Van Loey N E, Faber A W, Taal L A
Dutch Burns Foundation, Reasearch Department, P.O. Box 1015, 1940 EA, Beverwijk, The Netherlands.
Burns. 2001 Mar;27(2):103-10. doi: 10.1016/s0305-4179(00)00099-1.
In a cross-sectional study of patients 12-24 months after a burn injury, the need for a multidisciplinary burn specific outpatient clinic was examined in relation to aftercare consumption, physical and psychological problems. Four hundred and twenty nine patients were assessed by means of three self-report questionnaires: IES, SCL(PTSD-SL) and BSHS-SV-S. Results indicated that the current aftercare providers are almost exclusively medical doctors and that a quarter of the patients are dissatisfied with received aftercare. However, dissatisfaction about current aftercare was not the only criterion to determine whether patients wanted burn-specific aftercare. The severity of psychological and physical problems predicted interest in a multi-disciplinary outpatient clinic. Self-reported psychological and physical problems were found to be related to one another. Univariate logistic regression outcomes suggested that patients with serious psychological and physical problems are more likely to express interest in a burn-specific outpatient clinic, but that, in a multivariate regression analysis, physical problems and psychological problems measured on the SCL(PTSD-SLEEP) do not contribute to the prediction of the interest in a burn-specific outpatient clinic anymore once symptoms of PTSD are taken care of. Results suggest that psychological aftercare for burn patients needs to be improved. Possible steps to improve aftercare to meet patients' needs are discussed.
在一项针对烧伤患者伤后12至24个月的横断面研究中，结合后期护理消耗、身体和心理问题，对设立多学科烧伤专科门诊的必要性进行了研究。通过三份自我报告问卷（IES、SCL(PTSD-SL)和BSHS-SV-S）对429名患者进行了评估。结果表明，目前的后期护理提供者几乎全是医生，并且四分之一的患者对所接受的后期护理不满意。然而，对当前后期护理的不满并非决定患者是否需要烧伤专科后期护理的唯一标准。心理和身体问题的严重程度预示了患者对多学科门诊的兴趣。研究发现，自我报告的心理和身体问题之间存在关联。单因素逻辑回归结果表明，存在严重心理和身体问题的患者更有可能对烧伤专科门诊表现出兴趣，但在多因素回归分析中，一旦考虑到创伤后应激障碍（PTSD）症状，SCL(PTSD-SLEEP)量表所测量的身体问题和心理问题对预测患者对烧伤专科门诊的兴趣不再有贡献。结果表明，烧伤患者的心理后期护理需要改进。文中讨论了改善后期护理以满足患者需求的可能措施。
