Rehabilitation practices for burn survivors in low and middle income countries: A literature review

Jagnoor, J.; Lukaszyk, Caroline; Fraser, Sarah; Chamania, Shobha; Harvey, L A; Potokar, Tom; Ivers, Rebecca

doi:10.1016/j.burns.2017.10.007

Cited by 13 publications

(8 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The model of early rehabilitation for people with burns is still relatively novel, and we are aware of only a handful of healthcare settings in Egypt that have begun burn rehabilitation programs. According to Jagnoor et al (2018), it is unknown what burn rehabilitation services are accessible, available, or most useful for rehabilitation centers in developing nations, as (Lotfi et al, 2020;Procter, 2010). In addition, this model of care was developed in response to a global demand for early and continuous rehabilitation care for patients with burns (Herzog et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

Effect of a Nurse-Led Rehabilitation Program: A Quasi-Experimental Study Examining Functional Outcomes in Patients With Hand Burns

Sofar,

Wazqar,

Syam

2024

Rehabilitation Nursing

View full text Add to dashboard Cite

Purpose The model of early rehabilitation for people with burns is still relatively novel in developing countries such as Egypt. The study examined the effect of a nurse-led rehabilitation program on functional outcomes in patients with severe hand burns. Design A quasi-experimental design was used in this study. Methods The study was completed in the burn unit of a teaching university hospital in Alexandria, Egypt, with a convenience sample of 80 patients with severe hand burns. Participants were consecutively assigned to one of two groups: control (n = 40), which received only routine hospital care and clinical interventions, or intervention (n = 40), which received routine hospital care and clinical interventions and a 4-week nurse-led rehabilitation program (health education including audiovisual aids and burn rehabilitation education booklet, social support, and hand rehabilitation exercises). To assess functional outcomes, both groups were given pre- and posttests of the Disabilities of the Arm, Shoulder and Hand outcome and the Hand Motor Function Observational Checklist questionnaires. Descriptive and inferential statistics were conducted. Results Functional outcomes were significantly improved in the intervention participants compared to the control participants (t = 5.710, p < .001). The differences in index scores between the two groups were statistically significant (p < .001). Clinical Relevance The study provides information for burn rehabilitation nurses in developing countries to develop and test early interventions that improve functional outcomes in this population. Conclusions A 4-week nurse-led program can be a beneficial intervention for improving functional outcomes in adult patients with severe hand burns who are undergoing rehabilitation.

show abstract

Section: Discussionmentioning

confidence: 99%

Effect of a Nurse-Led Rehabilitation Program: A Quasi-Experimental Study Examining Functional Outcomes in Patients With Hand Burns

Sofar,

Wazqar,

Syam

2024

Rehabilitation Nursing

View full text Add to dashboard Cite

show abstract

“…The study findings highlight the inadequacy of the current burn rehabilitation support programmes across both settings with an increased likelihood of missing out on transitional care needs. A review that explored the rehabilitation practices for burn survivors in LMICs observed that although psychiatric disorders are prevalent among burn survivors, the focus of most rehabilitation programmes is improving physical health with limited to attention to other domains of the burn survivor (Jagnoor et al, 2018b). The needs of burn survivors, though distinct, may be inter-related which is indicative that even if only physical health improves, challenges in other domains may mask the observed improvement (Bayuo et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

Adult Burn Survivors and Burn Care Staff Perceptions Regarding Transitioning From the Burn Unit: A Cross-Country Qualitative Study in Ghana and China

Bayuo,

Wong,

et al. 2024

Qual Health Res

View full text Add to dashboard Cite

Rehabilitative care for burn patients in developing countries is often wrought with several issues. Post-discharge support is equally challenging as there is often limited rehabilitative care as the burn survivors and their families transition. To inform practice, this study sought to explore the perspectives of adult burn survivors and burn care staff regarding transitioning from the burn unit and the development of a transitional rehabilitation programme. We employed interpretive description for this study. Semi-structured face-to-face interviews were conducted with adult burn survivors and burn care staff across two tertiary healthcare facilities in Lanzhou, Gansu Province of China, and Ghana. The thematic analytical approach was employed to analyse the data. Forty-six participants comprising 26 adult burn survivors and 20 burn care staff participated in this study. Two themes and five subthemes emerged from the data. Transitioning from the burn unit to the home was described as complex with varied biopsychosocial needs emerging. However, available support was not comprehensive to resolve these needs. Existing pre-discharge support is limited across both settings. Burn survivors expressed interest in taking on an active role in the rehabilitation process and being able to self-manage their post-burn symptoms following discharge. Transitional rehabilitative support should include an active follow-up system, ensure patient- and family-centred support, and offer a bundle of comprehensive rehabilitative services using locally available items which do not financially burden burn survivors and their families. In conclusion, transitioning from the burn unit is filled with varied health needs. Transitional rehabilitative care is required to bridge the pre-discharge and post-discharge periods.

show abstract

“…The rehabilitation of an acid burn patient is difficult, time-consuming and yet undeniably an integral part of their management. 11,12 As noted, the long-term effects of burns are wide-ranging including the fear of social engagement and depression, and the ever-present risk of suicide. 13 Reliable data on the number of acid attack survivors who commit suicide are unfortunately lacking due to under-reporting and the lack of central registries.…”

Section: Rehabilitationmentioning

confidence: 99%

Issues and problems involving acid attacks against male victims in India

Kaur

Byard

2022

Med Sci Law

View full text Add to dashboard Cite

Acid attacks involve dousing a victim with a concentrated acidic or caustic fluid. The head and face are most often targeted to maximize the chances of disfigurement, as the intention is usually to cause life-long disability, pain and lack of psychological wellbeing rather than death. In India it is often regarded as a form of gender-based violence aimed predominantly at women, frequently following the rejection of a proposed sexual relationship, however, a significant subset of cases involve males. Four cases are reported to demonstrate the different reasons for such attacks in males including revenge for reporting criminal activity, intra-familial disputes and apparently random episodes. Male acid attack victims may represent an over-looked subgroup that often does not receive adequate compensation or government support to access disability services, despite this being mandated by recent legislation.

show abstract

Rehabilitation practices for burn survivors in low and middle income countries: A literature review

Abstract: The published research on burns rehabilitation is very limited and little is known about current practices in LMIC settings. In order to inform policy and service delivery, the effectiveness, feasibility and sustainability of current services needs to be investigated.

Cited by 13 publications

References 31 publications

Effect of a Nurse-Led Rehabilitation Program: A Quasi-Experimental Study Examining Functional Outcomes in Patients With Hand Burns

Effect of a Nurse-Led Rehabilitation Program: A Quasi-Experimental Study Examining Functional Outcomes in Patients With Hand Burns

Adult Burn Survivors and Burn Care Staff Perceptions Regarding Transitioning From the Burn Unit: A Cross-Country Qualitative Study in Ghana and China

Issues and problems involving acid attacks against male victims in India

Contact Info

Product

Resources

About