Wang Huili, Yang Jiaming, Xia Mengjia, Zhu Linying, Liao Mirong
Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, Zhejiang, China.
Front Public Health. 2025 May 19;13:1450356. doi: 10.3389/fpubh.2025.1450356. eCollection 2025.
Caregivers, particularly family members, play a vital role in the treatment and recovery of burn patients, yet their psychological burden and care competency are often overlooked. Despite their crucial role, there is limited research examining their knowledge, attitudes, and practices in burn care management.
This study aimed to investigate knowledge, attitudes, practices (KAP), and burdens experienced by family members in managing the health of patients with severe burn injuries.
A cross-sectional study was conducted at Zhejiang Province, from November 1, 2023, to January 31, 2024. Data were collected using a self-administered KAP questionnaire and Zarit Caregiver Burden Scale 12-item Short Form.
The study enrolled 459 valid participants, of which 253 (55.12%) were female. Median scores [25th percentile, 75th percentile] for knowledge, attitude, practice, and caregiver burden were 12 [9, 14], 17 [16, 19], 33 [31, 37], and 16 [10, 23], respectively. Correlation analysis revealed that higher caregiver knowledge was associated with improved attitudes ( = 0.35, < 0.001) and more proactive practices ( = 0.36, < 0.001), while being inversely related to caregiver burden ( = -0.18, < 0.001). Better attitudes strongly predicted enhanced practices ( = 0.75, < 0.001) and reduced caregiver burden ( = -0.24, < 0.001). Similarly, more proactive practices were associated with lower caregiver burden ( = -0.25, < 0.001). Multivariate logistic regression analysis identified that income levels of 5,001-10,000 Yuan (OR = 12.6, 95% CI: [2.57, 62.4], = 0.002) and 10,001-20,000 Yuan (OR = 8.05, 95% CI: [1.53, 42.3], = 0.014) were found to be independently associated with increased caregiver burden.
The study demonstrates that while family members generally hold positive attitudes and are proactive in the care management of patients with severe burn injuries, their knowledge levels remain suboptimal, and they experience a mild to moderate caregiver burden. Structured caregiver education programs focusing on long-term burn complications and psychological support should be implemented to enhance care quality and reduce caregiver burden.
照顾者，尤其是家庭成员，在烧伤患者的治疗和康复中起着至关重要的作用，然而他们的心理负担和护理能力常常被忽视。尽管他们的作用至关重要，但关于他们在烧伤护理管理方面的知识、态度和做法的研究却很有限。
本研究旨在调查家庭成员在管理重度烧伤患者健康方面的知识、态度、做法（KAP）以及负担。
于2023年11月1日至2024年1月31日在浙江省进行了一项横断面研究。使用自行填写的KAP问卷和Zarit照顾者负担量表12项简表收集数据。
该研究纳入了459名有效参与者，其中253名（55.12%）为女性。知识、态度、做法和照顾者负担的中位数得分[第25百分位数，第75百分位数]分别为12[9，14]、17[16，19]、33[31，37]和16[10，23]。相关性分析显示，照顾者知识水平越高，态度越好（r = 0.35，P < 0.001），做法越积极主动（r = 0.36，P < 0.001），而与照顾者负担呈负相关（r = -0.18，P < 0.001）。更好的态度强烈预测做法会得到改善（r = 0.75，P < 0.001），照顾者负担会减轻（r = -0.24，P < 0.001）。同样，更积极主动的做法与较低的照顾者负担相关（r = -0.25，P <
0.001）。多因素logistic回归分析确定，收入水平在5001 - 10000元（OR = 12.6，95%CI：[2.57，62.4]，P = 0.002）和10001 - 20000元（OR = 8.05，95%CI：[1.53，42.3]，P = 0.014）与照顾者负担增加独立相关。
该研究表明，虽然家庭成员在重度烧伤患者的护理管理方面总体持积极态度且较为主动，但他们的知识水平仍不理想，并且经历轻度至中度的照顾者负担。应实施侧重于长期烧伤并发症和心理支持的结构化照顾者教育计划，以提高护理质量并减轻照顾者负担。
