长期的结果,儿童幸存大规模烧伤的结果
R L Sheridan1, M I Hinson, M H Liang
1Shriners Burns Hospital for Children, Department of Surgery, Harvard Medical School, Boston, Mass, USA.
JAMA
|January 13, 2000
概括
大多数幸存严重烧伤的儿童报告生活质量良好,尽管有些人经历了持久的身体残疾. 综合的儿科烧伤护理和多学科后期护理对于康复至关重要.
科学领域:
- 儿科烧伤护理 儿科烧伤护理
- 生活质量研究 研究 生命质量研究
- 长期健康结果
背景情况:
- 儿科烧伤治疗的进步提高了大规模烧伤伤的生存率.
- 严重烧伤的儿童的长期生活质量仍然是一个需要进一步研究的领域.
研究的目的:
- 为了评估长期的儿童患者的生命质量,这些儿童患者经历了严重的烧伤.
- 确定影响该人口生活质量的因素.
主要方法:
- 在1969年至1992年期间对80名患有大规模烧伤 (>70%TBSA) 的儿科患者进行了回顾性,横截面研究.
- 使用简单表格36 (SF-36) 问卷评估生活质量,比较得分与国家标准.
- 临床变量分析,家庭功能,早期重返社会,以及多学科临床后续对结果的影响.
主要成果:
- 总体SF-36得分与一般人群相似,表明大多数幸存者的生活质量普遍令人满意.
- 一部分患者 (15-20%) 在功能和角色领域表现出显著的身体限制.
- 改善生活质量的积极预测因素包括强大的家庭功能,早期重新融入燃烧前活动,以及一致的多学科临床随访.
结论:
- 虽然一些儿童在严重烧伤后经历了持续的身体残疾,但大多数儿童获得了令人满意的生活质量.
- 综合的儿科烧伤护理,强调经验丰富的多学科后期护理,对于优化长期康复和福祉至关重要.
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