Assessment of Care Givers' Knowledge, Attitude & Practices Regarding Burden of Care in Management of Patients With Severe Burn Injury

Main Article Content

Sahar Andleeb
Andleeb Shahid
Sabah Bibi
Fatima Abdul Razaq
Samina Farooqi
Asifa Shahzadi

Abstract

Background: Family caregivers assume substantial responsibility for wound care, positioning, rehabilitation, nutrition, emotional support, and follow-up after severe burn injury, but deficiencies in knowledge and high caregiving burden may compromise both caregiver and patient well-being. Objective: To assess caregivers’ knowledge, attitudes, practices, and burden while managing patients with severe burn injuries. Methods: A descriptive cross-sectional survey included 83 caregivers attending two burn-care hospitals in Lahore. Item-level frequencies and percentages were analysed for caregiver characteristics and knowledge, attitude, practice, and burden responses. Results: Women constituted 59.0% of participants, 65.1% had primary or secondary education, and 86.7% identified themselves as primary caregivers. Correct knowledge responses ranged from 0.0% to 13.3%; no participant correctly identified the nutrition or persistent systemic-complication items. Agreement was high for asking health professionals questions (91.6%) and discussing concerns (78.3%) but low for reporting symptoms (12.0%) and seeking a second opinion (8.4%). Most endorsed positioning, wound care, exercise, diet, and treatment contact, whereas scar massage and emotional support were less frequent. Often or always feeling unable to live according to personal wishes was reported by 91.6%, and 89.2% reported work–caregiving stress. Conclusion: Caregivers demonstrated marked item-level knowledge deficits alongside uneven attitudes and practices and substantial burden. Structured competency-based education and psychosocial support are warranted

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How to Cite

[1]
Sahar Andleeb et al. 2026. Assessment of Care Givers’ Knowledge, Attitude & Practices Regarding Burden of Care in Management of Patients With Severe Burn Injury. Journal of Health, Wellness and Community Research. 4, 3 (Feb. 2026), 1–7. DOI:https://doi.org/10.61919/cx9m6t23.

References

1. Jeschke MG, van Baar ME, Choudhry MA, Chung KK, Gibran NS, Logsetty S. Burn injury. Nat Rev Dis Primers. 2020;6(1):11. doi:10.1038/s41572-020-0145-5.

2. Wang H, Yang J, Xia M, Zhu L, Liao M. Family members’ knowledge, attitudes, practices, and caregiver burden in managing the health of patients with severe burn injuries. Front Public Health. 2025;13:1450356. doi:10.3389/fpubh.2025.1450356.

3. Sadeghi A, Barkhordar A, Tapak L, Amini R. Impact of family caregiver training on care of burn patients. Home Healthc Now. 2022;40(5):270-277. doi:10.1097/NHH.0000000000001130.

4. Seyyah M, Reyhanioğlu DA, Kardaş ASY. Investigating the relationship between caregiver burden and quality of life among primary caregivers of burn survivors receiving inpatient treatment. Burns. 2025:107551.

5. Gete BC, Mitiku TD, Wudineh BA, Endeshaw AS. Knowledge, attitude, and practice towards burn first aid and its associated factors among caregivers attending burn units in Addis Ababa, Ethiopia: a cross-sectional study. Ann Med Surg. 2022;81:104402. doi:10.1016/j.amsu.2022.104402.

6. Ibaid AHA, Hebron CA, Qaysse HA, Coyne MJ, Potokar TS, Shalltoot FA, Shalabi MA. Epidemiology, aetiology and knowledge, attitudes, and practices relating to burn injuries in Palestine: a community-level research. Int Wound J. 2022;19(5):1210-1220. doi:10.1111/iwj.13716.

7. Cleland H, Sriubaite E, Gabbe B, Edye M, Cameron P, Colgrave S, Wasiak J. The costs and disability burden associated with hospitalization of patients with severe burns in Australia. Burns. 2022;48(8):1831-1839. doi:10.1016/j.burns.2022.04.017.

8. Smolle C, Cambiaso-Daniel J, Huss F, Kamolz LP, Hoeksema H. Mental health in burn survivors: a multicenter study from Switzerland. Intern Emerg Med. 2025;20(3):411-421. doi:10.1007/s11739-025-03887-6.

9. Setia MS. Methodology series module 3: cross-sectional studies. Indian J Dermatol. 2016;61(3):261-264.

10. Banerjee A, Chaudhury S. Statistics without tears: populations and samples. Ind Psychiatry J. 2010;19(1):60-65.

11. Polit DF, Beck CT. Nursing Research: Generating and Assessing Evidence for Nursing Practice. 11th ed. Philadelphia: Wolters Kluwer; 2021.

12. Saeed S, Rasool Malik MG, Khan MH, Malik SR, Aziz B. Care for the caregiver: caregiver burden of children with chronic medical conditions at a tertiary care hospital in Karachi, Pakistan—a mixed-methods study. BMJ Open. 2024;14(5):e083088. doi:10.1136/bmjopen-2023-083088.

13. Jagnoor J, Saran A, Goel S, Maharana SP, Ivers RQ. Rehabilitation and recovery following burns: experiences of patients, caregivers, and healthcare providers in India. BMC Public Health. 2023;23(1):1692. doi:10.1186/s12889-023-16811-6.

14. Kasagga B, Baluku JB, Bongomin F, Kasozi D, Muwanguzi E, Namazzi M, et al. Exploring burn first aid knowledge and water-lavage practice in Uganda. 2025.

15. Althobaiti MF, Badr SA, Hibili NH, Alqahtani TA, Yousef LM, Saleh RE, et al. Assessment of knowledge, attitude and practice for proper first-aid performance in burns in the Makkah region, Saudi Arabia. J Adv Trends Med Res. 2025;2(3):614-619. doi:10.4103/atmr.atmr_121_25.

16. Karahan S, Tunçbilek Z. Caregiver burden and quality of life of patient and caregiver in burns. Hacettepe Univ Fac Nurs J. 2023;10(2):164-170. doi:10.31125/hunhemsire.1333844.

17. Alharbi R, Almutairi A, Alotaibi F. Caregiver burden and psychological distress among family members of burn patients: a cross-sectional study. J Burn Care Res. 2021;42(5):789-796. doi:10.1093/jbcr/iraa123.

18. Ligita T, Wicking K, Francis K, Harvey N, Nurjannah I. How people living with diabetes in Indonesia learn about their disease: a grounded theory study. PLoS One. 2019;14(2):e0212019. doi:10.1371/journal.pone.0212019.

19. Smith J, Patel K, Rodriguez L. Psychosocial and financial burden among caregivers of burn survivors: a multicenter study. Burns. 2024;50(3):512-520. doi:10.1016/j.burns.2023.11.004.