Weighted Blankets for Pain and Anxiety Relief in Acutely Injured Trauma Patients.

IF 0.9 Q3 ANESTHESIOLOGY Journal of Pain & Palliative Care Pharmacotherapy Pub Date : 2024-09-01 Epub Date: 2023-02-07 DOI:10.1080/15360288.2023.2174634
Shelley M Warner, Stacey L Tannenbaum, Sohni Pathan, Jose S Lozada
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Abstract

To determine the impact of a weighted blanket on acute pain and anxiety in trauma patients, a preliminary prospective/retrospective study at a level-one trauma center (n = 24 patients) was conducted. In this study, 12 patients using weighted blankets for five consecutive days were compared to a matched retrospective cohort of 12 patients not using a blanket. The change in morphine milligram equivalents (MME) and alprazolam milligram equivalents (AME) over five days were compared. There was a significant difference of MME per day between the intervention group (mean MME change = -22.9) and matched controls (mean MME change = 6.2; p = 0.0072) by blanket use. Total MMEs in the intervention group decreased by 275.5 and in the control group increased by 75 between day 1 and day 5. There was no significant difference in AME change between groups (p = 0.3227). The majority of patients who took a post-intervention questionnaire reported less pain and less anxiety with blanket use compared to those without blanket use (78% and 56% of patients, respectively). To summarize, trauma patients in acute pain had less opioid use and reported less pain and anxiety when using a weighted blanket for five consecutive days compared to a control group who did not use a blanket.

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减轻急性创伤患者疼痛和焦虑的配重毯。
为了确定负重毯对创伤患者急性疼痛和焦虑的影响,我们在一家一级创伤中心进行了一项初步的前瞻性/回顾性研究(n = 24 名患者)。在这项研究中,12 名连续五天使用负重毯的患者与 12 名未使用负重毯的患者进行了对比。比较了五天内吗啡毫克当量(MME)和阿普唑仑毫克当量(AME)的变化。干预组(平均吗啡毫克当量变化=-22.9)和匹配对照组(平均吗啡毫克当量变化=6.2;p=0.0072)每天的吗啡毫克当量因使用毯子而有明显差异。从第 1 天到第 5 天,干预组的总甲流减少了 275.5,对照组则增加了 75。组间的 AME 变化无明显差异(p = 0.3227)。与不使用毯子的患者相比,大多数接受干预后问卷调查的患者表示使用毯子后疼痛减轻,焦虑减少(分别为 78% 和 56%)。总之,与不使用毯子的对照组相比,急性疼痛的外伤患者在连续五天使用加权毯后,阿片类药物的用量减少了,疼痛和焦虑也减轻了。
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来源期刊
CiteScore
1.60
自引率
9.10%
发文量
40
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