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Optimizing Burn Recovery: A Controlled Trial of an Early Mobilization Protocol to Improve Independent Functioning and
Ahmad Mirza Aghazadeh Attari1, Mojgan Lotfi, Maryam Jalili
1Author Affiliations: Department of Basic Sciences, Tabriz University of Medical Sciences, Tabriz, Iran (Dr Aghazadeh Attari); Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Medical Education Research Center, Tabriz University of Medical Science, Tabriz, Iran (Dr Lotfi); Department of Medical-Surgical Nursing, Sina Hospital, Tabriz University of Medical Sciences, Tabriz, Iran (Mrs Jalili); and Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran (Mr Hossein Rafiei, Drs Babaei, and Sheikhalipour).
Background:
Early mobilization programs are crucial in enhancing burn patients' functional and psychosocial status, leading to greater independence and quality of life. However, there are no standardized guidelines for implementing these programs in burn centers.
Objective:
This study aims to evaluate the effectiveness of an evidence-based early mobilization protocol in enhancing independent functioning and quality of life in burn patients.
Methods:
In this randomized controlled trial, burn patients admitted to a 64-bed burn unit of a large tertiary hospital in Tabriz, East Azerbaijan, Iran, were enrolled from April 2021 to February 2022. Participants were randomly allocated to either the standard care (control group; n = 62) or the early mobilization (intervention group; n = 64). The intervention protocol, derived from contemporary burn nursing literature, was implemented in addition to routine care. Outcomes were measured using the Functional Independence Measure (FIM) and the Burn Specific Health Scale-Brief (BSHS-B) at discharge and 3-month follow-up.
Results:
Of the 126 participants, 68 (53.9%) were male, 58 (46.1%) were female, and most (74%) had both partial and full-thickness burns. Baseline demographic and burn characteristics were similar between groups ( p > .05). At discharge, the intervention group had significantly higher FIM and BSHS-B mean rank compared to the control group ( p < .001). These differences remained significant at the 3-month follow-up ( p < .001).
Conclusion:
The early mobilization program shows promise as a standard adjunctive therapy in burn treatment regimens, meriting further investigation and potential widespread adoption.
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