Pajouhan Scientific Journal, Winter, In Press
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1- Hamadan university of Medical sciences
2- Kermanshah university of medical sciences
3- Hamadan university of Medical sciences ,m.molavi@umsha.ac.ir
2- Kermanshah university of medical sciences
3- Hamadan university of Medical sciences ,
Abstract: (29 Views)
Introduction: 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 through conventional content analysis.
Methods: This qualitative study using a conventional content analysis approach was conducted in the Burn Unit of Besat Hospital, Hamadan, in 2024. Purposeful sampling with maximum variation included 8 nurses and 10 parents of hospitalized children.
Data were collected through in-depth semi-structured interviews (30-45 minutes) and analyzed using the Graneheim and Lundman method and MAXQDA software version 10. Data saturation was achieved after 18 interviews. Trustworthiness was ensured using Guba and Lincoln's criteria (transferability, credibility, dependability,confirmability).The study was approved by the ethics code IR.UMSHA.REC.1404.368.
Results: Analysis of the interviews revealed three main themes, seven categories, and seventeen subcategories. Multidimensional physical needs included the categories of 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. The results provide a basis for developing clinical guidelines and nursing education programs.
Methods: This qualitative study using a conventional content analysis approach was conducted in the Burn Unit of Besat Hospital, Hamadan, in 2024. Purposeful sampling with maximum variation included 8 nurses and 10 parents of hospitalized children.
Data were collected through in-depth semi-structured interviews (30-45 minutes) and analyzed using the Graneheim and Lundman method and MAXQDA software version 10. Data saturation was achieved after 18 interviews. Trustworthiness was ensured using Guba and Lincoln's criteria (transferability, credibility, dependability,confirmability).The study was approved by the ethics code IR.UMSHA.REC.1404.368.
Results: Analysis of the interviews revealed three main themes, seven categories, and seventeen subcategories. Multidimensional physical needs included the categories of 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. The results provide a basis for developing clinical guidelines and nursing education programs.
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