Physical Needs of Patients with Burn Injuries at Intensive Care Unit as Suggested Protocol of Nursing Care

Document Type : Scientific Research Periodical

Author

Critical care department,faculty of nursing,MTI university, Cairo, Egypt

Abstract

Background: Patients with burn injuries have unique needs that extend outside immediate medical treatment, encompassing wound management, pain control, nutritional support, and psychological rehabilitation. Aim: To assess the physical needs of patients with burn injuries at the intensive care unit as suggested protocol of care. Design Descriptive exploratory research design was used. Subject: A purposive sample of 100 adult patients diagnosed with first and second-degree burn. Setting: The study conducted in the Intensive care units at Ahl Masr Hospital. Tools: Two tools utilized for data collection. First Tool: Patient assessment questionnaire included, I: Patient personal characteristics, II: Medical data III: - ABCDE Assessment Tool. Second Tool: Burn injury physical needs assessment tool included; Part I: Wound care assessment needs tool Part II: Numeric rating pain scale, and Part III: Short nutritional assessment questionnaire. The results: the result indicated that 100% of the studied patients’ needs regarding wound care were met with 11% of patient don’t know the factors affecting wound healing, 55% of patients had severe pain level and 39% used nalorphine, and while 38% of patients were severely malnourished, 62%were moderately malnourished. Conclusion There was high positive correlation between pain level and wound care and between pain level and nutritional status; As well there were highly statically relation between total wound care and nutritional status. Recommendations: Patients should be given health related needs education based on pain management, nutritional modification, self-wound care and psychosocial care.

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