Predictors of Healthcare Needs in Discharged Burn Patients

Thursday, 15 July 2010

Chun Yu Liang, RN, MS
School of Nursing, National Defense of Medical Center, Taipei, Taiwan
Kwua-Yun Wang, PhD, RN
Nursing Department, Taipei Veterans general Hospital, Taipei, Taiwan
Kuan-Chia Lin, PhD
School of Nursing, National Taipei College of Nursing, Taiwan, Taipei City, Taiwan, National Taipei College of Nursing, Taipei, Taiwan

Learning Objective 1: The learner will be able to understand the healthcare needs of burn patients who discharged from hospital.

Learning Objective 2: The learner will be able to identify the related factors to those needs and unmet needs.

Purpose:

    The purposes of this study were to explore the healthcare needs of burn patients who discharged from hospital and identify the related factors to those needs and unmet needs. Burn is one of the major human traumas. Burn patients need faced with physical, psychological, and social problems after discharged. Therefore, producing many healthcare needs. Understanding and meeting the healthcare needs of burn patients will facilitate their recovery.

Methods:

     Descriptive correlation research was performed. The participants were discharged adult burn patients. A total of 93 subjects were recruited by purposive sampling from one medical center in the Taipei area of Taiwan and one burn-related foundation. The structured questionnaires of the Mental Status Inventory, Burn Patients’ Social Support Inventory and Burn Patients’ Healthcare Needs Inventory were used for data collection. Data were analyzed by descriptive statistics, nonparametric tests, t test, 1-way analysis of variance, Person’s correlation, Spearman correlation, and multiple regressions. P<.05 was considered as the statistically significant level.

Results:

    The total healthcare needs contained two parts which were self-care needs and psychosocial needs. The stepwise multiple regressions showed that diagnosed psychological problems before burn injury and the numbers of scar areas were two important predictors for selfcare needs and psychosocial needs. The other predictor for selfcare needs was days after discharge. Expenditure more than income was the predictor for psychosocial needs.

Conclusion:

    Clinical nursing care should pay more attention on patients who had psychological problems before burn injury, shorter days after discharge, with more scar areas, and more expenditure. The results of this study will provide a reference for developing nursing interventions for discharged burn patients, which in turns enhance their quality of life.