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加纳一流烧伤中心小儿烧伤患者及其护理人员在烧伤管理方面的经历:一项定性研究。

Experiences of paediatric burn patients and their caregivers on burn management at Ghana's premier burns centre: A qualitative study.

作者信息

Nyarko Alberta Amissah, Benjamin-Damons Natalie, Pilusa Sonti

机构信息

Faculty of Health Sciences, School of Therapeutics, Department of Physiotherapy, University of Witwatersrand, WITS, Private Bag 3, Johannesburg 2050, South Africa; National Reconstructive Plastic Surgery and Burns Centre (NRPS & BC) korle Bu Teaching Hospital, P.O.Box KB77, Accra Ghana.

Faculty of Health Sciences, School of Therapeutics, Department of Physiotherapy, University of Witwatersrand, WITS, Private Bag 3, Johannesburg 2050, South Africa.

出版信息

Burns. 2025 Sep;51(7):107620. doi: 10.1016/j.burns.2025.107620. Epub 2025 Jul 14.

Abstract

BACKGROUND

Paediatric burn injuries have a significant impact on the lives of children and their families, requiring specialised care and management. Understanding the unique experiences of paediatric burn patients and their caregivers is crucial for improving burn management strategies and enhancing patient outcomes.

OBJECTIVES

This study explored the experiences of paediatric burn patients and their caregivers with regard to in -hospital management and post-hospitalization needs at Ghana's premier burn centre.

METHODOLOGY

A qualitative study was conducted involving twelve paediatric burn patients aged 8-17 years (median age = 8.5 years; IQR = 7.0-10.0) and 12 caregivers (median age = 42.0 years; IQR = 34.3-46.5), all treated at a burns centre in Ghana from 2020 to the present. Semi-structured interview guides were used to gather data, and reflexive thematic analysis was employed to identify key themes.

RESULTS

Four themes emerged from the data analysis: (1) causes and pathways of burns, (2) reflections on burns management, (3) outcome and post-hospitalisation needs, and (4) suggestions for improving burn care.

CONCLUSION

The findings highlight high satisfaction with burn management and healthcare professionals at Ghana's premier burn centre. However, areas of improvement include procedural pain management, addressing persistent itchiness and scarring, and school integration of children post-hospitalisation. These results call for the development and implementation of standardized pain management protocols, targeted interventions for scar and itch relief, and structured psychosocial support for paediatric patients. Future research should also assess the effectiveness of these interventions.

摘要

背景

小儿烧伤对儿童及其家庭的生活有重大影响,需要专门的护理和管理。了解小儿烧伤患者及其照顾者的独特经历对于改进烧伤管理策略和提高患者治疗效果至关重要。

目的

本研究探讨了加纳一流烧伤中心小儿烧伤患者及其照顾者在住院管理和出院后需求方面的经历。

方法

进行了一项定性研究,涉及12名年龄在8至17岁之间的小儿烧伤患者(中位年龄 = 8.5岁;四分位间距 = 7.0 - 10.0)和12名照顾者(中位年龄 = 42.0岁;四分位间距 = 34.3 - 46.5),他们均于2020年至今在加纳的一家烧伤中心接受治疗。使用半结构化访谈指南收集数据,并采用反思性主题分析来确定关键主题。

结果

数据分析得出四个主题:(1)烧伤的原因和途径,(2)对烧伤管理的反思,(3)治疗结果和出院后需求,以及(4)改善烧伤护理的建议。

结论

研究结果表明,加纳一流烧伤中心的患者对烧伤管理和医护人员的满意度较高。然而,需要改进的方面包括程序性疼痛管理、解决持续瘙痒和瘢痕问题,以及患儿出院后重返学校的问题。这些结果呼吁制定和实施标准化疼痛管理方案、针对瘢痕和瘙痒缓解的靶向干预措施,以及为小儿患者提供结构化的社会心理支持。未来的研究还应评估这些干预措施的有效性。

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