The effect of self-care nursing intervention model on self-esteem and quality of life among burn patients

Abstract

Objective: Burn injuries and their complications are considered the major health problems throughout the world as it has a negative effect on function of the burned part that result in psychological disturbance as depression, anxiety, irritability, body image dissatisfaction and post-traumatic stress disorder are common in burn patients that associated with adverse out comes including poor quality of life (QOL), low self-esteem, stigmatization and increase mortality. This study aimed to investigate the effect of self-care nursing intervention model on self-esteem and quality of life among burn patients.
Methods: A quasi-experimental research design was utilized. The study was conducted at burn unit of emergency hospital, Menoufia University at Menoufia governorate, Egypt. A convenience sample of 34 adult patients (one group pre/post test) with 2nd degree burn and exposed to self care nursing intervention model that include (self-care requisites, stress management techniques and strategies for improving self esteem) in addition to routine hospital care. Three tools were used to fulfill: Tool I: Burn assessment tool, Tool II: Rosenberg Self-Esteem Scale and Tool III: World Health Organization Quality of Life (WHOQOL) scale.
Results: The main findings of the study there was statistically significant improvement of self-care knowledge related to burn management after implementing self-care model. There was statistically significant improvement of self-esteem and QOL among burn patients post-intervention than pre-intervention.
Conclusions: The overall findings in the present study revealed that implementing self-care nursing intervention model at burn unit was effective when providing care as it encouraged patient to be an active participant in care and had a significant improvement of self-care management, self-esteem and QOL among burn patients.
Recommendations: The self-care theory has shown to be the basis when providing nursing care as it helps in promoting therapeutic communication and trust relationship between the patient and the nurse so that encourage nurses to work and providing care with nursing theories.