Burn survivors' challenges after hospital discharge: A neglected issue

Article Type : Correspondence

Authors

1 Department of Medicine, Tehran University of Medical Sciences (TUMS), Tehran, Iran

2 Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran

To the Editor

Burn injuries can have profound impacts on individuals and the healthcare system, resulting in devastating physical, psychological, social, and economic consequences [1-6]. Burn injuries can cause painful wounds, debilitating injuries, frequent hospitalizations, and high medical costs [7-9]. Individuals who have experienced severe burns may be susceptible to developing psychological disorders such as anxiety, depression, and post-traumatic stress [10]. In addition, the patients with severe burns and limited financial resources, particularly those who sustained burns to their face and hands, have a lower quality of life (QOL) [11]. As a result, it is very important to address the issues facing burn survivors, particularly those who face a variety of challenges after they have been discharged from the hospital after being burned. To help recover after discharge in burn survivors, healthcare providers need to be aware of the experiences and needs of burn survivors [12]. However, there is limited information regarding burn survivors' problems after being discharged from the hospital. Based on a qualitative study in South Korea, burn survivors often face three types of problems, including reintegrating into society, persistent discomfort, unpredictable hypertrophic scarring, and the burden of health insurance payments. Numerous participants reported experiencing persistent issues with unpleasant symptoms, including soreness, pain, itching, sleep disruptions, and unpredictable changes in scarring and other symptoms. Survivors of burn injuries described a significant financial burden related to the high costs of irreparable rehabilitation expenses and ongoing skin care costs [12].

In sum, understanding the mental experiences and challenges of burn survivors after hospital discharge is essential. This helps to improve care and improve patients' QOL after hospital discharge. Burn care teams should concentrate on addressing the primary difficulties encountered by burn survivors and formulate patient-focused treatment strategies that are customized to address their individual needs. Also, due to the limited information, it is recommended that more studies be conducted in different countries about the challenges of burn survivors after hospital discharge. This will enable us to adopt strategies tailored to each region.

 

Acknowledgements

Not applicable.

 

Authors’ contributions

Substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data for the work: AD, AMB, MS, AZK, MJG; Drafting the work or revising it critically for important intellectual content: AD, AMB, MS, AZK, MJG; Final approval of the version to be published: AD, AMB, MS, AZK, MJG; Agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved: AD, AMB, MS, AZK, MJG.

 

Funding

Self-funded.

 

Ethics approval and consent to participate

Not applicable.

 

Competing interests

We do not have potential conflicts of interest with respect to the research, authorship, and publication of this article.

 

This is an open access article under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (CC BY-NC 4.0).

© 2023 The Author(s).

  1. Ghazanfari M, Mazloum S, Rahimzadeh N, Araste M, Vajargah P, Mollaei A, et al. Burns and pregnancy during the COVID-19 pandemic. Burns. 2022;48(8):2015-2017.
  2. Takasi P, Falakdami A, Mollaei A, Mehrabi H, Ghazanfari M, Mobayen M, et al. Dissatisfaction or slight satisfaction with life in burn patients: A rising cause for concern of the world's burn community. Burns. 2022;48(8):2000-2002.
  3. Hosseini SJ, Firooz M, Norouzkhani N, Mehrabian F, Jafaraghaee F, Mobayen M, et al. Age group as a predictor of the effect of virtual reality on pain management in burn retain--> patientsretain-->. Burns. 2022;49(3):730-732.
  4. Norouzkhani N, Arani RC, Mehrabi H, Toolaroud PB, Vajargah PG, Mollaei A, et al. Effect of virtual reality-based interventions on pain during wound Care in Burn Patients; a systematic review and meta-analysis. Arch Acad Emerg Med. 2022;10(1):e84.
  5. Norouzkhani N, Ghazanfari MJ, Falakdami A, Takasi P, Mollaei A, Vajargah PG, et al. Implementation of telemedicine for burns management: challenges and opportunities. Burns. 2023;49(2):482-484.
  6. Zabihi MR, Akhoondian M, Tajik MH, Mastalizadeh A, Mobayen M, Karkhah S. Burns as a risk factor for glioblastoma. Burns. 2023;49(1):236-241.
  7. Zolfagharzadeh H, Esfandiari M, Otaghsara SMT, Mohebbi A, Zeydi AE, Zare-Kaseb A, et al. How to Manage Ongoing Post-Discharge Challenges of Burn Survivors. Burns. 2023;49(5):1229-1230.
  8. Asadi K, Aris A, Fouladpour A, Ghazanfari MJ, Karkhah S, Salari A. Is the assessment of sympathetic skin response valuable for bone damage management of severe electrical burns? Burns. 2022;48(8):2013-2014.
  9. Kornhaber R, Visentin D, Thapa DK, West S, Haik J, Cleary M. Burn camps for burns survivors—realising the benefits for early adjustment: a systematic review. Burns. 2020;46(1):33-43.
  10. Sibbett SH, Carrougher GJ, Pham TN, Mandell SP, Arbabi S, Stewart BT, et al. Burn survivors’ perception of recovery after injury: A Northwest Regional Burn Model System investigation. Burns. 2020;46(8):1768-1774.
  11. Oh H, Boo S. Assessment of burn-specific health-related quality of life and patient scar status following burn. Burns. 2017;43(7):1479-1485.
  12. Kim KJ, Boo S, Oh H. Burn survivors’ experiences of the ongoing challenges after discharge in South Korea: a qualitative study. Adv Skin Wound Care. 2021;34(5):1-6.
Volume 1, Issue 3
October 2023
Pages 150-151
  • Receive Date: 23 March 2023
  • Revise Date: 16 June 2023
  • Accept Date: 19 June 2023
  • First Publish Date: 01 October 2023
  • Publish Date: 01 October 2023