Experiences of paediatric burn patients and their caregivers on burn management at Ghana's premier burns centre: A qualitative study

IF 2.9 3区医学 Q2 CRITICAL CARE MEDICINE

Burns Pub Date : 2025-07-14 DOI:10.1016/j.burns.2025.107620

Alberta Amissah Nyarko , Natalie Benjamin-Damons , Sonti Pilusa

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引用次数: 0

Abstract

Background

Paediatric burn injuries have a significant impact on the lives of children and their families, requiring specialised care and management. Understanding the unique experiences of paediatric burn patients and their caregivers is crucial for improving burn management strategies and enhancing patient outcomes.

Objectives

This study explored the experiences of paediatric burn patients and their caregivers with regard to in -hospital management and post-hospitalization needs at Ghana’s premier burn centre.

Methodology

A qualitative study was conducted involving twelve paediatric burn patients aged 8–17 years (median age = 8.5 years; IQR = 7.0–10.0) and 12 caregivers (median age = 42.0 years; IQR = 34.3–46.5), all treated at a burns centre in Ghana from 2020 to the present. Semi-structured interview guides were used to gather data, and reflexive thematic analysis was employed to identify key themes.

Results

Four themes emerged from the data analysis: (1) causes and pathways of burns, (2) reflections on burns management, (3) outcome and post-hospitalisation needs, and (4) suggestions for improving burn care.

Conclusion

The findings highlight high satisfaction with burn management and healthcare professionals at Ghana’s premier burn centre. However, areas of improvement include procedural pain management, addressing persistent itchiness and scarring, and school integration of children post-hospitalisation. These results call for the development and implementation of standardized pain management protocols, targeted interventions for scar and itch relief, and structured psychosocial support for paediatric patients. Future research should also assess the effectiveness of these interventions.

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经验的儿科烧伤患者和他们的护理人员烧伤管理在加纳首屈一指的烧伤中心：一项定性研究

背景：儿科烧伤对儿童及其家庭的生活有重大影响，需要专门的护理和管理。了解儿科烧伤患者及其护理人员的独特经历对于改善烧伤管理策略和提高患者预后至关重要。目的：本研究探讨了加纳主要烧伤中心的儿科烧伤患者及其护理人员在院内管理和住院后需求方面的经验。方法对12例8 ~ 17岁的小儿烧伤患者(中位年龄8.5岁；IQR = 7.0-10.0)和12名照顾者(中位年龄= 42.0岁；IQR = 34.3-46.5)，从2020年到现在都在加纳的烧伤中心接受治疗。采用半结构化访谈指南收集数据，并采用反身性主题分析来确定关键主题。结果从数据分析中得出四个主题：(1)烧伤的原因和途径；(2)对烧伤管理的反思；(3)结局和住院后需求；(4)改善烧伤护理的建议。结论：研究结果突出了加纳烧伤中心烧伤管理和医疗保健专业人员的高满意度。然而，改进的领域包括程序性疼痛管理，解决持续瘙痒和疤痕，以及住院后儿童的学校融合。这些结果要求制定和实施标准化的疼痛管理方案，针对疤痕和瘙痒缓解的有针对性的干预措施，以及为儿科患者提供结构化的社会心理支持。未来的研究还应评估这些干预措施的有效性。

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来源期刊

Burns 医学-皮肤病学

CiteScore

4.50

自引率

18.50%

发文量

304

审稿时长

72 days

期刊介绍： Burns aims to foster the exchange of information among all engaged in preventing and treating the effects of burns. The journal focuses on clinical, scientific and social aspects of these injuries and covers the prevention of the injury, the epidemiology of such injuries and all aspects of treatment including development of new techniques and technologies and verification of existing ones. Regular features include clinical and scientific papers, state of the art reviews and descriptions of burn-care in practice. Topics covered by Burns include: the effects of smoke on man and animals, their tissues and cells; the responses to and treatment of patients and animals with chemical injuries to the skin; the biological and clinical effects of cold injuries; surgical techniques which are, or may be relevant to the treatment of burned patients during the acute or reconstructive phase following injury; well controlled laboratory studies of the effectiveness of anti-microbial agents on infection and new materials on scarring and healing; inflammatory responses to injury, effectiveness of related agents and other compounds used to modify the physiological and cellular responses to the injury; experimental studies of burns and the outcome of burn wound healing; regenerative medicine concerning the skin.