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烧伤幸存者在韩国出院后面临的持续挑战:一项定性研究。

Burn Survivors' Experiences of the Ongoing Challenges after Discharge in South Korea: A Qualitative Study.

机构信息

Kyung Ja Kim, PhD, RN, is Unit Manager, Hangang Sacred Heart Hospital, Hallym University, Seoul, Korea. Sunjoo Boo, PhD, RN, is Associate Professor, Ajou University, Suwon, Korea. Hyunjin Oh, PhD, RN, is Associate Professor, Gachon University, Incheon, Korea. Acknowledgments: The authors thank the patients who participated in the study. This work was supported by the National Research Foundation of Korea grant funded by the Korean government (Ministry of Science and ICT, 2017R1C1B1005527). The authors have disclosed no other financial relationships related to this article. Submitted March 20, 2020; accepted in revised form May 13, 2020; published online ahead of print, March 31, 2021.

出版信息

Adv Skin Wound Care. 2021 May 1;34(5):1-6. doi: 10.1097/01.ASW.0000734380.80661.cc.

Abstract

OBJECTIVE

To help burn survivors during the recovery time after discharge, healthcare professionals need to understand their experiences and care requirements. However, little is known about the experience of burn survivors after discharge in South Korea. This study aims to explore their experiences in a community setting.

METHODS

Using a qualitative descriptive format, data were collected by semistructured interview from 10 patients who had sustained major burns. Each interview was based on a protocol of 60 to 90 minutes' duration and used a qualitative content analysis.

RESULTS

Three themes were identified in the analysis: (1) ongoing distressing symptoms and the unpredictability of hypertrophic scars, (2) difficulties in reintegration into society, and (3) burden of health expenditure.

CONCLUSIONS

Several participants expressed consistent difficulties with distressing symptoms such as wound pain, pruritus, sleep disturbances, and unpredictable scar and symptom changes. Survivors further described the financial burden associated with high expenditures from nonreimbursable rehabilitation expenses, and the high cost incurred with consistent skin care. By providing support based on their needs, appropriate interventions would be more readily available for burn survivors.

摘要

目的

为了帮助烧伤幸存者在出院后的康复期间,医疗保健专业人员需要了解他们的经历和护理需求。然而,对于韩国出院后烧伤幸存者的经历知之甚少。本研究旨在探讨他们在社区环境中的体验。

方法

采用定性描述格式,通过半结构化访谈从 10 名遭受大面积烧伤的患者中收集数据。每次访谈都基于 60 至 90 分钟的协议,并采用定性内容分析。

结果

分析中确定了三个主题:(1)持续的痛苦症状和肥厚性瘢痕的不可预测性,(2)社会融合困难,(3)健康支出负担。

结论

一些参与者表示持续存在痛苦症状,如伤口疼痛、瘙痒、睡眠障碍以及不可预测的瘢痕和症状变化,这些症状令人困扰。幸存者进一步描述了与非报销康复费用相关的经济负担,以及持续皮肤护理带来的高昂费用。通过根据他们的需求提供支持,将更方便地为烧伤幸存者提供适当的干预措施。

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