Effects of Non-Invasive Vagus Nerve Stimulation in Adolescent Burn Patients

Inclusion Criteria: * Being between 12 and 18 years of age * Having completed the acute phase after burn injury, with at least 1 month and at most 1 year since the burn injury * Having second- or third-degree burns involving 5% to 30% of total body surface area * Having at least one of the following complaints: anxiety, poor sleep quality, pain, or itching * Written informed consent provided by the parent or legal guardian, and willingness of the participant to take part in the study * Ability to read and understand Turkish Exclusion Criteria: * Infection, ulcer, or scar tissue on the auricle * Burn injury in the head and neck region that prevents application of the device to the auricular vagus nerve area * Metallic implant in the skull, excessive sensitivity in the ear, ear injury, or ear inflammation * Chronic pulmonary and/or cardiac disease * Heart rate below 60 beats per minute * Presence of a pacemaker, cochlear implant, or similar implanted device * Uncontrolled hypertension * Lack of cooperation * Refusal or inability of the parent or legal guardian to sign the informed consent form