Non-pharmacological interventions for anxiety in burn patients: A systematic review and meta-analysis of randomized controlled trials.
Identifieur interne : 000208 ( Main/Exploration ); précédent : 000207; suivant : 000209Non-pharmacological interventions for anxiety in burn patients: A systematic review and meta-analysis of randomized controlled trials.
Auteurs : Ajoudani Fardin [Iran] ; Soheila Ahangarzadeh Rezaei [Iran] ; Masumeh Hemmati Maslakpak [Iran]Source :
- Complementary therapies in medicine [ 1873-6963 ] ; 2020.
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Abstract
AIM
Present review aimed to conduct a comprehensive review of the effectiveness of non-pharmacological interventions (NPIs) on reducing anxiety in adult burn patients.
METHOD
We searched PubMed, Web of Science, Scopus, Cochrane Library, and Google Scholar databases through September 2019 for randomized clinical trials comparing NPIs to a control group. The primary outcomes were general anxiety and pain anxiety. The Cochrane Risk of Bias Tool was used to assess the risk of bias. All data was pooled with Revman 5.3.
RESULTS
20 studies were eligible for quantitative synthesis. Compared to routine care, Music (4 Randomized Clinical Trials (RCTs), Standardized Mean Difference (SMD) = -2.00, 95 % Confidence Interval (CI) = -3.21 to -0.79), massage (4 RCTs, SMD= -1.84, 95 % CI= -2.77 to -0.91), hypnosis (2 RCTs, SMD= -1.06, 95 % CI= -2.90 to 0.78), relaxation (2 RCTs, SMD= -0.77, 95 %CI= -1.52 to -0.02), transcranial direct current stimulation (1 RCT, SMD= -1.92, 95 %CI= -2.54 to -1.30), and therapeutic touch practices (1 RCT, SMD=-0.45 95 %CI= -0.86 to -0.04), were associated with a significant effect on the anxiety of burn patients. Aromatherapy interventions and virtual reality showed no evidence of a reduction in the anxiety. A large amount of heterogeneity exist among trials. Risk of bias varied across studies. Only one study reported on safety issues.
CONCLUSION
Due to weak evidence, we are unable to make strong recommendations in favor of NPIs for burn anxiety. Further well-designed large sample size randomized clinical trials are warranted.
DOI: 10.1016/j.ctim.2020.102341
PubMed: 32147030
Affiliations:
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Electronic address: Hemmatma@yahoo.com.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia</wicri:regionArea><wicri:noRegion>Urmia</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32147030</idno><idno type="pmid">32147030</idno><idno type="doi">10.1016/j.ctim.2020.102341</idno><idno type="wicri:Area/Main/Corpus">000307</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000307</idno><idno type="wicri:Area/Main/Curation">000307</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000307</idno><idno type="wicri:Area/Main/Exploration">000307</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Non-pharmacological interventions for anxiety in burn patients: A systematic review and meta-analysis of randomized controlled trials.</title><author><name sortKey="Fardin, Ajoudani" sort="Fardin, Ajoudani" uniqKey="Fardin A" first="Ajoudani" last="Fardin">Ajoudani Fardin</name><affiliation wicri:level="1"><nlm:affiliation>School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia</wicri:regionArea><wicri:noRegion>Urmia</wicri:noRegion></affiliation></author><author><name sortKey="Rezaei, Soheila Ahangarzadeh" sort="Rezaei, Soheila Ahangarzadeh" uniqKey="Rezaei S" first="Soheila Ahangarzadeh" last="Rezaei">Soheila Ahangarzadeh Rezaei</name><affiliation wicri:level="1"><nlm:affiliation>School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia</wicri:regionArea><wicri:noRegion>Urmia</wicri:noRegion></affiliation></author><author><name sortKey="Maslakpak, Masumeh Hemmati" sort="Maslakpak, Masumeh Hemmati" uniqKey="Maslakpak M" first="Masumeh Hemmati" last="Maslakpak">Masumeh Hemmati Maslakpak</name><affiliation wicri:level="1"><nlm:affiliation>School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran. Electronic address: Hemmatma@yahoo.com.