摘要:

To evaluate the influence of a modular, multidisciplinary, pediatric burn discharge book on burn-care-related knowledge and satisfaction of caregivers, we studied children less than 17 years of age admitted with an acute thermal injury to the pediatric burn unit of a large, tertiary care hospital in Winnipeg, Canada over a 32 month period. Demographic characteristics of the population are similar to published profiles of other pediatric burn units with the exception that North American Indian (NAI) families were disproportionately admitted, with 59 out of the 123 (48%) admissions from a geographic area that has less than 15% NAIs. We rahdomly assigned the families to receive discharge instructions with the book (intervention group) or routine discharge teaching without the book (comparison group). Knowledge levels of burn'care and satisfaction with discharge teaching of caregivers were evaluated with a questionnaire administered in single-blind fashion at the first outpatient follow-up visit. Sixty-two families received the book and 61 families received standard discharge teaching. Bivariate analysis showed greater knowledge in the intervention group, with an average score (range, 0.0 to 1.0) of 0.79 ± 0.15 versus 0.73 ± 0.15 in the comparison group (P<0.05). We did not observe this positive effect of the book when we analyzed NAI families separately: 28 families instructed with the book scored 0.68 ± 0.14 versus 0.63 ± 0.13 in 31 families provided with routine teaching (P=0.18). Stepwise multiple-regression analysis found that the influence of the book was limited to families with children who sustained scald burns (P<0.05). Factors negatively related to the knowledge levels of caregivers (p<0.05) were being of NAI origin and being NAI with no safety devices in die home. A positive correlation (P<0.05) was found with having English as the first language, having a child with more extensive burns, having a younger age of the child with burns, and having fewer children in the home. In conclusion, we found that the discharge book improved the burn-care-related knowledge of caregivers. However, other factors, particularly ethnic and language background, were of greater influence.

ISSN:0273-8481    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Postburn hypermetabolism can lead rapidly to deleterious consequences if adequate nutrition support is not provided. Several predictive formulas arc used currently for estimation of the nutrition needs of both adult and pediatric patients with burn injuries. Adequacy of enteral or parenteral or both deliveries of nutrients must be interpreted in light of injury-induced effects on nutrition parameters.

ISSN:0273-8481    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Ethanol or drug use may increase the risk of fire-related injury or death. This study was performed to quantify the role of substance abuse in fatal fires occurring in New Jersey over a 7-year period. Records of all the fatalities of fire reported to the State Medical Examiners Office between 1985 and 1991 were retrospectively examined. Blood assay results for ethanol were positive in 215 of the 727 (29.5%) fatalities of fire tested. For this group, the mean blood-ethanol level was 193.9 mg/dl. Blood or urine assay results for substances of abuse were positive in 78 of the 534 (14.6%) fatalities tested. The most commonly detected illicit substances were cocaine, benzodiazepincs, barbiturates, and cannabinoids. The test results were positive for both ethanol and drug use in 36 victims. Forty percent of all the fatalities of fire were aged younger than 11 or older than 70. In contradistinction, 75% of drug-positive fatalities of fire and 58% of ethanol-positive fatalities of fire were between the ages of 21 and 50, suggesting that inebriation may impair the ability to escape from fire. Substance abusers in middle life are a previously unrecognized group at higher risk of injury or death in a fire.

ISSN:0273-8481    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Although long-term followup studies have shown that the quality of family support is the most important factor influencing a patient's postburn adjustment, little has been published regarding the process of postburn adaptation of family members. This article describes a model of postburn adaptation that delineates the most common sequence of cognitive and emotional issues faced by autonomous, adult family members of burn survivors from the time of the patient's acute injury through completion of the patient's recovery and rehabilitation. In addition to focusing burn team attention on the needs of family members, this model includes descriptions of specific interventions burn staff can make with family members to resolve the issues faced and thus facilitate appropriate postburn adjustment.

ISSN:0273-8481    

出版商:OVID    

年代:1996

数据来源: OVID

ISSN:0273-8481    

出版商:OVID    

年代:1996

数据来源: OVID