Effects of a nurse-led transitional burns rehabilitation programme (4Cs-TBuRP) for adult burn survivors: protocol for a randomised controlled trial.
Journal
Trials
ISSN: 1745-6215
Titre abrégé: Trials
Pays: England
ID NLM: 101263253
Informations de publication
Date de publication:
13 Oct 2021
13 Oct 2021
Historique:
received:
22
04
2021
accepted:
01
10
2021
entrez:
14
10
2021
pubmed:
15
10
2021
medline:
16
10
2021
Statut:
epublish
Résumé
Transitioning from the burn unit to the home/community can be chaotic with limited professional support. Some adult burn survivors may face varied concerns leading to poor outcomes in the early post-discharge period with limited access to professional help. Based on these, a nurse-led transitional burns rehabilitation programme has been developed and the current trial aims to ascertain its effects as well as explore the implementation process. A single-centre, double-arm randomised controlled trial with a process evaluation phase will be utilised for this study. All adult burn survivors aged ≥ 18 years with burn size ≥ 10% total burn surface area at the site during the study period will be screened for eligibility at least 72 h to discharge. A sample size of 150 will be block randomised to treatment (receiving the nurse-led transitional care programme and routine post-discharge service) and control groups (receiving routine post-discharge service). The nurse-led transitional care programme comprises of predischarge and follow-up phases with the delivery of bundle of holistic interventions lasting for 8 weeks. There are three timelines for data collection: baseline, immediate post intervention, and 4 weeks post-intervention. The findings from this study can potentially inform the development and organisation of post-discharge care and affirm the need for ongoing comprehensive home-based care for burn survivors and their families TRIAL REGISTRATION: ClinicalTrials.gov NCT04517721 . Registered on 20 August 2020.
Sections du résumé
BACKGROUND
BACKGROUND
Transitioning from the burn unit to the home/community can be chaotic with limited professional support. Some adult burn survivors may face varied concerns leading to poor outcomes in the early post-discharge period with limited access to professional help. Based on these, a nurse-led transitional burns rehabilitation programme has been developed and the current trial aims to ascertain its effects as well as explore the implementation process.
METHODS
METHODS
A single-centre, double-arm randomised controlled trial with a process evaluation phase will be utilised for this study. All adult burn survivors aged ≥ 18 years with burn size ≥ 10% total burn surface area at the site during the study period will be screened for eligibility at least 72 h to discharge. A sample size of 150 will be block randomised to treatment (receiving the nurse-led transitional care programme and routine post-discharge service) and control groups (receiving routine post-discharge service). The nurse-led transitional care programme comprises of predischarge and follow-up phases with the delivery of bundle of holistic interventions lasting for 8 weeks. There are three timelines for data collection: baseline, immediate post intervention, and 4 weeks post-intervention.
DISCUSSION
CONCLUSIONS
The findings from this study can potentially inform the development and organisation of post-discharge care and affirm the need for ongoing comprehensive home-based care for burn survivors and their families TRIAL REGISTRATION: ClinicalTrials.gov NCT04517721 . Registered on 20 August 2020.
Identifiants
pubmed: 34645512
doi: 10.1186/s13063-021-05679-7
pii: 10.1186/s13063-021-05679-7
pmc: PMC8511287
doi:
Banques de données
ClinicalTrials.gov
['NCT04517721']
Types de publication
Clinical Trial Protocol
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
698Informations de copyright
© 2021. The Author(s).
