopus, TR Dizin, Web of Science, Wiley Online Library databases between 2010 and 2022 were included. Key words “nonpharmacological wound pain”, “dressing change pain”, “complementary therapies in wound pain”, “wound dressing pain management” were used. A total of 863 studies were reached, 28 studies that met the inclusion criteria were examined. While 42.9% (n:12) of the studies were performed on children, 57.1% (n:16) were conducted with adult patients. Burn wounds (82.1%; n:23) were the most studied among wound types. All of the studies were in experimental design and 67.8% (n:19) of them were randomized controlled clinical trials. The most commonly used methods were distraction (21.4%; n:6), virtual reality (17.8%; n:5) and music therapy (17.8%; n:5). Results: These review results are a first attempt to examine from an international perspective wound pain at dressing changes. Using nonpharmacological methods like virtual reality, distraction, relaxation exercises, music therapy, aromatherapy, life therapy, guided imagery effect, spiritual care and reflexology and such can help reduce pain and stress during dressing changes. Conclusion: The focus of future studies must define the type and nature of pain in patients, while new research study designs need to be employed to examine alternative pain outcomes to nonpharmacological methods which take account of symptom control and provide demonstrable benefits to patients