The effect of mandala staining on pain and anxiety from burning dressing pain

The effect of mandala staining on pain and anxiety from burning dressing pain

Randomized control-trial (RCT), community-based and pragmatic, with parallel groups, non-blinded

This is a randomized control-trial on 60 patients with second-degree burning hospitalized in Arak city Valie-assr hospital. Categorization will be done, using randomized blocks, and into intervention and control groups with equal number of participants.Firstly, anxiety scores and pain intensity will be assessed using burn specific pain anxiety scale (BSPAS) standard query and immediately Mandala color palette with 12 color pen will be allocated to the patients. Each patient has a 30 minutes time to coloring the shape followed by 5 minutes resting time and the anxiety is measured. Fifteen minutes post-dressing, the BSPAS and pain intensity are measured. In control group, at the initial step of the study and 15 minutes post-dressing, BSPAS and pain intensity are measured.

Inclusion criteria : 1- Patients with superficial second-degree burn 2- Hospitalization in burning wards 3-Age range of18-60 years 4- To be under wound-dressing, at least for one session 5- Daily dressing 6- Staining ability 7- Not to use psychotropic drugs and not to be a psychological disorder 8- No addiction Non-inclusion: 1- Patients with a history of previous burning 2- Needs to surgery (Graft or debridement) for burning wound 3- Burning wound infection

1- staining group 2-control group

pain and anxiety

In this study, patients with second degree burn are randomly devided to block methods. By assigning the letter A to the intervention group (Mandala staining) and the letter B to the control group.The six modes of BAAB, ABBA, BABA, BBAA, AABB and ABAB were Written in separate sheets and dropped in to the dish and the composition was written on it and again that sheet was thrown in to the dish.This procedure was repeated 15 time and each time the composition was written on each sheet in order to the order written in the previous sheet was memorized. Then to each of the letters, anumber from one to sixty consecutiv letters were assigned in sequence. And each letter was placed inside an envelop and written on the envelope of that letter. Each time the patient is selected, one of the envelops is opened and the patient is to be placed in the intervention or control group.Respectiuoly. patient were then assigned to intervention and control grops.