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Coping Strategies Adopted by Patients Sustaining Major Burns


Article Information

Title: Coping Strategies Adopted by Patients Sustaining Major Burns

Authors: Muhammad Wajih Uddin Butt, Shahid Hameed, Manya Tahir, Muhammad Ali Nasir, Farman Mehmood, Khurshid Alam

Journal: Pakistan Armed Forces Medical Journal (PAFMJ)

HEC Recognition History
Category From To
Y 2024-10-01 2025-12-31
Y 2023-07-01 2024-09-30
Y 2021-07-01 2022-06-30
Y 2020-07-01 2021-06-30
Y 1900-01-01 2005-06-30

Publisher: Army Medical College, Rawalpindi.

Country: Pakistan

Year: 2023

Volume: 73

Issue: 6

Language: English

Keywords: StrategiesBurnscopingDeep dermal burnsExploratory study

Categories

Abstract

Objective: To explore the various coping strategies used by patients sustaining major burns.
Study Design: Qualitative, exploratory study.
Place and Duration of Study: Department of Plastic and Reconstructive Surgery, Combined Military Hospital, RawalpindiPakistan, from Jan to Jun 2021.
Methodology: A total of 15 patients were selected who had been admitted to CMH Rawalpindi after sustaining 20-45% total body surface area deep dermal or full thickness burns requiring operative intervention. Semi-structured interviews comprising eleven questions were conducted, and the strategies which these patients used to cope with different psychological issues post-major burns were identified. Subthemes and themes were identified, and the data was analyzed by manual thematic analysis.
Results: Eight coping strategies were identified: help from religion, support from family and friends, use of recreational activities, getting out of the house, doing exercise, getting back into a routine, the role of doctors and the use of the internet.
Conclusion: Solace from religion and support from family and friends were the most widely used coping strategies in our setup. Getting back to routine helped them feel normal. Relaxation techniques and exercise were helpful but infrequently used. Social media and the internet were used as a diversion and recreational tool. None of our patients went for psychological counselling or group therapy sessions or used anxiolytics or antidepressants, which are an important part of treatment in the West.


Research Objective

To explore the various coping strategies used by patients sustaining major burns.


Methodology

Qualitative, exploratory study involving semi-structured interviews with 15 patients admitted to CMH Rawalpindi with 20-45% total body surface area deep dermal or full thickness burns requiring operative intervention. Data was analyzed by manual thematic analysis.

Methodology Flowchart
                        graph TD
A[Patient Selection 20-45% TBSA Burns] --> B[Informed Consent];
B --> C[Semi-structured Interviews];
C --> D[Data Transcription];
D --> E[Data Coding Sub-codes, Axial codes];
E --> F[Thematic Analysis];
F --> G[Identification of Themes];
G --> H[Results and Conclusion];                    

Discussion

Patients in Pakistan rely heavily on religion and family support, unlike Western patients who often depend on social support systems, psychological counseling, and rehabilitation services. The study highlights the importance of cultural context in coping mechanisms.


Key Findings

Eight coping strategies were identified: help from religion, support from family and friends, use of recreational activities, getting out of the house, doing exercise, getting back into a routine, the role of doctors, and the use of the internet. Solace from religion and support from family and friends were the most widely used.


Conclusion

Coping strategies adopted by patients in Pakistan differ from those in the West, with a greater emphasis on religion and family support. The study suggests the need for culturally sensitive approaches to psychological support and rehabilitation for burn survivors.


Fact Check

1. The study was conducted from January to June 2021: Confirmed by the Methodology section.
2. Fifteen patients were interviewed: Confirmed by the Results section.
3. Patients were interviewed 3-6 months after discharge: Confirmed by the Methodology section.


Mind Map

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