Implementation of a nursing rehabilitation model to improve quality of life of patients with hand burns: A randomized clinical trial


Submitted: 31 May 2022
Accepted: 8 June 2022
Published: 26 August 2022
Abstract Views: 993
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Authors

  • Mahnaz Seyedoshohadaee Department of Medical-Surgical Nursing, Nursing Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran, Islamic Republic of.
  • Tahereh Najafi Ghezeljeh Department of Medical-Surgical Nursing, Nursing Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran, Islamic Republic of.
  • Rogayeh Samimi Shahid Motahari Hospital, Burn Research Center, Iran University of Medical Sciences, Tehran, Iran, Islamic Republic of.
  • Shima Haghani Nursing Care Research Center, Iran University of Medical Sciences, Tehran, Iran, Islamic Republic of.
  • Mohammad Sadegh Sargolzaei Nursing Care Research Center, Iran University of Medical Sciences, Tehran, Iran, Islamic Republic of.

Burn is known as a life-threatening event in people’s lives, causing numerous physical, psychological, and social harms and negatively affecting patients’ quality of lives. This study was designed to evaluate the effectiveness of implementing a nursing rehabilitation model in improving the quality of life of people with hand burns. This was a randomized clinical trial conducted on 60 burn patients admitted to the Shahid Motahari Hospital, Burn Research Center, Iran University of Medical Sciences, Tehran, Iran in 2021. The patients were randomly allocated into two groups of intervention and control (n = 30 per group). The participants of the intervention group received a 5-week nursing rehabilitation program in two phases: at the acute phase (admission) and the recovery phase (before discharge). Data were collected using the Burns Specific Health Scale Brief (BSHS-B) questionnaire before each phase. The quality of life (Qol) - was significantly different comparing the two groups before the intervention (p = 0.042). Covariance analysis showed that after the intervention, the mean quality of life score was significantly higher in the intervention than the control group, indicating a better Qol in the recent group (p <0.001). In the control group, the mean score of Qol was not significantly different before and after the intervention; however, this difference was statistically significant in the intervention group (p = 0.001). The implementation of the nursing rehabilitation model improved the Qol of patients with hand burns. So, this model seems to be an appropriate and effective strategy to accelerate the rehabilitation of patients with hand burns and their return to society.


Forbinake NA, Ohandza CS, Fai KN, Agbor VN, Asonglefac BK, Aroke D, Beyiha G. Mortality analysis of burns in a developing country: a CAMEROONIAN experience. BMC Public Health. 2020 Aug 20;20(1):1269. DOI: https://doi.org/10.1186/s12889-020-09372-3

Kumar S, Ali W, Verma AK, Pandey A, Rathore S. Epidemiology and mortality of burns in the Lucknow Region, India--a 5 year study. Burns. 2013 Dec;39(8):1599-605. Epub 2013 May 8. DOI: https://doi.org/10.1016/j.burns.2013.04.008

Azizi A, Oshvandi K, Farhahian M, Lashani A. The Effect of Inhalation Aromatherapy with Lavender Essence on Pain Intensity and Anxiety in Burn Patients: A Clinical Randomized Trial [Applicable]. Avicenna Journal of Nursing and Midwifery Care, 2019:26(6), 416-427. DOI: https://doi.org/10.30699/sjhnmf.26.6.416

Shahryari Z, Seyedoshohadaee M, Rafii F, Khachian A, Mahmoudi M. The Effect of Self-Management Training on Anxiety and Comfort of Burn Patients Candidate for Skin Grafting. World J Plast Surg. 2020 May;9(2):194-199. DOI: https://doi.org/10.29252/wjps.9.2.194

Mohaddes Ardebili F, Najafi Ghezeljeh T, Bozorgnejad M, Zarei M, Ghorbani H, Manafi F. Effect of Multimedia Self-Care Education on Quality of Life in Burn Patients. World J Plast Surg. 2017 Sep;6(3):292-297.

Bonomi AE, Patrick DL, Bushnell DM, Martin M. Validation of the United States' version of the World Health Organization Quality of Life (WHOQOL) instrument. J Clin Epidemiol. 2000 Jan;53(1):1-12. DOI: https://doi.org/10.1016/S0895-4356(99)00123-7

Spronk I, Legemate CM, Dokter J, van Loey NEE, van Baar ME, Polinder S. Predictors of health-related quality of life after burn injuries: a systematic review. Crit Care. 2018 Jun 14;22(1):160. DOI: https://doi.org/10.1186/s13054-018-2071-4

Jeschke MG, van Baar ME, Choudhry MA, Chung KK, Gibran NS, Logsetty S. Burn injury. Nature Reviews Disease Primers,2020: 6(1):11. DOI: https://doi.org/10.1038/s41572-020-0145-5

Aghajanzade M, Momeni M, Niazi M, Ghorbani H, Saberi M, Kheirkhah R, Rahbar H, Karimi H. Effectiveness of incorporating occupational therapy in rehabilitation of hand burn patients. Ann Burns Fire Disasters. 2019 Jun 30;32(2):147-152.

