Dunpath Tanuja, Chetty Verusia, Van Der Reyden Dain
University of KwaZulu-Natal, Physiotherapy.
University of KwaZulu-Natal, Occupational therapy Department.
Afr Health Sci. 2016 Mar;16(1):266-75. doi: 10.4314/ahs.v16i1.35.
Acute burns of the hands are complex and may impact on various aspects of a person's life. Physiotherapy rehabilitation and restoration of hand function is critical for the patient's independence and re-integration into society.
This study aimed to explore the perceptions and experiences of physiotherapists in the management of patients with their hand burn injuries.
Five focus groups consisting of physiotherapists and physiotherapy assistants working with burn injured patients from each of the five selected public hospitals in KwaZulu-Natal were recruited. An explorative qualitative approach was adopted.
Physiotherapists emphasised that the acute management of the hand was trivialised due to a primary focus on the survival of the burn sufferer. Therapists identified several factors that determined the patients' level of participation and motivation in therapy one of which was the procedural pain experienced. The role of the therapists' within the rehabilitation framework was found to be critical to their recovery however there appeared to be a breakdown in the collaboration and communication among health care professionals to the detriment of effective intervention.
A multidisciplinary team approach is the foundation in the management of acute burn injuries and during the trajectory of the trauma care continuum.
手部急性烧伤情况复杂，可能会对患者生活的各个方面产生影响。物理治疗康复以及手部功能恢复对于患者的独立生活和重新融入社会至关重要。
本研究旨在探讨物理治疗师在手部烧伤患者治疗管理中的认知和经验。
招募了五个焦点小组，成员包括来自夸祖鲁 - 纳塔尔省五家选定公立医院的、治疗烧伤患者的物理治疗师和物理治疗助理。采用探索性定性研究方法。
物理治疗师强调，由于主要关注烧伤患者的生存问题，手部的急性治疗被轻视了。治疗师们确定了几个决定患者参与治疗程度和积极性的因素，其中之一是治疗过程中经历的疼痛。研究发现，治疗师在康复框架中的作用对患者康复至关重要，然而，医护人员之间的协作和沟通似乎出现了问题，不利于有效干预。
多学科团队方法是急性烧伤损伤管理以及创伤护理连续过程中的基础。
