School of Psychological Sciences, University of Manchester, United Kingdom.
J Psychosom Res. 2011 Nov;71(5):364-6. doi: 10.1016/j.jpsychores.2011.05.009. Epub 2011 Jul 12.
Some burn wounds take longer to heal than others, but this cannot be fully explained by physical factors such as burn size and depth. Research interest has therefore focussed on the potential contribution of psychological factors, such as perception of the burn and distress, to the wound healing process.
Using the framework of Leventhal's Common-Sense Model, we investigated whether patients' perceptions of their burn wounds and distress contributed to healing time, and whether this was via the mediating role of adherence to treatment recommendations.
Seventy-two adult burn-injured outpatients completed questionnaire measures of burn perceptions (Brief Illness Perception Questionnaire), distress (Hospital Anxiety and Depression Scale), trauma symptoms (Impact of Event Scale-Revised) and appearance concerns (Derriford Appearance Scale-24). Burn characteristics, healing time and adherence data were taken from clinic notes.
Distress, trauma symptoms and appearance concerns were positively correlated with negative burn perceptions. In regression analysis, burn perceptions added significantly to the prediction of burn healing time after age, medical factors and burn characteristics had been controlled for. Adherence measures were not significantly correlated with burns perceptions.
Our findings suggest that patients' perceptions of their burns contribute to healing time. Further research on the mechanisms of this association is warranted.
运用莱文索尔的常识模型框架，我们调查了患者对烧伤的感知和痛苦是否会影响愈合时间，以及这是否是通过对治疗建议的依从性的中介作用来实现的。
72 名成年烧伤门诊患者完成了烧伤感知（简要疾病感知问卷）、痛苦（医院焦虑抑郁量表）、创伤症状（修订后的事件影响量表）和外貌担忧（德里福德外貌量表-24）的问卷测量。烧伤特征、愈合时间和依从性数据取自临床记录。
痛苦、创伤症状和外貌担忧与负面的烧伤感知呈正相关。在回归分析中，在控制了年龄、医学因素和烧伤特征后，烧伤感知对烧伤愈合时间的预测有显著贡献。依从性测量与烧伤感知没有显著相关性。
我们的发现表明，患者对烧伤的感知会影响愈合时间。有必要进一步研究这种关联的机制。