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia</wicri:regionArea><wicri:noRegion>Urmia</wicri:noRegion></affiliation></author></analytic><series><title level="j">Complementary therapies in medicine</title><idno type="eISSN">1873-6963</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anxiety (etiology)</term><term>Anxiety (therapy)</term><term>Burns (complications)</term><term>Burns (psychology)</term><term>Humans (MeSH)</term><term>Randomized Controlled Trials as Topic (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Anxiété (thérapie)</term><term>Anxiété (étiologie)</term><term>Brûlures (complications)</term><term>Brûlures (psychologie)</term><term>Essais contrôlés randomisés comme sujet (MeSH)</term><term>Humains (MeSH)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Burns</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Anxiety</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Brûlures</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Burns</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Anxiety</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Anxiété</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Anxiété</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Randomized Controlled Trials as Topic</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="fr"><term>Brûlures</term><term>Essais contrôlés randomisés comme sujet</term><term>Humains</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>AIM</b></p><p>Present review aimed to conduct a comprehensive review of the effectiveness of non-pharmacological interventions (NPIs) on reducing anxiety in adult burn patients.</p></div><div type="abstract" xml:lang="en"><p><b>METHOD</b></p><p>We searched PubMed, Web of Science, Scopus, Cochrane Library, and Google Scholar databases through September 2019 for randomized clinical trials comparing NPIs to a control group. The primary outcomes were general anxiety and pain anxiety. The Cochrane Risk of Bias Tool was used to assess the risk of bias. All data was pooled with Revman 5.3.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>20 studies were eligible for quantitative synthesis. Compared to routine care, Music (4 Randomized Clinical Trials (RCTs), Standardized Mean Difference (SMD) = -2.00, 95 % Confidence Interval (CI) = -3.21 to -0.79), massage (4 RCTs, SMD= -1.84, 95 % CI= -2.77 to -0.91), hypnosis (2 RCTs, SMD= -1.06, 95 % CI= -2.90 to 0.78), relaxation (2 RCTs, SMD= -0.77, 95 %CI= -1.52 to -0.02), transcranial direct current stimulation (1 RCT, SMD= -1.92, 95 %CI= -2.54 to -1.30), and therapeutic touch practices (1 RCT, SMD=-0.45 95 %CI= -0.86 to -0.04), were associated with a significant effect on the anxiety of burn patients. Aromatherapy interventions and virtual reality showed no evidence of a reduction in the anxiety. A large amount of heterogeneity exist among trials. Risk of bias varied across studies. Only one study reported on safety issues.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Due to weak evidence, we are unable to make strong recommendations in favor of NPIs for burn anxiety. Further well-designed large sample size randomized clinical trials are warranted.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32147030</PMID><DateCompleted><Year>2020</Year><Month>09</Month><Day>24</Day></DateCompleted><DateRevised><Year>2020</Year><Month>09</Month><Day>24</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1873-6963</ISSN><JournalIssue CitedMedium="Internet"><Volume>49</Volume><PubDate><Year>2020</Year><Month>Mar</Month></PubDate></JournalIssue><Title>Complementary therapies in medicine</Title><ISOAbbreviation>Complement Ther Med</ISOAbbreviation></Journal><ArticleTitle>Non-pharmacological interventions for anxiety in burn patients: A systematic review and meta-analysis of randomized controlled trials.</ArticleTitle><Pagination><MedlinePgn>102341</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0965-2299(19)31827-8</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ctim.2020.102341</ELocationID><Abstract><AbstractText Label="AIM" NlmCategory="OBJECTIVE">Present review aimed to conduct a comprehensive review of the effectiveness of non-pharmacological interventions (NPIs) on reducing anxiety in adult burn patients.</AbstractText><AbstractText Label="METHOD" NlmCategory="METHODS">We searched PubMed, Web of Science, Scopus, Cochrane Library, and Google Scholar databases through September 2019 for randomized clinical trials comparing NPIs to a control group. The primary outcomes were general anxiety and pain anxiety. The Cochrane Risk of Bias Tool was used to assess the risk of bias. All data was pooled with Revman 5.3.