Current status of acceptance of disability and hope level in burn patients and the correlation

Abstract

Objective: To investigate current status of acceptance of disability and hope level in burn patients and the correlation. Methods: Totally 216 hospitalized burn patients conforming to the study criteria were admitted to Department of Burns of Fujian Medical University Union Hospital from September 2016 to May 2017. Self-made General Information Questionnaire, Acceptance of Disability Scale-Revised and Herth Hope Index score were adopted to investigate condition of acceptance of disability and hope level of burn patients with different general information and to record the score, score of acceptance of disability and the dimensions, score of hope level and the dimensions of 216 patients. Correlation between scores of acceptance of disability and hope level and their dimensions was analyzed. Data were processed with t test, one-way analysis of variance, and Pearson correlation analysis. Results: (1) Scores of acceptance of disability and hope level of patients with different age, gender, and relationship status were close (t=-1.299, -0.249, -1.142, -0.315, F=1.168, 2.362, P>0.05). There were statistically significant differences in score of acceptance of disability and hope level of patients with different burn sequela, inhalation injury, education level, population category, home address, burn degree, and burn depth (t=9.581, 7.854, -8.385, -7.972, F=2.989, 2.958, 7.759, 4.928, 8.099, 8.489, 44.942, 32.071, 8.221, 5.570, P<0.05 or P<0.01). (2) Score of acceptance of disability of patients was (70.4±19.0) points, which was in medium level. Among 4 dimensions of acceptance of disability of patients, dimension of expansion of values scope had the highest score [(22.1±6.0) points], and it was followed by dimension of transformation from comparison value to fixed value [(20.1±5.9) points] and dimension of tolerance for disability's influence [(18.9±6.3) points], and dimension of subordination to body shape had the lowest score [(9.3±2.8) points]. (3) Score of hope level of patients was (31.2±7.8) points, which was in medium level. Among 3 dimensions of hope level, dimension of keeping close relationship with other people had the highest score [(10.8±2.6) points], and it was followed by dimension of taking positive action [(10.6±2.5) points], and dimension of positive attitude to reality and future had the lowest score [(9.9±3.1) points]. (4) There were significantly positive correlations between scores of acceptance of disability and its dimensions and hope level and its dimensions of patients (with r values from 0.522 to 0.884, P<0.01). Conclusions: Burn patients with different general information have different scores of acceptance of disability and hope level. Acceptance of disability and hope level of patients with burns need to be improved, and there is significantly positive correlation between acceptance of disability and hope level.