Efficacy of a Home Care Plan in the Mental Health of Burn Survivors: A Randomized Clinical Trial

IF 0.5 Q4 PSYCHIATRY

Iranian Journal of Psychiatry and Behavioral Sciences Pub Date : 2023-05-07 DOI:10.5812/ijpbs-79672

Nastaran Heydarikhayat, Tahereh Ashktorab, Farid Zayeri, Camelia Rohani

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引用次数: 0

Abstract

Background: Mental health is a serious concern for burn survivors. Burn injuries can bring long-term complications that begin at the moment of injury and last throughout a burn victim’s life. Objectives: This study aimed to determine the effectiveness of a home care plan in the mental health status of burn survivors six months after hospital discharge. Methods: This randomized clinical trial with intervention and control groups was conducted in Kermanshah, Iran. Eligible samples (n = 90) were allocated into the two groups by a randomized block design. The intervention group received a home care plan for six months. The General Health Questionnaire-28 (GHQ-28) was responded to by the samples at three time points, baseline (T1: hospital discharge) and 3 (T2), and six months (T3) after the intervention. Results: The mean scores of the GHQ-28 showed a descending trend in the intervention group during six months (T1: 32.48 ± 15.83, T2: 25.15 ± 15.11, and T3: 19.37 ± 14.11). However, the mean scores of the GHQ-28 were increased in the control group (T1: 32.29 ± 17.66, T2: 39.35 ± 14.59, and T3: 40.44 ± 15.59). There were significant differences between the two groups in 3- and 6-month measurements (P < 0.001). Conclusions: A 6-month home care plan improved the mental health of burn survivors in the intervention group in comparison to the controls; nevertheless, there were still survivors who needed help. Therefore, it is suggested to develop a home care plan with longer regular follow-ups for burn survivors based on their needs in the healthcare system of Iran.

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家庭护理计划对烧伤幸存者心理健康的影响:一项随机临床试验

背景:心理健康是烧伤幸存者的一个严重问题。烧伤会带来长期的并发症，从受伤的那一刻开始，并持续到烧伤患者的一生。目的:本研究旨在确定家庭护理计划对烧伤幸存者出院后6个月心理健康状况的有效性。方法:该随机临床试验在伊朗Kermanshah进行，分为干预组和对照组。采用随机区组设计将符合条件的样本(n = 90)分为两组。干预组接受为期六个月的家庭护理计划。在基线(T1:出院)、3 (T2)和干预后6个月(T3)三个时间点，样本对一般健康问卷-28 (GHQ-28)进行了应答。结果:干预组GHQ-28平均评分在6个月内呈下降趋势(T1: 32.48±15.83,T2: 25.15±15.11,T3: 19.37±14.11)。对照组GHQ-28平均评分增高(T1: 32.29±17.66,T2: 39.35±14.59,T3: 40.44±15.59)。两组在3个月和6个月的测量中有显著差异(P <0.001)。结论:与对照组相比，干预组6个月的家庭护理计划改善了烧伤幸存者的心理健康;然而，仍有幸存者需要帮助。因此，建议制定一个家庭护理计划，根据他们在伊朗医疗保健系统的需求，为烧伤幸存者提供更长时间的定期随访。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Iranian Journal of Psychiatry and Behavioral Sciences PSYCHIATRY-

CiteScore

1.20

自引率

10.00%

发文量

期刊介绍： The Iranian Journal of Psychiatry and Behavioral Sciences (IJPBS) is an international quarterly peer-reviewed journal which is aimed at promoting communication among researchers worldwide and welcomes contributions from authors in all areas of psychiatry, psychology, and behavioral sciences. The journal publishes original contributions that have not previously been submitted for publication elsewhere. Manuscripts are received with the understanding that they are submitted solely to the IJPBS. Upon submission, they become the property of the Publisher and that the data in the manuscript have been reviewed by all authors, who agree to the analysis of the data and the conclusions reached in the manuscript. The Publisher reserves copyright and renewal on all published material and such material may not be reproduced without the written permission of the Publisher. Statements in articles are the responsibility of the authors.