• Forough Rafii, Fahimeh Mohammadi-Fakhar, and Roohangiz Jamshidi Orak.
• Center for Nursing Care Research, Faculty of Nursing & Midwifery, Iran University of Medical Sciences, Tehran, Iran.
• Pain Manag Nurs. 2014 Dec 1; 15 (4): 845-53.

AbstractPatients hospitalized for burn injuries experience severe pain, both immediately after the injury and during daily therapeutic procedures such as dressing changes. Relaxation is increasingly suggested as a pain control technique that can be used by nurses in daily practice. Yet the effects of relaxation on burn pain are not clear. The aim of this study was to investigate whether jaw relaxation will decrease pain intensity of burn dressing. Accordingly, a randomized clinical trial (n = 100) was conducted between 2009 and 2010 to compare jaw relaxation and usual care. Consenting patients were randomly assigned to either experimental or control groups using minimization. The experimental group practiced jaw relaxation for 20 minutes before entering the dressing room. Data were collected by visual analog scale (VAS), and several structured questions were asked of the experimental group. No significant difference was seen between mean pain intensity scores in the experimental and control groups after dressing (p = .676). Regarding the ineffectiveness of jaw relaxation for pain intensity of burn dressing, future studies are suggested to concentrate on longer durations of relaxation time and continuing the procedure in dressing room. Simultaneous study of the effect of this technique on residual, breakthrough, and procedural burn pain is also recommended.Copyright © 2014 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

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