Riis A, Andersen M, Pedersen M B, Hall K W
Department of Plastic and Reconstructive Surgery, Odense University Hospital, Denmark.
Burns. 1992 Apr;18(2):121-6. doi: 10.1016/0305-4179(92)90008-i.
An investigation of the long-term psychosocial adjustment of patients with severe burn injuries is presented. In the selected 13-year period (1968-80) 46 patients fulfilled the entry criteria: burns covering more than 30 per cent body surface area (deep dermal or full skin thickness). Seventeen patients died early and one later. Of the remaining 28 patients, contact was made with 25 (89.3 per cent) who all participated. The observation time ranged between 7 and 21 years. The patients received a semi-standardized interview adjusted for age at the time of burn injury, a psychiatric interview and a physical examination to assess the permanent character and functional loss. The principal findings were: no correlation could be found between degree of disfiguration/function loss and the long-term psychosocial adaptation after severe burn injuries. The determinant factor was the premorbid psychiatric/psychological integration and, to some extent, support from staff and relatives.
本文介绍了一项对重度烧伤患者长期心理社会适应情况的调查。在选定的13年期间（1968 - 1980年），46名患者符合入选标准：烧伤面积超过体表面积的30%（深二度或全皮层厚度）。17名患者早期死亡，1名患者后期死亡。在其余28名患者中，与其中25名（89.3%）取得了联系，他们均参与了调查。观察时间为7至21年。患者接受了根据烧伤时年龄调整的半标准化访谈、精神科访谈以及体格检查，以评估永久性特征和功能丧失情况。主要研究结果如下：在重度烧伤后，毁容/功能丧失程度与长期心理社会适应之间未发现相关性。决定性因素是病前的精神/心理整合情况，以及在一定程度上工作人员和亲属的支持。
