关键词: Burn survivors Nurse-led intervention PTSD symptoms Psychosocial empowerment Recovery strategies

来  源:   DOI:10.1186/s12912-024-01700-x   PDF(Pubmed)

Abstract:
BACKGROUND: Burns constitute a major global health challenge, causing not only physical trauma, but also significant psychosocial and emotional disturbances. The complexity of these injuries requires comprehensive rehabilitation programs that address both the physical and psychosocial aspects of recovery. Despite advances in medical care, there is a lack of standardized, accessible, and sustainable psychosocial interventions for burn survivors, particularly in the transition from hospital to home. This study aimed to develop and evaluate a nurse-led psychosocial empowerment intervention for early adjustment among burn survivors after hospital discharge.
METHODS: The study adopted a quasi-experimental framework. A convenient sample of 80 adult burn survivors was randomly divided into an intervention group, receiving the psychosocial empowerment program, and a control group, continuing standard care from November 2022 to May 2023. The effectiveness of the program was evaluated using various tools that measure satisfaction with appearance, coping abilities, and symptoms of post-traumatic stress disorder (PTSD). The intervention focused on enhancing resilience, self-efficacy, and adaptive coping, through targeted skill building in stress management, adaptability to coping, social reintegration, emotion regulation, and problem-solving.
RESULTS: Participants in the intervention group demonstrated significant improvements in body image satisfaction, coping abilities, and symptoms of PTSD compared to the control group.
CONCLUSIONS: The psychosocial empowerment program effectively addressed the psychosocial needs of burn survivors and enhanced their early adjustment after hospital discharge. The findings highlight the critical role of psychosocial support in the rehabilitation of burn survivors and underscore the need to integrate such interventions into standard post-discharge care. Future research should focus on the long-term effects of these interventions and their applicability in diverse settings.
摘要:
背景:烧伤是一项重大的全球卫生挑战,不仅造成身体创伤,还有严重的社会心理和情绪障碍。这些伤害的复杂性需要全面的康复计划,以解决康复的身体和心理社会方面。尽管在医疗方面取得了进步,缺乏标准化,可访问,以及对烧伤幸存者的可持续社会心理干预,特别是在从医院到家庭的过渡中。这项研究旨在开发和评估护士主导的心理社会授权干预措施,以在出院后的烧伤幸存者中进行早期调整。
方法:本研究采用准实验框架。将80名成年烧伤幸存者的方便样本随机分为干预组,接受心理社会赋权计划,和一个对照组,2022年11月至2023年5月继续标准护理。使用各种衡量外观满意度的工具评估了该计划的有效性,应对能力,创伤后应激障碍(PTSD)的症状。干预措施的重点是增强复原力,自我效能感,和适应性应对,通过有针对性的压力管理技能建设,适应应对,重新融入社会,情绪调节,和解决问题。
结果:干预组的参与者表现出身体形象满意度的显着改善,应对能力,与对照组相比,PTSD的症状。
结论:心理社会赋权计划有效地解决了烧伤幸存者的心理社会需求,并增强了他们出院后的早期适应。研究结果强调了社会心理支持在烧伤幸存者康复中的关键作用,并强调了将此类干预措施纳入标准出院后护理的必要性。未来的研究应该集中在这些干预措施的长期效果及其在不同环境中的适用性。
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