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使用烧伤特异性健康量表-简表作为烧伤后生活质量的衡量标准——临床医生应该期望达到多少分?

Using the Burn Specific Health Scale-brief as a measure of quality of life after a burn-what score should clinicians expect?

机构信息

Burns Service of Western Australia, Royal Perth Hospital, Australia.

出版信息

Burns. 2011 Feb;37(1):54-60. doi: 10.1016/j.burns.2010.07.010. Epub 2010 Nov 2.

DOI:10.1016/j.burns.2010.07.010
PMID:21050667
Abstract

BACKGROUND

How do clinicians determine the acceptable level of recovery of quality of life (QoL) after a burn? Many use the Burn Specific Health Scale (BSHS). The aim of this study was to examine normative values of the BSHS-Brief (BSHS-B) questionnaire in the general population.

METHODS

Two random samples of the non-burned public were taken. Each individual completed either the physical or the generic questions adapted from the BSHS-B questionnaire.

RESULTS

Of the 124 subjects who completed the physical questions, > 73% rated themselves 36/36. Group mean (SD) = 34.8 (2.9), median (IQR) = 36 (35-36), range 16-36. Advancing age was associated with reduced physical capability (p = 0.016). In contrast, 7.6% of the 105 subjects who answered the generic questions recorded a full score (84/84). Group mean (SD) = 71.3 (13.8), median (IQR) = 76 (66-80), range 10-84.

CONCLUSION

The study showed the non-burned population do not respond with full scores to all questions in the BSHS-B. The result was more notable in the non-physical questions related to the psychological and environmental factors. The data presented prompts clinicians to collect and define acceptable recovery of quality of life after a burn as measured by the BSHS-B for their local burn population.

摘要

背景

临床医生如何确定烧伤后生活质量(QoL)可接受的恢复水平?许多人使用烧伤特有的健康量表(BSHS)。本研究的目的是检验一般人群中 BSHS-简短版(BSHS-B)问卷的常模值。

方法

从非烧伤人群中抽取了两个随机样本。每个个体完成 BSHS-B 问卷改编的身体或一般问题。

结果

在完成身体问题的 124 名受试者中,>73%的人给自己打了 36/36 分。组均数(SD)=34.8(2.9),中位数(IQR)=36(35-36),范围 16-36。年龄增长与身体机能下降有关(p=0.016)。相比之下,105 名回答一般问题的受试者中,有 7.6%的人得满分(84/84)。组均数(SD)=71.3(13.8),中位数(IQR)=76(66-80),范围 10-84。

结论

研究表明,非烧伤人群不会对 BSHS-B 的所有问题都给出满分。在与心理和环境因素相关的非身体问题上,结果更为显著。所呈现的数据提示临床医生在其当地烧伤人群中使用 BSHS-B 收集和定义可接受的烧伤后生活质量恢复水平。

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