Factors Related to Burn Patients’ Post-Discharge Quality of Life
Keywords:burn patients, quality of life, factors related to, post-discharge
Objective: To study the correlation between burn patients’ post-discharge quality of life and the factors of burn injury severity, burn injury pain, wound itchiness, and sleeplessness, during the patients’ follow-up visits to the hospital.
Design: Descriptive correlational research.
Methodology: Based on pre-set criteria, 60 burn patients aged 18 years and older were recruited, each with a history of deep second-degree burns covering at least 10% of the total body surface area. The patients were receiving post-discharge follow-up treatment at two tertiary hospitals in Bangkok. Data were collected from October 2016 to December 2017 by means of a demographic data questionnaire, a brief version of the Burn Specifc Health Scale (BSHS-B), the pain numeric rating scale, the itch numeric rating scale, and the
Insomnia Severity Index (ISI). The data were analysed using descriptive statistics and Spearman’s rank correlation coeffcient.
Results: According to the fndings, most of the subjects were males (63.33%) with a mean age of 43.10 years (SD = +14.19). The sample registered a high average overall quality of life score of 122.83 (= 122.83, SD = 26.09). In the domains of heat sensitivity and work, the subjects showed moderate scores of 10.87 (= 10.87, SD = 6.12) and 8.25 (= 8.25, SD = 5.63), respectively. Most of the subjects (70%) had severe burns, with nearly all (96.67%) suffering from wound itchiness, nearly half (48.33%) from sleeplessness, and 40% from wound pain. Sleeplessness was found to be in a negative correlation with the subjects’ quality of life (r = -0.48, p < 0.01). Burn injury severity, wound pain, and wound itchiness were not found to have any signifcant correlation with the subjects’ post-discharge quality of life (r = -0.13, p = 0.32; r = -0.08, p = 0.55; and r = 0.04, p = 0.77, respectively). Wound pain and wound itchiness, by contrast, had a positive correlation with the subjects’ sleeplessness (r = 0.30, p < 0.05; and r = 0.32, p < 0.05, respectively).
Recommendations: The fndings can be used as a guideline for nurses to coordinate with physicians in promoting sleep in burn patients, with an emphasis on behaviour adjustment and administration of sleep-inducing medications, in order to help burn patients gain suffcient rest and improve their quality of life.
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