Effect of Family Participation in Primary Care Provision to Reduce Pain Anxiety among Burn ICU Patients

Abstract

Background and purpose: One of the key components of social support is the role of family members and friends. The present study was designed to determine the effectiveness of family participation in providing primary care to reduce pain anxiety of burn ICU patients. Materials and methods: In a randomized controlled trial 110 patients were selected by non-random sampling from Zaare Hospital burn ICU in Sari, Iran. Based on random numbers table, they were randomly allocated to control and intervention groups (n= 55 per group). In the intervention group, on day 4 of hospitalization, one of the family members attended the patient’s bedside before wound dressing for one-hour for five days. In control group, the practice was done according to the ward routine (non-family attendance). In both groups, burn pain anxiety scale was completed in days three to eight of hospitalization. Data analysis was done in SPSS V.20. Results: There was no significant difference between the two groups in gender, age, total burn surface area, and type of burn. Friedman test indicated significant difference in pain-induced anxiety in different days between the two groups (P<0.001). According to Mann Whitney-U test there was a significant difference between the two groups in mean value of pain induced anxiety during 5 days (P<0.001). Conclusion: In order to lower the anxiety caused by pain in ICU burn patients, non- medicinal methods such as family participation can be applied. (Clinical Trials Registry Number: IRCT201602297494N17)

Keywords

• burn
• critical care
• family participation
• pain anxiety