Pruksapong C, Burusapat C, Hongkarnjanakul N. Efficacy of Silicone Gel versus Silicone Gel Sheet in Hypertrophic Scar Prevention of Deep Hand Burn Patients with Skin Graft: A Prospective Randomized Controlled Trial and Systematic Review. Plast Reconstr Surg Glob Open. 2020 Apr 11;8(10):e3190. DOI: https://doi.org/10.1097/GOX.0000000000003190

Tredget EE, Shupp JW, Schneider JC. Scar Management Following Burn Injury. J Burn Care Res. 2017 May/Jun;38(3):146-147. DOI: https://doi.org/10.1097/BCR.0000000000000548

Li L, Dai JX, Xu L, Huang ZX, Pan Q, Zhang X, Jiang MY, Chen ZH. The effect of a rehabilitation nursing intervention model on improving the comprehensive health status of patients with hand burns. Burns. 2017 Jun;43(4):877-885. doi: 10.1016/j.burns.2016.11.003. Epub 2017 Jan 3. DOI: https://doi.org/10.1016/j.burns.2016.11.003

Chen J, Li-Tsang CW, Yan H, Liang G, Tan J, Yang S, Wu J. A survey on the current status of burn rehabilitation services in China. Burns. 2013 Mar;39(2):269-78. Epub 2012 Sep 13. DOI: https://doi.org/10.1016/j.burns.2012.06.016

Meirte J, van Loey NE, Maertens K, Moortgat P, Hubens G, Van Daele U. Classification of quality of life subscales within the ICF framework in burn research: identifying overlaps and gaps. Burns. 2014 Nov;40(7):1353-9. Epub 2014 Mar 28.. DOI: https://doi.org/10.1016/j.burns.2014.01.015

Rouzfarakh M, Deldar K, Froutan R, Ahmadabadi A, Mazlom SR. The effect of rehabilitation education through social media on the quality of life in burn patients: a randomized, controlled, clinical trial. BMC Med Inform Decis Mak. 2021 Feb 22;21(1):70. DOI: https://doi.org/10.1186/s12911-021-01421-0

Hemmatpoor B, Gholami A, Parnian S, Seyedoshohadaee M. The Effect of Life Skills Training on the Self-Management of Patients with Multiple Sclerosis. J Med Life. 2018 Oct-Dec;11(4):387-393.

Mohammadi N, Tizhoosh M, Seyedoshohadaei M, Haghani H. Face-to-Face Education vs. Group Education on Knowledge and Anxiety of Patients Undergoing Coronary Angiography. Journal of Hayat. 2012; 18 (3) :44-53

Engel GL. The need for a new medical model: a challenge for biomedicine. Science. 1977 Apr 8;196(4286):129-36. DOI: https://doi.org/10.1126/science.847460

Elsherbiny OE, El Fahar MH, Weheida SM, Shebl AM, Shrief WI. Effect of burn rehabilitation program on improving quality of life (QoL) for hand burns patients: a randomized controlled study. European Journal of Plastic Surgery, 2018:41(4):451-458. DOI: https://doi.org/10.1007/s00238-017-1379-7

Pishnamazi Z, Rejeh N, Heravi-Karimooi M, Vaismoradi M. Validation of the Persian version of the Burn Specific Health Scale-Brief. Burns. 2013 Feb;39(1):162-7. Epub 2012 Jun 8. DOI: https://doi.org/10.1016/j.burns.2012.05.002

Aazami Y, Sohrabi F, Borjali A, Farrokhi N, Farokh Forghani S. The Effectiveness of Psychosocial Model-Based Therapy on Social Skills in People With PTSD After Burn [Original]. Archives of Rehabilitation. 2018:19(3):206-219. (Original work published in Persian) DOI: https://doi.org/10.32598/rj.19.3.206

Lotfi M, Ghahremaneian A, Aghazadeh A, Jamshidi F. The Effect of Pre-Discharge Training on the Quality of Life of Burn Patients. J Caring Sci. 2018 Jun 1;7(2):107-112. DOI: https://doi.org/10.15171/jcs.2018.017

Palmu R, Partonen T, Suominen K, Saarni SI, Vuola J, Isometsä E. Health-related quality of life 6 months after burns among hospitalized patients: Predictive importance of mental disorders and burn severity. Burns. 2015 Jun;41(4):742-8. Epub 2015 Feb 13. DOI: https://doi.org/10.1016/j.burns.2014.11.006

Serghiou MA, Niszczak J, Parry I, Li-Tsang CWP, Van den Kerckhove E, Smailes S, Edgar D. One world one burn rehabilitation standard. Burns. 2016 Aug;42(5):1047-1058. Epub 2016 May 5. DOI: https://doi.org/10.1016/j.burns.2016.04.002

Seyedoshohadaee , M. ., Ghezeljeh, T. N., Samimi, R., Haghani, S., & Sargolzaei, M. S. (2022). Implementation of a nursing rehabilitation model to improve quality of life of patients with hand burns: A randomized clinical trial. European Journal of Translational Myology, 32(4). https://doi.org/10.4081/ejtm.2022.10650

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