الفهرس 
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Abstract
Second-degree burn is a type of burn affects both the epidermis and dermis. Second-degree burn is primarily caused by heat or due to radioactivity, electricity, friction or contact with chemicals. Burn is a catastrophe covering both the physical aspect of human body and the emotions of an individual and associated community (WHO, 2018).
Second-degree burn can cause severe impairment, both physically and psychologically. Second-degree burn clients developed a multitude of physical and psychosocial problems after discharge, including skin-related difficulties, pain, itching, distress, low self-esteem, anxiety, depression and posttraumatic stress disorder (PTSD). The altered physical condition due to Second-degree burn is a barrier in way of interacting with other members of the society and causes feeling of inferiority. This situation often leads to psychological problems and loss of social network, such clients need social support. Second-degree burn clients facing these problems produced many physical, psychological and social health-care needs. Second-degree burn clients need to adapt to a new situation that includes implementing self-care at home, lifestyle changes, and return to the community (Jagnoor et al, 2018).
The most difficult time for burn clients is 1-2 years post-injury. Although clients have been discharged from the hospital, they still need long-term rehabilitation therapies and follow-up in the outpatient. Health needs in this phase include: Making a follow-up plan; ROM and strength training to improve physical function; ADLs training; Scar management; Periodical assessments of functional status and adjust treatment plans; accordingly, and considering reconstructive surgery if needed (Serghiou et al., 2018).
Additionally, community health nurses help in
the community reintegration process of clients with second-degree burn, focusing on recovery of quality of life and return to participation in all life roles and skills. Coordinated rehabilitation with access to a multidisciplinary team minimises adverse effects of burn injury by preventing contracture development and the impact of scarring, and by maximising functional ability, psychological wellbeing and social integration (Serghiou et al, 2016).
Significance of the Study
In 2018, incidence of burns severe enough to require hospital outpatient presentation or an admission to hospital was 31 million people worldwide (WHO, 2018).
Egypt suffers from one of the highest numbers of burns-related deaths worldwide, with about 250,000 people suffering from severe burns every year. Of this figure, around 40% die due to their not being saved within the first six hours following the injury (Kandeel, 2019).
Aim of the study
This study was aimed to assess health needs and problems among clients with second-degree burn through:
• Assessing health needs and problems of clients with second-degree burns.
• Assessing clients’ knowledge regarding second-degree burn.
• Assessing clients’ reported practices regarding second-degree burn.
Research questions
1. What are health needs and problems of clients with a second-degree burn?
2. Is there a relation between clients’ socio-demographic data and their knowledge and practices regarding second-degree burn?
3. Is there a relation between clients’ knowledge and practices and their health needs regarding second-degree burn?
4. Is there a relation between clients’ knowledge and practices and their health problems regarding second-degree burns?
Subject and methods
Technical design
• Research design:
A descriptive design was used to conduct this study. It was used to observe, describe and document the data as it naturally occurs.
• Research Setting:
The study was conducted at the Burn and Plastic Outpatient Clinic at Suez Canal University Hospital at Ismailia Governorate, Egypt, where it is the main hospital in burn management and follow-up in Ismailia governorate. Data were collected in six months period; the researcher was available three days/week.
• Sampling:
- Type: A purposive sample was used in this study.
- Size: The sample composed of 150 clients with second- degree burn representing 5% of the total number of clients (2994) who attended to the previously mentioned setting in the last year 2019.
- The inclusion criteria of selection: clients with second-degree burn after attending to Burn & Plastic Outpatient Clinic for follow-up from the first week of burn injury up to 1 year of follow-up, adults from age 20 to 40 years.