School of Nursing, The Hong Kong Polytechnic University, Kowloon, Hong Kong SAR, China.
Evidence-Based Centre for Nursing, Lanzhou University, Lanzhou, China.
Clin Rehabil. 2024 Oct;38(10):1333-1345. doi: 10.1177/02692155241265930. Epub 2024 Aug 27.
To examine the effects of the transitional tele-rehabilitation programme on quality of life of adult burn survivors.
A prospective, single centre, randomised controlled trial and reported according to the Consolidated Standards of Reporting Trials (CONSORT) guidelines.
Adult burn survivors aged ≥18 years with burn size ≥10% total body surface area irrespective of the depth was considered eligible to participate.
The intervention was in two phases: pre-discharge and active follow-up phase (which occurred via WeChat). In both phases, comprehensive assessment and intervention guided by the Omaha System and evidenced-based protocols guided the care delivery over an 8-week period.
The outcome of interest was quality of life. Two outcome measures were used to assess the outcome of interest: Burn Specific Health Scale-Brief (BSHS-B) and the EQ-5D-5L tools. The outcome was assessed at three time points: T0 (baseline), T1 (immediate post-intervention) and T2 (4 weeks from T1).
In total, 60 adult burn survivors were randomly allocated to undergo the new programme. The transitional tele-rehabilitation programme elicited statistically significant improvement in simple abilities, affect, interpersonal relationship (T2) and overall quality life (T1 and T2) measured on the BSHS-B.
Ongoing rehabilitative care is essential to support the recovery process of burn survivors considering that some quality-of-life subscales may improve faster than others. The study findings highlight the potential of employing a social media platform to improve post-burn quality of life outcomes.
ClinicalTrials.govNCT04517721. Registered on 20 August 2020.
研究过渡性远程康复方案对成年烧伤幸存者生活质量的影响。
前瞻性、单中心、随机对照试验，并按照 CONSORT 指南进行报告。
年龄≥18 岁、烧伤面积≥10%总体表面积（无论烧伤深度如何）的成年烧伤幸存者有资格参加。
干预措施分为两个阶段：出院前和主动随访阶段（通过微信进行）。在这两个阶段，奥马哈系统和循证方案指导的全面评估和干预指导了 8 周内的护理提供。
感兴趣的结果是生活质量。使用两种结果衡量标准来评估感兴趣的结果：烧伤专用健康量表-简明版（BSHS-B）和 EQ-5D-5L 工具。结果在三个时间点进行评估：T0（基线）、T1（干预后即刻）和 T2（T1 后 4 周）。
共有 60 名成年烧伤幸存者被随机分配接受新方案。过渡性远程康复方案在简单能力、情感、人际关系（T2）和总体生活质量（T1 和 T2）方面引起了统计学上的显著改善，这是通过 BSHS-B 测量的。
考虑到一些生活质量子量表的改善可能比其他子量表更快，持续的康复护理对于支持烧伤幸存者的康复过程至关重要。研究结果强调了利用社交媒体平台改善烧伤后生活质量结果的潜力。
ClinicalTrials.govNCT04517721。于 2020 年 8 月 20 日注册。
