严重烧伤后长期使用医疗保健服务；与感知健康及人格特征的关系。

Use of healthcare a long time after severe burn injury; relation to perceived health and personality characteristics.

作者信息

Wikehult B, Willebrand M, Kildal M, Lannerstam K, Fugl-Meyer A R, Ekselius L, Gerdin B

机构信息

The Burn Unit, Uppsala University Hospital, Uppsala, Sweden.

出版信息

Disabil Rehabil. 2005 Aug 5;27(15):863-70. doi: 10.1080/09638280500030753.

DOI:10.1080/09638280500030753

PMID:16096238

Abstract

PURPOSE

The aim of the study was to evaluate which factors are associated with the use of healthcare a long time after severe burn injury.

METHOD

After a review process based on clinical reasoning, 69 former burn patients out of a consecutive group treated at the Uppsala Burn Unit from 1980--1995 were visited in their homes and their use of care and support was assessed in a semi-structured interview. Post-burn health was assessed with the Burn-Specific Health Scale-Brief (BSHS-B) and personality was assessed with the Swedish universities Scales of Personality (SSP).

RESULTS

The participants were injured on average eight years previously. Thirty-four had current contact with healthcare due to their burn injury and had significantly lower scores on three BSHS-B-domains: Simple Abilities, Work and Hand function, and significantly higher scores for the SSP-domain Neuroticism and the SSP-scales Stress Susceptibility, Lack of Assertiveness, and lower scores for Social Desirability. There was no relation to age, gender, time since injury, length of stay, or to the surface area burned.

CONCLUSIONS

A routine screening of personality traits as a supplement to long-term follow-ups may help in identifying the patient's need for care.

摘要

目的

本研究旨在评估严重烧伤后很长一段时间内，哪些因素与医疗保健的使用相关。

方法

基于临床推理进行回顾性研究，对1980年至1995年在乌普萨拉烧伤科连续治疗的一组患者中的69名 former burn patients 进行家访，并通过半结构化访谈评估他们对护理和支持的使用情况。使用烧伤特异性健康量表简表（BSHS-B）评估烧伤后的健康状况，使用瑞典大学人格量表（SSP）评估人格。