Journal of Critical Care Nursing

Published by: Kowsar

The Effect of a Multi-Dimensional Play Program on Children’s Pain Intensity During Burn Dressing Change in Burn Intensive Care Units: A Clinical Trial

Ali Noruzi Koushali 1 , Reza Daryabeigi 2 , * , Nasrollah Alimohammadi 3 and Mostafa Najafi 4
Authors Information
1 Medical-Surgical Nursing MSc Student, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, IR Iran
2 Medical-Surgical Nursing MSc, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, IR Iran
3 Nursing PhD, Assistant Professor, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, IR Iran
4 Assistant Professor, Biofeedback Group, Department of Psychiatry, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, IR Iran
Article information
  • Journal of Critical Care Nursing : November 2017, 10 (4); e58845
  • Published Online: October 10, 2017
  • Article Type: Research Article
  • Received: July 26, 2017
  • Accepted: August 15, 2017
  • DOI: 10.5812/ccn.58845

To Cite: Noruzi Koushali A, Daryabeigi R, Alimohammadi N, Najafi M. The Effect of a Multi-Dimensional Play Program on Children’s Pain Intensity During Burn Dressing Change in Burn Intensive Care Units: A Clinical Trial, Crit Care Nurs J. 2017 ;10(4):e58845. doi: 10.5812/ccn.58845.

Copyright: Copyright © 2017, Journal of Critical Care Nursing. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Methods
4. Results
5. Discussion
  • 1. Rasuli S, Lotfi M, Seyedamini B, Zamanzadeh V, Naghili B. The effects of biological, synthetic and traditional dressing on pain intensity of burn wound in children. Iran J Nurs. 2013;26(85):15-25.
  • 2. Moore ER, Bennett KL, Dietrich MS, Wells N. The effect of directed medical play on young children's pain and distress during burn wound care. J Pediatr Health Care. 2015;29(3):265-73. doi: 10.1016/j.pedhc.2014.12.006. [PubMed: 25631102].
  • 3. Mazlom SR, Hosseini Amiri M, Tavoosi SH, Manzari ZS, Mirhosseini H. Effect of direct transcranial current stimulation on pain intensity of burn dressing. Evid. Based Care. 2015;4(4):35-46.
  • 4. Naderi F, Aghayi A, Mohammadzadeh M, Nazemi S, Salmani F, Rashvand M. Comparing the effect of music on pain threshold, anxiety, behavioral responses to pain and the hemodynamic parameters during dressing change in burn patients. Quarterly Horizon Med Sci. 2014;20(1):63-8.
  • 5. Hadadi Moghadam H, Kheirkhah M, Jamshidi Manesh M, Haghani H. The impact of distraction technique on reducing the infant's pain due to immunization. Horizon Med Sci. 2011;16(4):0.
  • 6. Baratee F, DABIRIAN A, Yoldashkhan M, Zaree F, Rasouli M. Effect of therapeutic play on postoperative pain of hospitalized school age children in pediatric surgical ward. Faculty Nurs Midw Quarterly. 2011;21:25-8.
  • 7. Babaie M, Shirinabadi Farahani A, Nourian M, Pourhoseingholi A, Masoumpoor A. Pain management using distraction in school-age children. Iranian J Nurs Res. 2015;10(3):71-80.
  • 8. Sadeghi T, Shamshiri M, Mohammadi N, Shoghi M. Effect of distraction on children's behavioral responses to pain during IV catheter insertion. J Hayat. 2013;18(4):1-9.
  • 9. Sahiner NC, Bal MD. The effects of three different distraction methods on pain and anxiety in children. J Child Health Care. 2016;20(3):277-85. doi: 10.1177/1367493515587062. [PubMed: 26040282].
  • 10. Mohammadi Fakhar F, Rafii F, Jamshidi Orak R, Inanlo M. The effect of jaw relaxation on pain anxiety of burn dressing: Randomized clinical trial with control group. Iran J Nurs Res. 2011;5(19):58-67.
  • 11. Nikfarid L, Ghamar Yousefi R, Namazian M, Namdar F, Azam Nezami M. Comparison of EMLA cream versus local refrigeration for reducing venipuncture-related pain in pediatric patients of children’s medical center, 2008. Iranian J Nurs res. 2010;5(16):32-7.
  • 12. Kipping B, Rodger S, Miller K, Kimble RM. Virtual reality for acute pain reduction in adolescents undergoing burn wound care: a prospective randomized controlled trial. Burns. 2012;38(5):650-7. doi: 10.1016/j.burns.2011.11.010. [PubMed: 22348801].
  • 13. Maani CV, Hoffman HG, Morrow M, Maiers A, Gaylord K, McGhee LL, et al. Virtual reality pain control during burn wound debridement of combat-related burn injuries using robot-like arm mounted VR goggles. J Trauma. 2011;71(1 Suppl):S125-30. doi: 10.1097/TA.0b013e31822192e2. [PubMed: 21795888].
  • 14. Izadpanah AM, Farajzadehe Z, Khazaee T. Impact of distraction technique on reducing the infants' vaccination pain. Mod Care J. 2014;11(1):1-9.
  • 15. Law EF, Dahlquist LM, Sil S, Weiss KE, Herbert LJ, Wohlheiter K, et al. Videogame distraction using virtual reality technology for children experiencing cold pressor pain: the role of cognitive processing. J Pediatr Psychol. 2011;36(1):84-94. doi: 10.1093/jpepsy/jsq063. [PubMed: 20656761].
  • 16. Kaheni S, Sadegh Rezai M, Bagheri-Nesami M, Goudarzian AH. The effect of distraction technique on the pain of dressing change among 3-6 year-old children. Int J Pediatr. 2016;4(4):1603-10.
  • 17. Das DA, Grimmer KA, Sparnon AL, McRae SE, Thomas BH. The efficacy of playing a virtual reality game in modulating pain for children with acute burn injuries: a randomized controlled trial [ISRCTN87413556]. BMC Pediatr. 2005;5(1):1. doi: 10.1186/1471-2431-5-1. [PubMed: 15745448].
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