Références
Burns. 1997 Nov-Dec;23(7-8):550-4
pubmed: 9568322
Burns. 2020 Aug;46(5):1021-1035
pubmed: 32416984
Injury. 2014 Sep;45(9):1459-64
pubmed: 24698152
Clin Plast Surg. 2017 Oct;44(4):729-735
pubmed: 28888298
Chronic Dis Transl Med. 2017 Apr 29;3(2):75-81
pubmed: 29063059
Ann Intern Med. 2013 Feb 5;158(3):200-7
pubmed: 23295957
Burns Trauma. 2015 Oct 21;3:20
pubmed: 27574666
Acta Derm Venereol. 2012 Sep;92(5):497-501
pubmed: 22102095
PLoS One. 2018 May 24;13(5):e0197507
pubmed: 29795616
Heart. 2016 Jul 15;102(14):1100-8
pubmed: 26969631
Eplasty. 2010 Jun 21;10:e43
pubmed: 20596233
J Burn Care Res. 2009 Jan-Feb;30(1):83-91
pubmed: 19060733
BMC Health Serv Res. 2015 Aug 01;15:302
pubmed: 26231290
Burns. 2019 Aug;45(5):1005-1013
pubmed: 31203869
BMJ Open. 2015 Feb 27;5(2):e006184
pubmed: 25724981
Burns Trauma. 2019 Sep 16;7:23
pubmed: 31534977
Qual Health Res. 2005 Nov;15(9):1277-88
pubmed: 16204405
BMJ. 2008 Sep 29;337:a1655
pubmed: 18824488
Eur J Trauma Emerg Surg. 2019 Oct;45(5):885-892
pubmed: 29480321
Burns Trauma. 2016 Nov 4;4:32
pubmed: 27826591
Int J Community Based Nurs Midwifery. 2018 Oct;6(4):293-304
pubmed: 30465002
Burns. 2017 Sep;43(6):1306-1317
pubmed: 28372828
J Burn Care Res. 2021 Aug 4;42(4):651-710
pubmed: 32608488
Burns Trauma. 2017 May 30;5:16
pubmed: 28573147
Qual Life Res. 2013 Sep;22(7):1717-27
pubmed: 23184421
J Adv Nurs. 2005 May;50(4):391-402
pubmed: 15842446
BMC Res Notes. 2018 Apr 3;11(1):224
pubmed: 29615112
Burns. 2012 Dec;38(8):1216-23
pubmed: 22703730
BMJ. 2015 Mar 19;350:h1258
pubmed: 25791983
Burns. 2013 Mar;39(2):269-78
pubmed: 22981799
Burns. 2016 Aug;42(5):1047-1058
pubmed: 27161089
Arch Phys Med Rehabil. 2018 Jul;99(7):1311-1317
pubmed: 29258837
J Nurs Scholarsh. 2020 Jul;52(4):360-368
pubmed: 32445507
Indian J Plast Surg. 2010 Sep;43(Suppl):S101-13
pubmed: 21321643
Int J Nurs Stud. 2010 Mar;47(3):268-78
pubmed: 19651405
Burns. 2021 May;47(3):503-524
pubmed: 32534893
Burns. 2020 Mar;46(2):322-332
pubmed: 31864784
J Hand Ther. 2004 Oct-Dec;17(4):417-23
pubmed: 15538683
Burns. 2021 Feb;47(1):252-253
pubmed: 33280954
Burns Trauma. 2019 May 20;7:17
pubmed: 31139664
Home Health Care Serv Q. 2021 Jul-Sep;40(3):204-217
pubmed: 32264786
Br J Health Psychol. 2001 Nov;6(Part 4):373-383
pubmed: 12614511
Burns. 2007 Nov;33(7):843-9
pubmed: 17686586
Comput Inform Nurs. 2011 Jan-Feb;29(1):52-8
pubmed: 21099545
Phys Med Rehabil Clin N Am. 2019 Feb;30(1):111-132
pubmed: 30470416
J Pain Symptom Manage. 1999 Nov;18(5):316-22
pubmed: 10584454
Br J Gen Pract. 2008 Jan;58(546):32-6
pubmed: 18186994
Am J Clin Dermatol. 2003;4(4):245-72
pubmed: 12680803
Qual Life Res. 2005 Oct;14(8):1943-52
pubmed: 16155782
Stat Methods Med Res. 2016 Jun;25(3):1057-73
pubmed: 26092476
Burns. 2019 Jun;45(4):825-834
pubmed: 30545694
Burns. 2018 Jun;44(4):793-799
pubmed: 29395409
J Trauma. 2001 Oct;51(4):740-6
pubmed: 11586169
Burns. 2013 Feb;39(1):162-7
pubmed: 22683143
Disabil Rehabil. 2019 Mar;41(6):714-719
pubmed: 29207887
Health Psychol. 2004 Sep;23(5):443-51
pubmed: 15367063