Hologram Burn Dressing on Pain, Anxiety, Fear, Patient Satisfaction, and Physiological Parameters

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-65
SponsorGamze BULUT

About this trial

Burn injuries are a significant global health problem, leading to serious physical, psychological, and social challenges for affected individuals. The literature emphasizes that dressing changes are among the most painful and anxiety-provoking procedures, negatively impacting treatment adherence and patient well-being. Although pharmacological methods are used to alleviate pain and anxiety, they are often insufficient due to potential side effects and addiction risks.

In recent years, advancements in digital technologies-particularly virtual reality (VR), augmented reality (AR), and hologram applications-have offered promising distraction-based approaches. Hologram technology, through three-dimensional and interactive visuals, can divert the patient's attention from traumatic stimuli, thereby reducing pain, anxiety, and fear in an innovative way. However, there is limited scientific evidence regarding the use of hologram applications during burn dressing changes.

This study aims to examine the effects of hologram applications on pain, anxiety, fear, patient satisfaction, and physiological parameters during burn dressing procedures. The research will be conducted at Erzurum City Hospital Burn Center, with a total of 70 patients assigned to experimental and control groups using simple randomization. Data collection tools will include the Visual Analogue Scale (VAS), the State-Trait Anxiety Inventory (STAI), the Burn Specific Pain Anxiety Scale, satisfaction and fear VAS assessments, and physiological parameter recording forms. The study will be carried out between November 2025 and May 2026. The results are expected to provide evidence-based insights into the feasibility and effectiveness of hologram technology as a non-pharmacological, innovative intervention in burn care.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Between the ages of 18 and 65,

Able to read, write, and speak Turkish,

Not participating in any other clinical trials at the same time,

Patients who were decided to be admitted to a burn unit,

Disqualifiers

Those with a pain intensity between 8 and 10 points (sedation is required when the pain intensity is 8 or higher),

Those under the influence of various non-pharmacological treatment methods that may affect pain,

Patients requiring advanced surgical procedures such as fasciotomy, escharotomy, or amputation,

Patients receiving sedation during the dressing,

Trial design

Design model

Parallel

Treatments tested in this trial

  • Showing videos with holograms

    Other intervention

    The intervention in this study is the use of a three-dimensional hologram video as a distraction method during burn dressing procedures. Unlike conventional video or virtual reality (VR) applications, the hologram projects interactive 3D images into real space without requiring headsets or wearable devices. Patients can visually perceive the holographic content directly in front of them, allowing natural interaction and immersion. This feature provides a stronger distraction effect by engaging the patient's attention with vivid and dynamic images during the painful procedure. Thus, the hologram differs from standard video watching by offering an immersive, spatial, and realistic experience that does not restrict movement or require equipment contact with the burned area.

Treatment groups

70 Participants
are divided into 2 treatment groups
Group A: Control: Standard nursing careNo intervention 0 interventions
Group B: InterventionExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Pain intensity during burn dressing procedure

Pain intensity will be assessed using the Visual Analogue Scale (VAS) ranging from 0 to 10, where \*\*0 indicates "no pain" and 10 indicates "the worst possible pain." Higher scores indicate greater pain intensity.

Time frame
Immediately after the first and second dressing procedures (approximately 15-30 minutes each).
2

State-Trait anxiety level

State anxiety will be assessed using the State subscale of the State-Trait Anxiety Inventory (STAI-S). The scale ranges from 20 to 80 points, where higher scores indicate greater anxiety levels, and lower scores indicate reduced anxiety.

Time frame
Immediately after the first and second dressing changes.
3

Burn-specific pain-related anxiety

Burn-specific pain-related anxiety will be assessed using the Burn Specific Pain Anxiety Scale (BSPAS). The scale ranges from 0 to 4 for each item, with a total score range of 0-64. Higher scores indicate greater levels of pain-related anxiety associated with burn procedures, while lower scores indicate reduced anxiety.

Time frame
Immediately after the first and second dressing procedures.
4

Fear level

Fear will be assessed using the Visual Analogue Scale (VAS) for Fear, ranging from 0 to 10, where \*\*0 indicates "no fear" and 10 indicates "the highest possible fear." Higher scores indicate greater fear intensity.

Time frame
Immediately after the first and second dressing procedures.

Secondary outcomes

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Gamze BULUT

Lead sponsor

Ataturk University

Sponsor institution

Ataturk University

Collaborator

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