Full metadata record
| DC Field | Value | Language |
|---|---|---|
| dc.contributor | Faculty of Health and Social Sciences | en_US |
| dc.contributor.advisor | Li-Tsang, Cecilia (RS) | en_US |
| dc.creator | Liao, Peng | - |
| dc.identifier.uri | https://theses.lib.polyu.edu.hk/handle/200/14202 | - |
| dc.language | English | en_US |
| dc.publisher | Hong Kong Polytechnic University | en_US |
| dc.rights | All rights reserved | en_US |
| dc.title | Effects of a tele-rehabilitation programme for children with burn injuries in China : a randomized controlled trial | en_US |
| dcterms.abstract | Introduction: The children with burn injuries usually experience difficulties such as rapid formation of scars resulting in contractures and deformity, non-adherence with rehabilitation, dependency upon caregivers, and extended recovery times—compromising their functional and psychological recovery as well as the well-being of caregivers. In addition, for the children in China, these are further exacerbated by inequalities of healthcare accessibility between the city and the countryside, the shortage of pediatric rehabilitation experts, and unstructured follow-up care after discharge from the hospital. Tele-rehabilitation presents itself as one remote intervention approach in order to overcome these barriers through ongoing, convenient, and home-facilitated support for children and their caregivers. | en_US |
| dcterms.abstract | Aims: The purpose of this research was to assess the efficacy of a tele-rehabilitation program in the enhancement of a child's quality of life and burn scar outcome, and in the mitigation of parents' stress. | en_US |
| dcterms.abstract | Methods: Forty-four children with burn injuries were randomly assigned to a tele-rehabilitation group (n = 23) or a control group (n = 21). The tele-rehabilitation group underwent a 12-week program that began with a face-to-face comprehensive assessment and treatment, followed by weekly therapist-guided online sessions providing individualized guidance on rehabilitation exercises, scar management, and problem-solving for specific rehabilitation issues. Additionally, therapists conducted bi-weekly training sessions covering structured educational modules, including scar care, stretching techniques, pressure garment application, and emotional coping strategies. Continuous remote feedback via messaging and video was provided to ensure adherence and deliver timely advice. The control group received an initial face-to-face comprehensive assessment and treatment but continued rehabilitation independently at home without ongoing professional support. Both groups underwent face-to-face scar assessments at pretest and Weeks 4, 8, and 12. Health-related quality of life and parental stress data were collected online using questionnaires. Primary outcomes included health-related quality of life (Health Outcomes Burn Questionnaire, HOBQ), scar characteristics (thickness via ultrasound; transepidermal water loss, pigmentation, hydration, and elasticity via DermaLab Combo), and parental stress (Perceived Stress Scale, PSS). Data analysis employed two-way repeated-measures analysis of variance (ANOVA). | en_US |
| dcterms.abstract | Results: Compared with the control group, the tele-rehabilitation group demonstrated improved itching and pain scores on the HOBQ at Week 12, enhanced hydration scores at Week 12, and improved elasticity scores at Weeks 8 and 12. Additionally, significant improvements in overall quality of life were observed in the tele-rehabilitation group at Weeks 4, 8, and 12 compared with pretest. Such improvements were not observed in the control group. | en_US |
| dcterms.abstract | Conclusion: The findings indicated that tele-rehabilitation effectively improved the quality of life and scar outcomes in children with burn. These benefits highlighted tele-rehabilitation as a scalable, accessible, and valuable intervention, especially suitable for children's rehabilitation in resource-limited settings where traditional services are scarce. | en_US |
| dcterms.extent | x, 202 pages : color illustrations | en_US |
| dcterms.isPartOf | PolyU Electronic Theses | en_US |
| dcterms.issued | 2025 | en_US |
| dcterms.educationalLevel | DHSc | en_US |
| dcterms.educationalLevel | All Doctorate | en_US |
| dcterms.accessRights | restricted access | en_US |
Files in This Item:
| File | Description | Size | Format | |
|---|---|---|---|---|
| 8655.pdf | For All Users (off-campus access for PolyU Staff & Students only) | 2.55 MB | Adobe PDF | View/Open |
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