Impact of orally administered tramadol combined with self-selected music on adult outpatients with burns undergoing dressing change: A randomized controlled trial

• Published in: Burns Vol. 46; no. 4; pp. 850 - 859
• Main Authors: Zhang, Xiu-Hang, Gao, Xin-Xin, Wu, Wei-Wei, Yu, Jia-Ao
• Format: Journal Article
• Language: English
• Published: Elsevier Ltd 01.06.2020
• Subjects: Anxiety; Burns; Music; Pain; Tramadol; MPQ-SF; MTG; CG; MANCOVA; CI; PPI; VAS; HR; TG; Pain; ANOVA; Music; Tramadol; MD; GABA; BSPAS; MG; Anxiety; TBSA; Burns
• ISSN: 0305-4179; 1879-1409
• DOI: 10.1016/j.burns.2019.10.010

•This study is the first to combine tramadol with self-selected music as a treatment to control the pain and anxiety of burns.•Both tramadol and self-selected music are efficacious and safe methods for burns undergo dressing changes.•Either self-selected music or tramadol can decrease pain and anxiety in burns, but especially effective applied in combination. To investigate the effects of music and/or tramadol on pain and anxiety in burn outpatients undergoing dressing changes. Randomized controlled trial. Burns and Plastic Reconstruction Unit. Patients (N=180) with burns on up to 10%–30% of the total body surface area (TBSA). 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. 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). The results showed that music-plus-tramadol group (MTG) had better outcomes with respect to pain and anxiety management during dressing changes. 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.