Investigating the Impact of Rehabilitation Interventions on Health-Related Quality of Life in Burn Patients: A Systematic Review and Meta-Analysis

Kazemzade, Jafar

doi:10.61186/unmf.22.10.854

Volume 22, Issue 10 (12-2024) Nursing and Midwifery Journal 2024, 22(10): 854-866 | Back to browse issues page

‎ 10.61186/unmf.22.10.854

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Kazemzade J. Investigating the Impact of Rehabilitation Interventions on Health-Related Quality of Life in Burn Patients: A Systematic Review and Meta-Analysis. Nursing and Midwifery Journal 2024; 22 (10) :854-866
URL: http://unmf.umsu.ac.ir/article-1-5299-en.html

Investigating the Impact of Rehabilitation Interventions on Health-Related Quality of Life in Burn Patients: A Systematic Review and Meta-Analysis

Jafar Kazemzade ^*

Assistant Professor of Burn Surgery, Urmia University of Medical Sciences, Urmia, Iran (Corresponding Author) , jafarkazemzade48@gmail.com

Abstract: (1637 Views)

Background & Aim: Burn complications lead to permanent psychological, physical, and social changes in patients, thereby disrupting their quality of life. The present meta-analysis study was conducted to determine the effect of rehabilitation interventions on health-related quality of life in burn patients.
Materials & Methods: In this systematic review, the Web of Science, PubMed, Scopus, Cochrane, SID, Magiran, and Iranmedex databases were searched to identify English and Persian clinical trial articles without time restrictions. The Cochrane checklist was used to assess the risk of bias in the articles. Data analysis was performed using Comprehensive Meta-Analysis software. The I² index was used to examine heterogeneity between studies, while the funnel plot and Egger test were used to assess publication bias. The standardized mean difference (SMD) index and the random effects method were used to combine studies and perform the meta-analysis.
Results: Initially, 641 articles were retrieved from the database search. After removing duplicates and applying the inclusion and exclusion criteria, 12 articles were systematically reviewed, and 10 articles were included in the meta-analysis. The results of the meta-analysis, based on the random-effects model using the Trim and Fill method, showed a standardized mean difference of SMD = 1.96 (CI: 1.02–2.33, p = 0.001), indicating a statistically significant difference between the intervention and control groups. The health-related quality of life in the intervention group was higher than that in the control group.
Conclusion: The results of this study demonstrate that rehabilitation interventions improve the health-related quality of life in burn patients. Therefore, these interventions can be used as an evidence-based decision-making tool by healthcare providers to enhance the quality of life for these patients.

Keywords: Burn Patients, Quality of Life, Meta-Analysis, Rehabilitation Interventions, Systematic Review

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Type of Study: Review article | Subject: پزشکی

References

1. Niroumand-Zandi K, Atashrazm Jirandeh T, Atashzadeh-Shoorideh F, Hoseinabadi-Farahani M, Talebi E, Bolourchifard F. Relationship between sociofamilial support with satisfaction of body image in patients with burn. Iran J Psychiatr Nurs 2016;3(4):1-9. (Persian) [URL:]

2. Abd Elalem SM, Shehata O, Shattla SI. The effect of self-care nursing intervention model on self-esteem and quality of life among burn patients. Clin Nurs Stud 2018;6(2):79-90. [URL:] [DOI:10.5430/cns.v6n2p79]

3. Shahmiri SS, Kolahdouzan M, Omrani A, Khazaei M, Salehi H, Motavalian A, et al. Determinants of mortality and the lethal area 50 index (LA50) in burn patients admitted to a large burn center; a single center experience. Bull Emerg Trauma 2017;5(3):184. [PMID: 28795063] [PMCID: PMC5547206]

4. Elsherbiny OEE, Salem MA, El-Sabbagh AH, Elhadidy MR, Eldeen SMA. Quality of life of adult patients with severe burns. Burns 2011;37(5):776-89. [PMID: 21466924] [DOI:10.1016/j.burns.2010.12.017]

5. Markiewicz-Gospodarek A, Kozioł M, Tobiasz M, Baj J, Radzikowska-Büchner E, Przekora A. Burn wound healing: clinical complications, medical care, treatment, and dressing types: the current state of knowledge for clinical practice. Int J Environ Res Public Health 2022;19(3):1338. [PMID: 35162360] [DOI:10.3390/ijerph19031338] [PMCID: PMC8834952]

