• Lin Li, Xiao-Lei Wu, and Le Xu.
• Department of Burns, Fujian Medical University Union Hospital, Fuzhou, Fujian Province, China.
• Burns. 2018 Dec 1; 44 (8): 2064-2073.

ObjectiveThis study aimed to evaluate self-perceived participation and autonomy in patients with burns in Fujian, China, and to identify key factors influencing these parameters.MethodsWe investigated 212 patients admitted to the burns unit 1 and 3months after discharge using the Impact on Participation and Autonomy (IPA), Acceptance of Disability Scale-Revised, Herth Hope Index, Modified Barthel Index Rating Scale, Visual Analogue Scale, and a self-designed demographic data and disease condition questionnaires. Influencing factors were identified using multivariable linear regression.ResultsThe general IPA questionnaire scores were 2.13±0.74 and 2.03±0.72 at 1 and 3months post-discharge, respectively. Acceptance of disability, hope, and social participation were significantly correlated (P<0.01). Financial situation, pain level, activities of daily living, acceptance of disability, and hope were major factors affecting self-perceived participation and autonomy 3months post-discharge, accounting for a variance of 77.5%.ConclusionMedium-to-low levels of self-perceived participation and autonomy were observed 1 and 3months post-discharge. Clinicians should adopt specific measures to help patients (including those from poor economic backgrounds) successfully reintegrate into their families/societies. These include alleviating their pain, encouraging participation in daily activities while accepting their disabilities, and offering hope.Copyright © 2018 The Author(s). Published by Elsevier Ltd.. All rights reserved.

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