Assessment of Predisposing Factors for Joint Contracture among Patients with Burn at One of the Governmental University Hospitals

Document Type : Original Article

Authors

1 Medical-Surgical Nursing Department, Faculty of Nursing, Cairo University-Egypt

2 General Surgery Department, Faculty of Medicine, Cairo University-Egypt

Abstract

Background: Burn is a serious health problem globally. Every year more than 300, 000 people die from fires only and millions of people are disabled and disfigured by severe burns. Survivors of burns often lead to a life complicated not only by the physical consequences of the burns, but also by stigma and discrimination related to the disability and disfigurement. The aim of the study was to assess the predisposing factors for joint contractures among patients with burn. The research question: what are the predisposing factors for joint contractures among patient with burn? Research design: A descriptive/exploratory research design was utilized to achieve the purpose of this study. Subjects: A convenience sample of 176 adult male and female burn patients diagnosed post burn contracture as a result of 2nd and / or 3rd degree burn injury admitted to the surgical wards and burn unit at one of the governmental university hospitals was recruited in the current study as the burn cases admission increase increased in the following three years (2010, 2011, and 2012) as (405, 543, 487) respectively. The study sample calculated using a power analysis Tool: Burn assessment data sheet consists of two parts: 1- Demographic data sheet and 2- Predisposing factor assessment sheet through direct interview with patients. Results and conclusion: The study results concluded that the highest percent of the predisposing factors for joint contractures among patients with burn injury are (wound not healed on discharge, presence of signs of infection, no physical exercise after discharge, male, accidental burn injury, hospital not near, Rt.arm as a region of burn joint involved and no skin plastic surgery). Middle percent of them are (no health teaching about type of food, Lt. arm region of burn involved, home as a place of burn, married, rural area, limited movement for the affected joint, no application of joint support, educational level as diplome and no health teaching about correct joint positioning) followed by the lowest percent which are (2nd and 3rd degree burn injury, 20- as a percentage of burn injury, refuse to do physical exercise, no movement of the affected joint, Age (18˂ 30), flame burn and late starting of physical exercise. Recommendations: Developing a comprehensive treatment and rehabilitation program for those patients. All burn patients should receive adequate care to avoid post burn complication.

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