The investigation of the effects of occupation-based intervention on anxiety,depression, and sleep quality of subjects with hand and upper extremity burns: A randomized clinical trial |
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| Affiliation: | 1. School of Rehabilitation Sciences, Iran University of Medical Sciences (IUMS), Tehran, Iran;2. Rehabilitation Research Center, Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences (IUMS), Tehran, Iran;3. Department of Occupational Therapy, Shahid Motahhari Specialized Burns Hospital, Iran University of Medical Sciences (IUMS), Tehran, Iran;1. Department of Burns and Plastic Surgery, Institution Shared with University Hospital Brno, Faculty of Medicine, Masaryk University, Brno, Czech Republic;2. CEITEC – Central European Institute of Technology, Brno University of Technology, Brno, Czech Republic;3. Clinical Immunology and Immunology of Infectious Diseases, Veterinary Research Institute, Brno, Czech Republic;4. Department of Microbiology, St. Anne''s University Hospital Brno and Faculty of Medicine, Masaryk University, Brno, Czech Republic;1. Department of Burns and Plastic Surgery, City Hospital Campus, Nottingham University Hospitals NHS Trust, Hucknall Road, Nottingham NG5 1PB, United Kingdom;2. The University of Nottingham Medical School, Nottingham NG7 2UH, United Kingdom;3. Postgraduate Medical Education Centre, City Hospital Campus, Nottingham University, Hospitals NHS Trust, Nottingham NG5 1PB, United Kingdom;1. Department of Plastic, Reconstructive & Aesthetic Surgery, Burn Unit, Klinikum Nuremberg Hospital, Paracelsus Medical University (PMU), Breslauer Str. 201, 90471 Nuremberg, Germany;2. ZEW – Leibniz Centre for European Economic Research, L7 1, 68161 Mannheim, Germany;3. German Society for Burn Treatment (DGV), Committee of the German Burn Registry, Luisenstrasse 58–59, 11, 10117 Berlin, Germany;1. Hacettepe University, Faculty of Nursing, Department of Fundamentals of Nursing/Graduate School of Health Sciences, Department of Simulation in Healthcare, 06100 Ankara, Turkey;2. University of Health Sciences, Ankara Child Health and Diseases Hematology Oncology Training and Research Hospital, Department of Pediatric Burn Center, 06110 Ankara, Turkey;3. Hacettepe University, Faculty of Medicine, Department of Medical Education and Informatics/Graduate School of Health Sciences, Department of Simulation in Healthcare 06100 Ankara, Turkey;4. University of Health Sciences, Ankara Child Health and Diseases Hematology Oncology Training and Research Hospital, Department of Anesthesia, 06110 Ankara, Turkey;5. Ankara Yildirim Beyazit University, Faculty of Medicine, Department of Pediatric Surgery,06110 Ankara, Turkey;1. Loyola Stritch School of Medicine, United States;2. Department of Surgery, Loyola University Medical Center, United States;3. Department of Public Health Sciences, Loyola University Chicago, United States;4. Department of Ophthalmology, Loyola University Medical Center, United States |
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| Abstract: | AimThis study aimed to investigate the effects of occupation-based intervention on psychological factors and sleep quality of subjects with hand and upper extremity burns.MethodsIn this randomized controlled intervention trial, a total of 20 patients were randomly assigned to one of the control group or intervention group. The control group only received traditional rehabilitation. However, the intervention group received traditional rehabilitation and Cognitive Orientation to daily Occupational Performance (CO-OP), respectively (during 18 sessions, 45 min/day in both groups). Occupational therapy sessions were held three times a week for a six-week duration. Occupational performance and satisfaction, anxiety, depression, and sleep quality were measured before the intervention and in weeks 2, 6, and 14 (follow-up) using Canadian Occupational Performance Measure, Beck Anxiety Inventory, Self-rating Depression Scale, and Pittsburgh Sleep Quality Index, respectively.FindingsThe results of the present study show that there were significant changes in all the studied variables in the two groups. However, these changes (P ≤ 0.05) were not statistically significant between these two groups.ConclusionThe results of this study show that occupation-based interventions are as effective as traditional therapeutic interventions on improving the anxiety, depression, and sleep quality in patients with hand burn injuries. |
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| Keywords: | Burns Psychological factors Sleep disorder Occupational therapy Occupational performance |
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