Effect of a transitional tele-rehabilitation programme on quality of life of adult burn survivors: A randomised controlled trial.

IF 2.6 3区医学 Q1 REHABILITATION Clinical Rehabilitation Pub Date : 2024-10-01 Epub Date: 2024-08-27 DOI:10.1177/02692155241265930

Jonathan Bayuo, Frances Kam Yuet Wong, Loretta Yuet Foon Chung

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Abstract

Objective: To examine the effects of the transitional tele-rehabilitation programme on quality of life of adult burn survivors.

Design: A prospective, single centre, randomised controlled trial and reported according to the Consolidated Standards of Reporting Trials (CONSORT) guidelines.

Participants: Adult burn survivors aged ≥18 years with burn size ≥10% total body surface area irrespective of the depth was considered eligible to participate.

Intervention: The intervention was in two phases: pre-discharge and active follow-up phase (which occurred via WeChat). In both phases, comprehensive assessment and intervention guided by the Omaha System and evidenced-based protocols guided the care delivery over an 8-week period.

Main measures: The outcome of interest was quality of life. Two outcome measures were used to assess the outcome of interest: Burn Specific Health Scale-Brief (BSHS-B) and the EQ-5D-5L tools. The outcome was assessed at three time points: T0 (baseline), T1 (immediate post-intervention) and T2 (4 weeks from T1).

Results: In total, 60 adult burn survivors were randomly allocated to undergo the new programme. The transitional tele-rehabilitation programme elicited statistically significant improvement in simple abilities, affect, interpersonal relationship (T2) and overall quality life (T1 and T2) measured on the BSHS-B.

Conclusion: Ongoing rehabilitative care is essential to support the recovery process of burn survivors considering that some quality-of-life subscales may improve faster than others. The study findings highlight the potential of employing a social media platform to improve post-burn quality of life outcomes.

Trial registration: ClinicalTrials.govNCT04517721. Registered on 20 August 2020.

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过渡性远程康复计划对成年烧伤幸存者生活质量的影响：随机对照试验。

目的：研究过渡性远程康复计划对成年烧伤幸存者生活质量的影响：研究过渡性远程康复项目对成年烧伤幸存者生活质量的影响：设计：前瞻性、单中心、随机对照试验，根据试验报告综合标准（CONSORT）指南进行报告：成年烧伤幸存者，年龄≥18岁，烧伤面积≥体表总面积的10%，不论深度如何，均可参加：干预分为两个阶段：出院前和积极随访阶段（通过微信进行）。在这两个阶段中，在奥马哈系统和循证方案的指导下进行综合评估和干预，提供为期 8 周的护理服务：主要测量指标：关注的结果是生活质量。采用两种结果测量方法来评估相关结果：烧伤专用健康量表-简易版（BSHS-B）和 EQ-5D-5L 工具。结果在三个时间点进行评估：结果：共有 60 名成年烧伤幸存者被随机分配到新项目中。根据 BSHS-B 测量，过渡性远程康复计划在简单能力、情感、人际关系（T2）和整体生活质量（T1 和 T2）方面都有统计学意义上的显著改善：考虑到某些生活质量分量表的改善速度可能快于其他分量表，持续的康复护理对支持烧伤幸存者的康复过程至关重要。研究结果凸显了利用社交媒体平台改善烧伤后生活质量的潜力：试验注册：ClinicalTrials.govNCT04517721。注册日期：2020 年 8 月 20 日。

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来源期刊

Clinical Rehabilitation 医学-康复医学

CiteScore

5.60

自引率

6.70%

发文量

117

审稿时长

4-8 weeks

期刊介绍： Clinical Rehabilitation covering the whole field of disability and rehabilitation, this peer-reviewed journal publishes research and discussion articles and acts as a forum for the international dissemination and exchange of information amongst the large number of professionals involved in rehabilitation. This journal is a member of the Committee on Publication Ethics (COPE)