To investigate the status quo of post-injury functional exercise in burn patients and the factors influencing the functional exercise of burn patients after discharge.

Sixty patients with burn scar plastic surgery who were admitted to the Department of Burns and Plastic Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine from December 2017 to June 2018 were divided into functional exercise group (n=28) and non-functional exercise group (n=32) according to the functional exercise before admission by the convenience sampling method. A self-made questionnaire was used to investigate the status quo of functional exercise in patients, and basic data such as age, residence, payment method, education level, occupation and monthly family income were collected. Social support rating scale (SSRS), including subjective support, objective support and utilization degree of social support, was used to score patients. Data were compared using t test, chi-square test, and Logistic regression analysis.

A total of 60 questionnaires were distributed and 60 valid questionnaires were returned, with a recovery rate of 100%. Among the 28 patients in the functional exercise group, only 8 patients (28.6%) who insisted on exercising more than 6 times per day before admission. The methods of patients functional exercise were active activities and passive activities. The functional exercise information mainly came from medical care, television or internet, friends and relatives and others. In the functional exercise group, patients with social objective support, subjective support, utilization degree of social support, and SSRS total scores were (11.6±4.0), (25.3±6.2), (7.9±2.1), and (46.5±10.0) points, respectively, those in the non-functional oxercise group were (9.6±2.3), (22.1±4.5), (22.1±4.5), and (39.2±10.8) points, the differences were statistically significant (t=2.48, 3.29, 4.17, 3.32; with P values below 0.05). Comparing the age, education level, place of residence, payment method, occupation and monthly family income of the two groups, the results showed that the patient′s age, education level, occupation and monthly family income had certain effects on their functional exercise (χ²=0.032, 2.672, 0.342, 0.893; P=0.021, 0.017, 0.031, 0.004), and it has nothing to do with the place of residence and payment method (χ²=1.973, 0.931; P=1.377, 4.091). Logistic regression analysis was conducted on the factors influencing patients′ functional exercise, and the results showed that education level, occupation and monthly family income had certain influences on patients′ functional exercise (with P values below 0.05), while age, place of residence and payment method had no influence on patients′ functional exercise (with P values above 0.05).

Medical workers should conduct individualized education for patients of different ages, different cultural levels and different income levels, so that patients can better perform post-burn functional exercise.