Bayuo Jonathan, Wong Frances Kam Yuet, Chung Loretta Yuet Foon
School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China.
Evidence-Based Nursing Center, School of Nursing, Lanzhou University, Lanzhou, China.
Trials. 2021 Oct 13;22(1):698. doi: 10.1186/s13063-021-05679-7.
Transitioning from the burn unit to the home/community can be chaotic with limited professional support. Some adult burn survivors may face varied concerns leading to poor outcomes in the early post-discharge period with limited access to professional help. Based on these, a nurse-led transitional burns rehabilitation programme has been developed and the current trial aims to ascertain its effects as well as explore the implementation process.
A single-centre, double-arm randomised controlled trial with a process evaluation phase will be utilised for this study. All adult burn survivors aged ≥ 18 years with burn size ≥ 10% total burn surface area at the site during the study period will be screened for eligibility at least 72 h to discharge. A sample size of 150 will be block randomised to treatment (receiving the nurse-led transitional care programme and routine post-discharge service) and control groups (receiving routine post-discharge service). The nurse-led transitional care programme comprises of predischarge and follow-up phases with the delivery of bundle of holistic interventions lasting for 8 weeks. There are three timelines for data collection: baseline, immediate post intervention, and 4 weeks post-intervention.
The findings from this study can potentially inform the development and organisation of post-discharge care and affirm the need for ongoing comprehensive home-based care for burn survivors and their families TRIAL REGISTRATION: ClinicalTrials.gov NCT04517721 . Registered on 20 August 2020.
从烧伤病房过渡到家庭/社区可能会很混乱，且专业支持有限。一些成年烧伤幸存者可能面临各种问题，导致出院后早期结果不佳，获得专业帮助的机会有限。基于这些情况，已制定了一项由护士主导的过渡性烧伤康复计划，当前试验旨在确定其效果并探索实施过程。
本研究将采用一项带有过程评估阶段的单中心双臂随机对照试验。在研究期间，所有年龄≥18岁、烧伤面积占体表面积≥10%的成年烧伤幸存者，在出院前至少72小时将接受资格筛查。150名样本将被整群随机分为治疗组（接受由护士主导的过渡性护理计划和常规出院后服务）和对照组（接受常规出院后服务）。由护士主导的过渡性护理计划包括出院前和随访阶段，提供一系列持续8周的整体干预措施。有三个数据收集时间点：基线、干预后即刻和干预后4周。
本研究的结果可能为出院后护理的发展和组织提供信息，并确认烧伤幸存者及其家人持续接受全面家庭护理的必要性。试验注册：ClinicalTrials.gov NCT04517721。于2020年8月20日注册。
