Lotfi Mojgan, Ghahremaneian Akram, Aghazadeh Ahmad, Jamshidi Fatemeh
Departement of Nursing, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran.
Departement of Basic sciences, Paramedical Faculty, Tabriz University of Medical Sciences, Tabriz, Iran.
J Caring Sci. 2018 Jun 1;7(2):107-112. doi: 10.15171/jcs.2018.017. eCollection 2018 Jun.
Many physical, psychological, social and economic complications have been reported after discharge, which have a negative impact on the quality of life of burn patients. The present research examines the effect of pre-discharge training program on the life quality of patients with burns. This is a pre and post-experimental study with control group that was conducted in 2015 in teaching hospital Sina. The control group received the typical instructions upon being discharged from hospital while the experimental group received in-person training in the form of question-answer, pamphlets and a researcher-made instruction booklet. The patients' life quality was evaluated when they were being discharged, a month and then three months after they were discharged. The result showed that the quality of life has a significant statistical difference across the three time points. And these differences are compared using Bonferroni's adjustment multiple comparisons indicating that pre-discharge training affects the quality of life scores and this effect continues over time. The results show that the pre-discharge training has significantly improved the life quality among the burns patients. The improvement of life quality is also correlated with the quantitative variable of total body surface area percent (TBSA %). Thus, planning and designing in-discharge training programs based on the existing context, combined with training packages focusing on the patients' needs could be a very significant step in more successful implementation of the follow-up programs on the burn patients and improving their quality of life.
出院后已报告出现许多身体、心理、社会和经济方面的并发症,这些并发症对烧伤患者的生活质量产生负面影响。本研究探讨出院前培训计划对烧伤患者生活质量的影响。这是一项于2015年在西娜教学医院进行的有对照组的前后实验研究。对照组在出院时接受常规指导,而实验组则以问答、宣传册和研究人员制作的指导手册的形式接受现场培训。在患者出院时、出院后一个月和三个月时对其生活质量进行评估。结果显示,生活质量在这三个时间点上存在显著的统计学差异。使用邦费罗尼校正多重比较对这些差异进行比较,结果表明出院前培训影响生活质量得分,且这种影响会随着时间持续。结果表明,出院前培训显著提高了烧伤患者的生活质量。生活质量的提高也与体表面积百分比(TBSA%)这一量化变量相关。因此,根据现有情况规划和设计出院培训计划,结合针对患者需求的培训包,可能是更成功地实施烧伤患者后续计划并提高其生活质量的非常重要的一步。