Nasibeh Faculty of Nursing and Midwifery, Sari, Iran.
Nasibeh Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran.
Burns. 2021 Dec;47(8):1906-1911. doi: 10.1016/j.burns.2021.01.001. Epub 2021 Jan 22.
One of the results of burn injuries is the appearance of scars and deformities in various organs of the body, which can cause many physical and psychological challenges to burn patients. Lack of proper communication between nurse and patient leads to inaccurate identification of psychological and social needs of these patients and thus affects the quality of care.
This study aimed to investigate the effect of seeing the patient's pre-burn face photo on the quality of care and empathy of nurses with patients admitted to the burn intensive care unit.
The present study is a quasi-experimental interventional study conducted on 26 Burn Intensive Care Unit (BICU) nurses who were selected by census sampling method in 2018. Data were collected through QUALPAC Nursing Care Quality Questionnaire, Lumonica Empathy Questionnaire and Demographic Questionnaire, which were completed by nurses before and after the intervention. Pre-burn photos of patients with facial burns were displayed at the nursing station for one month and the data were compared before and after the intervention. Descriptive statistics and paired t-test and independent t-test, Mann-Whitney and Pearson correlation tests were used to analyze the data.
The results of present study showed that there was a statistically significant difference between the quality of nursing care (p = 0.001) and its psychological dimension (p < 0.001) before and after the intervention in the group of nurses. However, no significant relationship was found between nurses' empathy with patients before (p = 0.901) and after intervention (p = 0.001).
Seeing the photo of the patient's pre-burn face and establishing a relationship between the nurse and the patient had an effect on the quality of nursing care and especially its psychological dimension. However, in order to generalize the results and implement this low-cost, convenient and low-complication intervention for all patients admitted to the intensive care unit, more studies are needed in this field.
烧伤的结果之一是身体各器官出现疤痕和畸形，这会给烧伤患者带来许多身体和心理上的挑战。护士与患者之间缺乏适当的沟通会导致无法准确识别这些患者的心理和社会需求，从而影响护理质量。
本研究旨在调查查看烧伤患者烧伤前面部照片对入住烧伤重症监护病房（BICU）护士护理质量和同理心的影响。
本研究是一项准实验性干预研究，于 2018 年采用普查抽样法选取 26 名入住 BICU 的护士。研究采用 QUALPAC 护理质量问卷、Lumonica 同理心问卷和人口统计学问卷收集数据，在干预前后由护士填写。在护理站展示面部烧伤患者的烧伤前照片一个月，并比较干预前后的数据。采用描述性统计、配对 t 检验、独立 t 检验、Mann-Whitney 和 Pearson 相关检验对数据进行分析。
研究结果表明，干预后护士护理质量（p = 0.001）及其心理维度（p < 0.001）有统计学意义。然而，护士对患者的同理心在干预前后均无显著相关性（干预前 p = 0.901，干预后 p = 0.001）。
查看患者烧伤前的照片并在护士和患者之间建立关系，会对护理质量产生影响，特别是其心理维度。然而，为了推广这一低成本、方便且低并发症的干预措施，使其应用于所有入住重症监护病房的患者，还需要在这一领域开展更多研究。
