Original research
Effect of Telenursing and Face-to-Face Training Techniques on Quality of Life in Burn Patients: A Clinical Trial

https://doi.org/10.1016/j.apmr.2019.10.197Get rights and content

Abstract

Objective

To compare the effect of telenursing and face-to-face training on the quality of life (QOL) of patients with a burn injury.

Design

This clinical trial with pretest–posttest design on 3 groups was conducted in Kermanshah, Iran, from 2017 to 2018. Convenience sampling was used.

Setting

A tertiary hospital in Kermanshah, west of Iran.

Participants

A total of 90 patients with burns of grade 2 and 3 after discharge from the hospital were randomly assigned to 3 groups including telenursing (30), face-to-face training (30), and control (30).

Interventions

Each intervention group received 1-on-1 telephone training and face-to-face training in 8 sessions (2 sessions of 15 to 20min/wk). The control group received regular care.

Main Outcome Measures

QOL was evaluated by the Burn Specific Health Scale–Brief (BSHS-B).

Results

The mean BSHS-B scores before and after intervention for telenursing, face-to-face, and the control group were 71.43±21.92 and 133.06±11.97; 64.83±26.16 and 124.83±23.05; and 58.63±20.89 and 73.13±33.04, respectively. There was a statistically significant difference among the 3 groups with respect to the training methods after intervention (P<.001). In addition, post hoc test did not show a significant difference between the telenursing and face-to-face groups (P=.244).

Conclusions

Educational methods in the form of telenursing and face-to-face training were effective and promoted QOL in survivors of burn injuries. Both telenursing and face-to-face training can be used to improve the QOL of survivors of burn injuries during the rehabilitation phase.

Section snippets

Methods

The present study was a clinical trial with a pretest–posttest design, which was performed on 90 patients with burn injuries in an educational therapeutic hospital in the west of Iran from June 2017 to July 2018. The convenience sampling method was used for selecting the subjects. They were selected from patients with burn injuries 7 days after discharge from the burn center that they attended in the hospital for postdischarge care 2-3 times a week. The criteria for inclusion in the study were

Results

The mean age of the subjects was 36.86±13.08 years, and 48 (53%) were male. Other demographic information is presented in table 1. Also, the information related to burn characteristics indicates that most of the subjects had severe burn injuries 71 (78.9%) and that flame was the most common cause of burns 35 (38.9%). The mean length of hospital stay was 17.42±11.32 days (range, 5-89d), and the mean total total-burn surface area (TBSA) was 31.16%±9.19% (range, 15%-61%). Other information related

Discussion

The aim of the present study was to compare the effect of telenursing and face-to-face training on the QOL of survivors of burn injuries. All subjects in the present study had a low BSHS-B score at baseline evaluation. Findings of the study by Hashemi et al that evaluated the effect of the Orem self-care program on the QOL of survivors of burn injuries were in line with the findings of the present study.7 Survivors of burn injuries have lower QOL than healthy populations without burn injuries.

Conclusions

The results of this study show that face-to-face training and telenursing were effective in improving the quality of life for survivors of burn injuries. This necessitates the need for more attention from the authorities and managers of educational and medical centers for survivors of burn injuries. Implementation of such programs is a way to increase awareness of survivors of burn injuries, reduce the negative consequences of burn injury, and prevent frequent hospitalization by ensuring early

Supplier

  • a.

    SPSS 17; IBM.

Acknowledgments

This article resulted from the MS thesis of Mohsen Rezaei in Med-surg nursing, who graduated from Kermanshah University of Medical Sciences (Kermanshah, Iran). The researchers want to thank all who extended their help in the accomplishment of this study.

References (46)

  • M. Druery et al.

    Long term functional outcomes and quality of life following severe burn injury

    Burns

    (2005)
  • N. Al Ghriwati et al.

    Two-year gender differences in satisfaction with appearance after burn injury and prediction of five-year depression: a latent growth curve approach

    Arch Phys Med Rehabil

    (2017)
  • T. Grisbrook et al.

    Exercise training to improve health related quality of life in long term survivors of major burn injury: a matched controlled study

    Burns

    (2012)
  • M. Brewin et al.

    The lived experience and quality of life with burn scarring—the results from a large-scale online survey

    Burns

    (2018)
  • H.R. Farrokh-Eslamlou et al.

    Epidemiology of burns injury among women in reproductive age in the West Azerbaijan Province of Iran: a three year case-study

    Saf Promot Inj Prev (Tehran)

    (2014)
  • S.M.A. Elalem et al.

    The effect of self-care nursing intervention model on self-esteem and quality of life among burn patients

    Clin Nurs Stud

    (2018)
  • C.B. Nielson et al.

    Burns: pathophysiology of systemic complications and current management

    J Burn Care Res

    (2017)
  • S.F. Lo et al.

    The effectiveness of multimedia learning education programs on knowledge, anxiety and pressure garment compliance in patients undergoing burns rehabilitation in Taiwan: an experimental study

    J Clin Nurs

    (2010)
  • F. Hashemi et al.

    Effect of Orem Self-Care program on the life quality of burn patients referred to Ghotb-al-Din-e-Shirazi Burn Center, Shiraz, Iran: a randomized controlled trial

    Int J Community Based Nurs Midwifery

    (2014)
  • M. Druery et al.

    Factors influencing psychological, social and health outcomes after major burn injuries in adults: cohort study protocol

    BMJ Open

    (2017)
  • A. Abouie et al.

    Incidence and cost of non-fatal burns in Iran: a nationwide population-based study

    Int J Inj Contr Saf Promot

    (2018)
  • N. Gonçalves et al.

    A randomized controlled trial of an educational programme with telephone reinforcement to improve perceived health status of Brazilian burn victims at 6-month post discharge

    J Adv Nurs

    (2016)
  • P. Wu et al.

    A 27-year follow-up for a patient with 100% total body surface area burn

    J Burn Care Res

    (2018)

    • Cited by (0)

    Supported by the vice Chancellor for Research and Technology, Kermanshah University of Medical Sciences, Kermanshah, Iran (grant no. 96667).

    Disclosures: none.

    View full text
    © 2019 by the American Congress of Rehabilitation Medicine