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">20 studies were eligible for quantitative synthesis. Compared to routine care, Music (4 Randomized Clinical Trials (RCTs), Standardized Mean Difference (SMD) = -2.00, 95 % Confidence Interval (CI) = -3.21 to -0.79), massage (4 RCTs, SMD= -1.84, 95 % CI= -2.77 to -0.91), hypnosis (2 RCTs, SMD= -1.06, 95 % CI= -2.90 to 0.78), relaxation (2 RCTs, SMD= -0.77, 95 %CI= -1.52 to -0.02), transcranial direct current stimulation (1 RCT, SMD= -1.92, 95 %CI= -2.54 to -1.30), and therapeutic touch practices (1 RCT, SMD=-0.45 95 %CI= -0.86 to -0.04), were associated with a significant effect on the anxiety of burn patients. Aromatherapy interventions and virtual reality showed no evidence of a reduction in the anxiety. A large amount of heterogeneity exist among trials. Risk of bias varied across studies. Only one study reported on safety issues.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Due to weak evidence, we are unable to make strong recommendations in favor of NPIs for burn anxiety. Further well-designed large sample size randomized clinical trials are warranted.</AbstractText><CopyrightInformation>Copyright © 2020 Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Fardin</LastName><ForeName>Ajoudani</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rezaei</LastName><ForeName>Soheila Ahangarzadeh</ForeName><Initials>SA</Initials><AffiliationInfo><Affiliation>School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Maslakpak</LastName><ForeName>Masumeh Hemmati</ForeName><Initials>MH</Initials><AffiliationInfo><Affiliation>School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran. Electronic address: Hemmatma@yahoo.com.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D017418">Meta-Analysis</PublicationType><PublicationType UI="D000078182">Systematic Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>02</Month><Day>07</Day></ArticleDate></Article><MedlineJournalInfo><Country>Scotland</Country><MedlineTA>Complement Ther Med</MedlineTA><NlmUniqueID>9308777</NlmUniqueID><ISSNLinking>0965-2299</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D001007" MajorTopicYN="N">Anxiety</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002056" MajorTopicYN="N">Burns</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016032" MajorTopicYN="N">Randomized Controlled Trials as Topic</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Anxiety</Keyword><Keyword MajorTopicYN="N">Burn</Keyword><Keyword MajorTopicYN="N">Meta-analysis</Keyword><Keyword MajorTopicYN="N">Non-pharmacological interventions</Keyword><Keyword MajorTopicYN="N">Pain anxiety</Keyword><Keyword MajorTopicYN="N">Systematic review</Keyword></KeywordList><CoiStatement>Declaration of Competing Interest None of review authors have conflicts of interest to disclose.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2019</Year><Month>11</Month><Day>26</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>02</Month><Day>05</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>02</Month><Day>06</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>3</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>3</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>9</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32147030</ArticleId><ArticleId IdType="pii">S0965-2299(19)31827-8</ArticleId><ArticleId IdType="doi">10.1016/j.ctim.2020.102341</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Iran</li></country></list><tree><country name="Iran"><noRegion><name sortKey="Fardin, Ajoudani" sort="Fardin, Ajoudani" uniqKey="Fardin A" first="Ajoudani" last="Fardin">Ajoudani Fardin</name></noRegion><name sortKey="Maslakpak, Masumeh Hemmati" sort="Maslakpak, Masumeh Hemmati" uniqKey="Maslakpak M" first="Masumeh Hemmati" last="Maslakpak">Masumeh Hemmati Maslakpak</name><name sortKey="Rezaei, Soheila Ahangarzadeh" sort="Rezaei, Soheila Ahangarzadeh" uniqKey="Rezaei S" first="Soheila Ahangarzadeh" last="Rezaei">Soheila Ahangarzadeh Rezaei</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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