6. Masood RA, Wain ZN, Tariq R, Bashir I. Burn cases, their management and complications: A review. Int Curr Pharm J 2016;5(12):103-5. [URL:] [DOI:10.3329/icpj.v5i12.30411]

7. Kazemzadeh J, Rabiepoor S, Alizadeh S. The quality of life in women with burns in Iran. World J Plast Surg 2019;8(1):33. [PMID: 30873360] [DOI:10.29252/wjps.8.1.33] [PMCID: PMC6409149]

8. Yazdi-Ravandi S, Taslimi Z, Haghparast A, Ghaleiha A. Quality of life in patients with chronic pain disorders: Determination the role of intensity and duration of pain. Koomesh 2016;17(4):836-43. (Persian) [URL:]

9. Orwelius L, Willebrand M, Gerdin B, Ekselius L, Fredrikson M, Sjöberg F. Long term health-related quality of life after burns is strongly dependent on pre-existing disease and psychosocial issues and less due to the burn itself. Burns 2013;39(2):229-35. [PMID: 23318216] [DOI:10.1016/j.burns.2012.11.014]

10. Cowan AC, Stegink-Jansen CW. Rehabilitation of hand burn injuries: Current updates. Injury 2013;44(3):391-6. [PMID: 23352672] [DOI:10.1016/j.injury.2013.01.015]

11. Lang TC, Zhao R, Kim A, Wijewardena A, Vandervord J, Xue M, et al. A critical update of the assessment and acute management of patients with severe burns. Adv Wound Care 2019;8(12):607-33. [PMID: 31827977] [DOI:10.1089/wound.2019.0963] [PMCID: PMC6904939]

12. Żwierełło W, Piorun K, Skórka-Majewicz M, Maruszewska A, Antoniewski J, Gutowska I. Burns: Classification, pathophysiology, and treatment: A review. Int J Mol Sci 2023;24(4):3749. [PMID: 36835171] [DOI:10.3390/ijms24043749] [PMCID: PMC9959609]

13. Cartotto R, Johnson L, Rood JM, Lorello D, Matherly A, Parry I, et al. Clinical practice guideline: Early mobilization and rehabilitation of critically ill burn patients. J Burn Care Res 2023;44(1):1-15. [PMID: 35639543] [DOI:10.1093/jbcr/irac008]

14. Cancio JM, Dewey WS. Critical care rehabilitation of the burn patient. Surg Clin 2023;103(3):483-94. [PMID: 37149384] [DOI:10.1016/j.suc.2023.01.010]

15. Chen J, Li-Tsang CW, Yan H, Liang G, Tan J, Yang S, et al. A survey on the current status of burn rehabilitation services in China. Burns 2013;39(2):269-78. [PMID: 22981799] [DOI:10.1016/j.burns.2012.06.016]

16. Rouzfarakh M, Deldar K, Froutan R, Ahmadabadi A, Mazlom SR. The effect of rehabilitation education through social media on the quality of life in burn patients: A randomized, controlled, clinical trial. BMC Med Inform Decis Mak 2021;21:1-11. [PMID: 33618721] [DOI:10.1186/s12911-021-01421-0] [PMCID: PMC7901117]

17. Roh YS, Seo CH, Jang KU. Effects of a skin rehabilitation nursing program on skin status, depression, and burn-specific health in burn survivors. Rehabil Nurs J 2010;35(2):65-9. [PMID: 20306614] [DOI:10.1002/j.2048-7940.2010.tb00033.x]

18. Higgins JP, Altman DG, Gøtzsche PC, Jüni P, Moher D, Oxman AD, et al. The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. Br Med J 2011;343. [PMID: 22008217] [DOI:10.1136/bmj.d5928] [PMCID: PMC3196245]

19. Li L, Dai JX, Xu L, Huang ZX, Pan Q, Zhang X, et al. The effect of a rehabilitation nursing intervention model on improving the comprehensive health status of patients with hand burns. Burns 2017;43(4):877-85. [PMID: 28062082] [DOI:10.1016/j.burns.2016.11.003]

20. Ardebili FM, Mehmandar M, Bozorgnejad M, Khalili E, Hosseini AF, Mobaderi T. The effectiveness of multimedia self-care education on burn patients' quality of life: An application of latent growth model. Med Sci 2019;25(12):33-42. (Persian) [URL:]

