الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Severe burn injuries may affect the victim both physically and
psychologically. Liaison psychiatry could be of major help to these
patients. This study was aimed at developing a liaison psychiatric nursing
intervention for psychosocial adjustment of patients with burns. It was
conducted at the outpatient clinic of burns, at El-Demerdash Hospital
affiliated to Ain Shams University using a quasi-experimental design on
50 patients with burns. Data were collected using an interview
questionnaire form, and the coping with Burns Questionnaire. A liaison
psychiatric nursing program for psychosocial adjustment was developed,
implemented, and evaluated. The results showed that patients had low
levels of use of coping strategies before the intervention. At the post-intervention phase, all types of coping strategies demonstrated statistically
significant increases except for those of avoidance and self-control. The
level of stress also decreased after the intervention (p<0.001). Stress had
weak to strong statistically significant negative correlations with all types
of coping strategies except avoidance. Multivariate analysis revealed that
patient’s baseline score of coping, age, and burn surface area were the
statistically significant independent positive predictors of the post-intervention coping score, while being married, having associated
problems or permanent disability were negative predictors. In conclusion,
burn injuries are associated with psychosocial suffering that mandate the
use of coping. The implementation of a psychiatric nursing intervention is
successful in effecting psychosocial adjustment among these patients,
with improved coping leading to decrease stress. The study recommends
wide-scale implementation of the developed intervention, with more
training of liaison psychiatry nurses, and a multidisciplinary approach in
the management of patients with burns. Further research is suggested to
assess the effect of liaison psychiatric nurse on the long-term
psychosocial suffering of the patients with burn injuries.