Dyster-Aas Johan, Kildal Morten, Willebrand Mimmie, Gerdin Bengt, Ekselius Lisa
Department of Neuroscience, Psychiatry, Uppsala University Hospital, SE-75185 Uppsala, Sweden.
Burns. 2004 Dec;30(8):839-42. doi: 10.1016/j.burns.2004.05.010.
Work status is a valid indicator of post burn health. There is limited information on this issue after work-related burn injury.
To investigate long-term health- and work status after work-related burns.
Eighty-six former patients treated for severe work-related burn injuries an average of 9.0 years previous to follow-up were questioned about their present work status. They were also assessed with the Burn Specific Health Scale-Brief (BSHS-B) and a pain scale adopted from the abbreviated Burn Specific Health Scale.
At follow-up 71 (83%) of the former patients were working, nine (10%) were on sick leave or had a disability pension, and six (7%) were unemployed. Those who were not working reported a poorer outcome in three of the BSHS-B psychosocial domains (Body Image, Affect and Interpersonal Relationships) and in two of the BSHS-B physical domains (Treatment Regimens and Work). They also reported significantly more pain.
Only a small group of former patients with work-related accidents were not working in the sample studied after a long follow-up period. The unemployed reported more pain and worse perceived health, particularly in psychosocial domains.
工作状态是烧伤后健康状况的有效指标。关于工作相关烧伤后的这一问题,信息有限。
调查工作相关烧伤后的长期健康和工作状况。
对平均在随访前9.0年因严重工作相关烧伤接受治疗的86名 former patients 询问其目前的工作状况。他们还使用烧伤特异性健康量表简版(BSHS-B)和从简化的烧伤特异性健康量表采用的疼痛量表进行评估。
在随访时,71名(83%)former patients 正在工作,9名(10%)休病假或领取残疾抚恤金,6名(7%)失业。未工作的人在BSHS-B心理社会领域的三个方面(身体形象、情感和人际关系)以及BSHS-B身体领域的两个方面(治疗方案和工作)报告结果较差。他们还报告疼痛明显更多。
在长时间随访期后,所研究样本中只有一小部分工作相关事故的former patients 没有工作。失业者报告疼痛更多,自我感觉健康状况更差,尤其是在心理社会领域。