School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China.
School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China.
Appl Nurs Res. 2024 Oct;79:151840. doi: 10.1016/j.apnr.2024.151840. Epub 2024 Aug 22.
Burn survivors often experience a plethora of post-burn residual needs following their discharge including psychological issues and poor sleep. These needs are often overlooked with a significant focus on resolving physical issues. Aftercare support is particularly limited. The emergence of the Coronavirus pandemic worsened the situation as burn survivors were unable to return to utilise available services outpatient basis. Thus, an innovative nurse-led aftercare programme was developed and delivered via WeChat social medial platform. The current study sought to examine the effects of the intervention on anxiety, depression, and sleep pattern among adult burn survivors.
This is a randomised controlled trial. Sixty adult burn survivors were randomly assigned to intervention and control groups. Participants in the intervention group received the nurse-led aftercare programme which involved pre-discharge support and active follow-up on WeChat over an 8-week period and an additional 4 weeks to examine the sustained effects of the intervention. Data were collected at three timepoints: baseline (T0), post-intervention (T1), and follow-up (T2). Generalised estimating equation was employed to ascertain the group, time, and interaction effects.
Using Bonferroni corrected p value (0.017), Anxiety and depression improved at T1 and sustained at T2 with mean scores demonstrating a reduction in both variables and total score. No statistically significant improvement was however observed regarding sleep.
Continuous, comprehensive support is required by burn survivors following discharge to improve psychological outcomes. Delivering aftercare via WeChat should be considered a feasible option to supporting burn survivors following discharge.
烧伤幸存者在出院后常常面临着许多烧伤后遗留问题，包括心理问题和睡眠质量差。这些需求往往被忽视，而主要关注点则放在解决身体问题上。后续护理支持尤其有限。冠状病毒大流行的出现使情况恶化，因为烧伤幸存者无法返回门诊利用现有服务。因此，开发并通过微信社交媒体平台提供了一种创新的护士主导的后续护理计划。本研究旨在探讨该干预措施对成年烧伤幸存者焦虑、抑郁和睡眠模式的影响。
这是一项随机对照试验。60 名成年烧伤幸存者被随机分配到干预组和对照组。干预组的参与者接受了护士主导的后续护理计划，该计划包括出院前的支持和在微信上进行的积极随访，为期 8 周，并额外进行了 4 周以检查干预的持续效果。数据在三个时间点收集：基线（T0）、干预后（T1）和随访（T2）。采用广义估计方程来确定组、时间和交互作用的效果。
使用 Bonferroni 校正的 p 值（0.017），焦虑和抑郁在 T1 时改善，并在 T2 时持续改善，平均得分显示两个变量和总得分均有所降低。然而，睡眠方面没有观察到统计学上显著的改善。
烧伤幸存者出院后需要持续、全面的支持，以改善心理结局。通过微信提供后续护理应被视为支持烧伤幸存者出院后的一种可行选择。