21. Goncalves N, Ciol MA, Dantas RAS, Farina Junior JA, Rossi LA. A randomized controlled trial of an educational programme with telephone reinforcement to improve perceived health status of Brazilian burn victims at 6-month post discharge. J Adv Nurs 2016;72(10):2508-23. [PMID: 27189899] [DOI:10.1111/jan.13003]

22. Daryabygi R, Abdolmohamadi L, Alimohammadi N, Gazavi Z. The effect of group hope-therapy program on the improvement of life in burnt patients of Isfahan-Imam Mousa Kazem Hospital: Clinical trial study. Complement Med J 2016;1(18):39-45. (Persian) [URL:]

23. Lotfi M, Ghahremaneian A, Aghazadeh A, Jamshidi F. The effect of pre-discharge training on the quality of life of burn patients. J Caring Sci 2018;7(2):107. [PMID: 29977882] [DOI:10.15171/jcs.2018.017] [PMCID: PMC6029655]

24. Elsherbiny OE, El Fahar MH, Weheida SM, Shebl AM, Shrief WI. Effect of burn rehabilitation program on improving quality of life (QoL) for hand burns patients: A randomized controlled study. Eur J Plast Surg 2018;41:451-8. [URL:] [DOI:10.1007/s00238-017-1379-7]

25. Heydarikhayat N, Ashktorab T, Rohani C, Zayeri F. Effect of post-hospital discharge follow-up on health status in patients with burn injuries: A randomized clinical trial. Int J Community Based Nurs Midwifery 2018;6(4):293. [PMID: 30465002]

26. Tang D, Li-Tsang CW, Au RK, Li KC, Yi XF, Liao LR, et al. Functional outcomes of burn patients with or without rehabilitation in mainland China. Hong Kong J Occup Ther 2015;26:15-23. [URL:] [DOI:10.1016/j.hkjot.2015.08.003]

27. Kargar N, Deldar K, Ahmadabadi A, Froutan R, Mazlom SR. Can a self-care educational mobile application improve the quality of life of victims with hand burns? A randomized controlled trial. Crescent J Med Biol Sci 2020;7(4). [URL:]

28. Hashemi F, Dolatabad FR, Yektatalab S, Ayaz M, Zare N, Mansouri P. Effect of Orem self-care program on the life quality of burn patients referred to Ghotb-al-Din-e-Shirazi burn center, Shiraz, Iran: A randomized controlled trial. Int J Community Based Nurs 2014;2(1):40. [URL:] [PMCID: PMC4201185]

29. Young AW, Dewey WS, King BT. Rehabilitation of burn injuries: An update. Phys Med Rehabil Clin 2019;30(1):111-32. [PMID: 30470416] [DOI:10.1016/j.pmr.2018.08.004]

30. Kwan MW, Ha KW. Splinting programme for patients with burnt hand. Hand Surg 2002;7(2):231-41. [PMID: 12596286] [DOI:10.1142/S0218810402001242]

31. Radwan M, Samir S, Aty O, Attia S. Effect of a rehabilitation program on the knowledge, physical and psychosocial functions of patients with burns. J Am Sci 2011;7:427-34. [URL:]

32. O'Brien L. Adherence to therapeutic splint wear in adults with acute upper limb injuries: A systematic review. Hand Ther 2010;15(1):3-12. [URL:] [DOI:10.1258/ht.2009.009025]

33. Masood A, Masud Y, Mazahir S. Gender differences in resilience and psychological distress of patients with burns. Burns 2016;42(2):300-6. [PMID: 26796239] [DOI:10.1016/j.burns.2015.10.006]

34. Paratz JD, Stockton K, Plaza A, Muller M, Boots RJ. Intensive exercise after thermal injury improves physical, functional, and psychological outcomes. J Trauma Acute Care Surg 2012;73(1):186-94. [PMID: 22710771] [DOI:10.1097/TA.0b013e31824baa52]

35. Asgarpour H, Mohammadi A, Memarian R. Effect of self-care program on quality of life in adolescents with hemophilia regarding to the comprehensive hemophilia treatment center. Daneshvar Med 2007;14:1-8. [URL:]

36. Naroie S, Naji SA, Abdeyazdan GH, Dadkani E. Effect of applying self-care Orem model on quality of life in the patient under hemodialysis. Zahedan J Res Med Sci 2012;14(1). [URL:]