RESUMO
INTRODUCTION: Psychosocial risk and protective factors specific to acute burn patients have been shown to impact on longer-term health outcomes. Yet the nature and impact of such factors throughout the acute hospital admission phase have not been extensively examined to date. This study analysed the psychosocial pre-admission, hospitalisation and discharge factors for a sample of burn patients at an Australian specialist acute burns unit (The Alfred) and the relationship with their admission length. METHODS: A retrospective audit was undertaken of psychosocial factors documented in patient medical records, Victorian Adult Burns Service registry data, and social work files (January-December 2014). RESULTS: Two hundred and forty-nine patients were identified, with a mean age of 42.83 years and a preponderance of men (73.9%). The majority (71%) had a low burn severity (<10%), and an average of eight psychosocial factors. Independent of the severity of the burn, two psychosocial domains were strongly predictive of length of stay - coping with treatment and discharge planning - along with pre-existing psychosocial factors and family support. CONCLUSION: A diversity of psychosocial factors was identified, highlighting the clinical complexity of this patient group. Given three domains of admission-related psychosocial factors were predictive of the length of patient stay, more targeted psychosocial interventions in these areas may ensure patients and their families are supported more effectively throughout an admission, and length of stay costs may also be reduced.
Assuntos
Lesões Encefálicas/epidemiologia , Queimaduras/terapia , Família , Transtornos Mentais/epidemiologia , Doenças do Sistema Nervoso/epidemiologia , Apoio Social , Adolescente , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Austrália , Superfície Corporal , Unidades de Queimados , Queimaduras/epidemiologia , Queimaduras/patologia , Comorbidade , Status Econômico/estatística & dados numéricos , Emigração e Imigração/estatística & dados numéricos , Emprego/estatística & dados numéricos , Feminino , Geografia , Habitação/estatística & dados numéricos , Humanos , Jurisprudência , Tempo de Internação/estatística & dados numéricos , Masculino , Competência Mental , Pessoa de Meia-Idade , Alta do Paciente/estatística & dados numéricos , Fatores de Proteção , Sistemas de Apoio Psicossocial , Características de Residência/estatística & dados numéricos , Estudos Retrospectivos , Fatores de Risco , Rede Social , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Populações Vulneráveis , Adulto JovemRESUMO
This article presents an overview of outcomes from the Mount Sinai Leadership Enhancement Program as identified by previous program participants from Melbourne, Australia. These are categorised into: (1) Personal/professional, (2) Intra-organisational, (3) Interorganisational, and (4) International outcomes. Two illustrative examples are provided of international outcomes demonstrating how the ongoing commitment of Professor Epstein has extended and embedded the principles of practice-based research in Melbourne, and how the over-riding principles of the program have been applied by participants in establishing collaborative relationships with colleagues in our neighbouring South-East Asian region.