Druery Martha, Brown Tim La H, Muller Michael
The Burns Unit, Royal Brisbane Hospital, Brisbane, Qld, Australia.
Burns. 2005 Sep;31(6):692-5. doi: 10.1016/j.burns.2005.03.001.
This study was designed to examine functional and psychological outcome of severely burned patients adults. Adult patients (n=38) admitted to the Royal Brisbane hospital with burns >40% TBSA were assessed two years post injury using the Abbreviated BSHS and a supplemental questionnaire relating to specific physiotherapy and occupational health issues. An average return to driving occurred at 36 weeks and return to work at 51 weeks. Involvement of the hands and face significantly altered the physical domain of the questionnaire and the sub-domain examining role. Genital burns altered the sexual sub-domain, but this was not gender dependant. Mobility and self care were significantly altered when a burn was >20% TBSA full thickness. The study demonstrates that these patients can develop functional independence and good quality of life. The long term outlook for patients with large burns is generally positive. Consequently, burn care professionals can be reassured that the effort is worthwhile.
本研究旨在调查成年重度烧伤患者的功能和心理结局。入住皇家布里斯班医院、烧伤面积超过40%体表面积（TBSA）的成年患者（n = 38）在受伤两年后，使用简化烧伤特殊健康量表（BSHS）以及一份与特定物理治疗和职业健康问题相关的补充问卷进行评估。平均在36周时恢复驾驶，51周时恢复工作。手部和面部烧伤显著改变了问卷的身体领域以及检查角色的子领域。生殖器烧伤改变了性方面的子领域，但这与性别无关。当全层烧伤面积>20% TBSA时，活动能力和自我护理能力会显著改变。该研究表明，这些患者能够实现功能独立并拥有良好的生活质量。大面积烧伤患者的长期前景总体呈积极态势。因此，烧伤护理专业人员可以放心，付出的努力是值得的。
