经过第二度或第三度严重烧伤后的长期与健康相关的生活质量,用皮肤移植治疗
Noora-Ilona Lahdenperä1, Andrew Lindford2, Hannu Kautiainen3
1Department of Basic Health Care, Western Uusimaa Wellbeing Services County, Nummela Health Centre, Nummenselkä 2, Nummela 03100, Finland.
概括
与健康相关的生活质量 (HRQoL) 和痕结果在深度烧伤中随着烧伤大小而恶化. 小烧伤 (<10% TBSA) 的影响很小,中度到大烧伤显著影响HRQoL.
科学领域:
- 烧伤伤害研究研究
- 生活质量评估生活质量的评估.
- 伤管理 伤管理
背景情况:
- 烧伤严重影响患者的生活质量,使与健康相关的生活质量 (HRQoL) 成为关键的治疗结果.
- 人们对利用HRQoL仪器来评估烧伤恢复的兴趣越来越大.
- 评估烧伤大小与患者报告结果之间的相关性对于有效的烧伤护理至关重要.
研究的目的:
- 为了研究与健康相关的生活质量 (HRQoL) 和总体表面积 (TBSA) 燃烧的百分比之间的相关性.
- 为了检查SCAR-Q得分和TBSA百分比在需要皮肤移植的深度烧伤患者之间的关系.
- 评估烧伤大小对痕感知和整体幸福感的影响.
主要方法:
- 包括在赫尔辛基烧伤中心 (2006-2017) 接受深度二度或三度烧伤皮肤移植的成年烧伤患者.
- 参与者完成了15D工具,用于一般HRQoL评估.
- 用SCAR-Q测量用于患者报告的痕结局.
主要成果:
- 参与者被分为小 (<10%的TBSA),中度 (10-20%的TBSA) 和大 (>20%的TBSA) 烧伤组.
- 小烧伤与参考人群相比,总HRQoL没有显著差异,尽管抑郁和痛苦领域受到影响.
- 与参考人群相比,在多个领域中,中度和大烧伤的HRQoL明显较差.
- SCAR-Q评分表明,较大的烧伤导致痕结果较差.
结论:
- 烧伤大小 (TBSA%) 与深度烧伤中的HRQoL和SCAR-Q分数之间存在负相关性.
- 虽然小深度烧伤对整体HRQoL的影响很小,但中度和大深度烧伤导致生活质量受损.
- 烧伤大小是影响烧伤幸存者的长期结果和患者报告的痕评估的一个重要因素.
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