探索同行支持对烧伤幸存者恢复的影响:烧伤模型系统研究
Dania Johnson1, Kara McMullen2, Elizabeth Flores1
1Keck School of Medicine, University of Southern California, Los Angeles, CA, United States.
概括
同行支持有助于燃烧恢复,但未得到充分利用. 调整后的分析显示,同行支持用户和非用户之间的患者结果没有显著差异,这表明需要更广泛的访问.
科学领域:
- 康复医学 康复医学 康复医学
- 心理社会健康 心理健康
- 烧伤伤害恢复恢复 烧伤伤害恢复
背景情况:
- 对烧伤幸存者来说,同行支持至关重要,增强性和应对能力.
- 它对患者报告的功能和心理社会结果的具体影响需要进一步探索.
- 了解参与趋势和人口统计模式对于优化支持至关重要.
研究的目的:
- 调查成年烧伤幸存者的同行支持参与趋势和人口统计模式.
- 评估同行支持对心理社会和功能结果的影响.
- 识别影响燃烧恢复中的同行支持利用的因素.
主要方法:
- 对多中心纵向患者报告结果数据库 (2013-2024) 的分析.
- 将成年烧伤幸存者 (>18岁) 纳入出院时和受伤后6,12,24个月收集的数据.
- 评估同行支持参与和12个月患者报告的结果 (PROMIS领域,CIQ,SWL),使用调整后的线性回归模型.
主要成果:
- 17%在6个月时参与同行支持,在12个月和24个月时也有类似的比例.
- 同行支持用户的烧伤较大,住院时间较长,但调整后的心理社会或功能结果没有显著差异.
- 在较小烧伤和较低教育水平的患者中,同行支持未得到充分利用.
结论:
- 目前,对烧伤恢复的同行支持参与度较低,分布不均.
- 尽管最初的趋势,调整后的分析并没有显示同行支持用户的显著结果效益.
- 扩大接入和将同行支持纳入常规护理可能会改善烧伤康复结果.
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