Park So-Young, Choi Kyung-Ae, Jang Young-chul, Oh Suk-Joon
Department of Social Work, Hangang Sacred Heart Hospital, Hallym University Medical Center, 94-200 Yongdueungpo-dong, Yongdueungpo-gu, Seoul, Republic of Korea.
Burns. 2008 Feb;34(1):24-31. doi: 10.1016/j.burns.2007.03.012. Epub 2007 Aug 14.
Many burn patients experience psychosocial problems such as personality change, post-traumatic stress disorder, family trouble, and financial burden. The purpose of this study was to identify the risk factors of these psychosocial problems that prevented burn patients from developing appropriate adjustments after burn. Six hundred eighty-six adult burn inpatients were interviewed. Most of them suffered from burns less than 10% of total body surface area. They were asked to fill in a questionnaire for this study, which was a psychosocial problem checklist of 17 items. Descriptive analysis, factor analysis, Chi-square test, and multiple logistic regression analysis were used to analyze the results. Lack of family support and living expense burden were the two significant risk factors for psychosocial problems including, burn treatment problems, rehabilitation problems, and welfare information problems on both acute and chronic burn patients. Medical expense burden was the risk factor among chronic burn patients. These findings suggested that active interventions by the burn team including mental health professionals (psychologist, psychiatrist or social worker) might reduce psychosocial problems of burn patients and encourage social rehabilitation.
许多烧伤患者会经历心理社会问题，如性格改变、创伤后应激障碍、家庭问题和经济负担。本研究的目的是确定这些心理社会问题的风险因素，这些因素阻碍了烧伤患者在烧伤后进行适当的调整。对686名成年烧伤住院患者进行了访谈。他们中的大多数烧伤面积不到全身表面积的10%。要求他们填写一份为本研究设计的问卷，这是一份包含17个项目的心理社会问题清单。采用描述性分析、因子分析、卡方检验和多元逻辑回归分析来分析结果。缺乏家庭支持和生活费用负担是心理社会问题的两个重要风险因素，包括急性和慢性烧伤患者的烧伤治疗问题、康复问题和福利信息问题。医疗费用负担是慢性烧伤患者的风险因素。这些发现表明，烧伤治疗团队（包括心理健康专业人员，如心理学家、精神科医生或社会工作者）的积极干预可能会减少烧伤患者的心理社会问题，并促进社会康复。
