Most Read Articles
Pearl Toh, 10 Oct 2019
Adding a LAMA* to the double combination therapy of ICS** plus LABA*** in a single inhaler improves lung function and reduces exacerbations in patients whose asthma is inadequately controlled with the combination treatment, according to the TRIMARAN and TRIGGER# studies presented at ERS 2019.
4 days ago
Eating alone may help in weight management as findings of a recent study suggest that eating with friends lead to higher food intake.
Tristan Manalac, 3 days ago
A digital-first approach, iConnect, allows patients to have greater access to services and guidance and enables healthcare providers to deliver much better postdischarge care, according to Lim Cher Wee, chief operating officer of the Ministry of Health, Office for Healthcare Transformation of Singapore, in his presentation at the recently concluded AsiaPac19 Conference & Exhibition of the Healthcare Information and Management Systems Society (HIMSS 2019).
Jairia Dela Cruz, 3 days ago
Toileting behaviours such as convenience and delayed voiding, straining to void, and position preference are strongly associated with overactive bladder (OAB) symptoms in women, according to a study.

Nonpharmacological interventions ease burn pains

12 Nov 2018

Nonpharmacological interventions appear to be effective in reducing burn pain and may serve as useful adjuncts to pharmacological standard care, a recent meta-analysis has found.

A comprehensive literature search in the databases of PsycINFO, Web of Science and Medline resulted in 21 randomized controlled trials (RCTs) eligible for analysis. The cumulative sample size was 660 patients (weighted mean age 35.1±6.1 years; 76 percent male), in whom the mean total body surface area was 17.2 percent.

Across all studies, nonpharmacological interventions resulted in a moderate but significant beneficial effect on pain outcomes (Hedges’ g, 0.58; 95 percent CI, 0.33–0.84; p<0.001), though heterogeneity was significant (p<0.001).

Subanalyses according to controls significantly altered the results. Nonpharmacological methods remained significantly effective when compared against treatment as usual (g, 0.69; 0.40–0.98; p<0.001), but not against attention controls (g, 0.21; –0.11 to 0.54; p=0.195).

In addition, nonpharmacological interventions also exerted a small but significant effect on patient anxiety (g, 0.36; 0.20–0.52; p<0.001), with little heterogeneity (p=0.816).

In terms of study quality, many of the studies did not report enough information to allow for the evaluation of risk of bias, particularly for selection and reporting bias. However, most studies did not ensure the blinding of medical personnel, suggesting that there may have been performance bias.

“According to the current status of evidence, particularly [virtual reality] distraction, hypnosis, and a combination of relaxation and distraction could be recommended for relieving pain and reducing anxiety during burn wound care in addition to standard pharmacological approaches,” said researchers, though stronger evidence is needed.

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Most Read Articles
Pearl Toh, 10 Oct 2019
Adding a LAMA* to the double combination therapy of ICS** plus LABA*** in a single inhaler improves lung function and reduces exacerbations in patients whose asthma is inadequately controlled with the combination treatment, according to the TRIMARAN and TRIGGER# studies presented at ERS 2019.
4 days ago
Eating alone may help in weight management as findings of a recent study suggest that eating with friends lead to higher food intake.
Tristan Manalac, 3 days ago
A digital-first approach, iConnect, allows patients to have greater access to services and guidance and enables healthcare providers to deliver much better postdischarge care, according to Lim Cher Wee, chief operating officer of the Ministry of Health, Office for Healthcare Transformation of Singapore, in his presentation at the recently concluded AsiaPac19 Conference & Exhibition of the Healthcare Information and Management Systems Society (HIMSS 2019).
Jairia Dela Cruz, 3 days ago
Toileting behaviours such as convenience and delayed voiding, straining to void, and position preference are strongly associated with overactive bladder (OAB) symptoms in women, according to a study.