Pajouhan Scientific Journal, Winter, In Press
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Ethics code: IR.UMSHA.REC.1404.368
1- Department of Internal Surgery, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
2- Department of Pediatric Nursing, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
3- Department of Rehabilitation Nursing, University of Rehabilitation Sciences and Social Health, Tehran, Iran
4- Chronic Diseases (Home Care) Research Center, Institute of Cancer, Hamadan University of Medical Sciences, Hamadan, Iran
5- Chronic Diseases (Home Care) Research Center, Institute of Cancer, Hamadan University of Medical Sciences, Hamadan, Iran ,m.molavi@umsha.ac.ir
2- Department of Pediatric Nursing, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
3- Department of Rehabilitation Nursing, University of Rehabilitation Sciences and Social Health, Tehran, Iran
4- Chronic Diseases (Home Care) Research Center, Institute of Cancer, Hamadan University of Medical Sciences, Hamadan, Iran
5- Chronic Diseases (Home Care) Research Center, Institute of Cancer, Hamadan University of Medical Sciences, Hamadan, Iran ,
Abstract: (644 Views)
Background and Objectives: Severe burns in children are one of the most common traumatic injuries, leading to extensive physical, psychological, and social complications. Despite therapeutic advances, research gaps exist in understanding the multidimensional care needs of these children, especially from the perspectives of nurses and parents. This qualitative study aimed to explain the care needs of children with severe burns using conventional content analysis.
Materials and Methods: This qualitative study, utilizing a conventional content analysis approach, was conducted in the burn ward of Besat Hospital in Hamadan, Iran, in 2025. Purposeful sampling with maximum variation was employed, including eight nurses and ten parents of hospitalized children. This study investigated the care needs of children with burns covering more than 25% of their body surface area, classified as second and third-degree burns. Data were collected through semi-structured interviews (30-45 minutes) and analyzed using the Graneheim and Lundman method with MAXQDA software (version 10). Data saturation was achieved after 18 interviews. Trustworthiness was ensured according to Guba and Lincoln's criteria (transferability, credibility, dependability, and confirmability).
Results: The analysis and categorization of 530 primary codes revealed three themes, seven categories, and 17 subcategories. Multidimensional physical needs included pain and discomfort management (acute procedural pain, skin discomfort, and itching in the repair phase, need for combination medications), wound care and complication prevention (daily dressing and aseptic technique, infection control and vital signs monitoring, specialized nutrition and fluid replacement), and maintaining motor function (daily physiotherapy, use of assistive mobility devices). The psychological-emotional needs theme comprised the categories of reducing fear and anxiety (separation anxiety from parents, fear of new appearance, worry about the future) and supporting parents and family (home care education, group psychological counseling). The social and rehabilitation needs theme included the categories of readiness for community reintegration (support for returning to school, social skills training) and follow-up and post-discharge care (regular burn clinic visits, financial and insurance support). The findings emphasized the necessity of combined pharmacological-non-pharmacological interventions, early physiotherapy, parental presence, home care education, school coordination, and financial-insurance support.
Conclusion: Children with severe burns require comprehensive, family-centered, and multidisciplinary care from the acute phase to long-term rehabilitation. Integrating nutritional protocols, group counseling, structured physiotherapy, and regular clinical follow-up can reduce secondary complications. These results provide a basis for developing clinical guidelines and nursing education programs.
Materials and Methods: This qualitative study, utilizing a conventional content analysis approach, was conducted in the burn ward of Besat Hospital in Hamadan, Iran, in 2025. Purposeful sampling with maximum variation was employed, including eight nurses and ten parents of hospitalized children. This study investigated the care needs of children with burns covering more than 25% of their body surface area, classified as second and third-degree burns. Data were collected through semi-structured interviews (30-45 minutes) and analyzed using the Graneheim and Lundman method with MAXQDA software (version 10). Data saturation was achieved after 18 interviews. Trustworthiness was ensured according to Guba and Lincoln's criteria (transferability, credibility, dependability, and confirmability).
Results: The analysis and categorization of 530 primary codes revealed three themes, seven categories, and 17 subcategories. Multidimensional physical needs included pain and discomfort management (acute procedural pain, skin discomfort, and itching in the repair phase, need for combination medications), wound care and complication prevention (daily dressing and aseptic technique, infection control and vital signs monitoring, specialized nutrition and fluid replacement), and maintaining motor function (daily physiotherapy, use of assistive mobility devices). The psychological-emotional needs theme comprised the categories of reducing fear and anxiety (separation anxiety from parents, fear of new appearance, worry about the future) and supporting parents and family (home care education, group psychological counseling). The social and rehabilitation needs theme included the categories of readiness for community reintegration (support for returning to school, social skills training) and follow-up and post-discharge care (regular burn clinic visits, financial and insurance support). The findings emphasized the necessity of combined pharmacological-non-pharmacological interventions, early physiotherapy, parental presence, home care education, school coordination, and financial-insurance support.
Conclusion: Children with severe burns require comprehensive, family-centered, and multidisciplinary care from the acute phase to long-term rehabilitation. Integrating nutritional protocols, group counseling, structured physiotherapy, and regular clinical follow-up can reduce secondary complications. These results provide a basis for developing clinical guidelines and nursing education programs.
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