基于医院的健康与运动项目对严重烧伤儿童生活质量的影响。
Effects of a hospital based Wellness and Exercise program on quality of life of children with severe burns.
机构信息
Shriners Hospitals for Children, Galveston, TX 77550, USA.
出版信息
Burns. 2013 Jun;39(4):599-609. doi: 10.1016/j.burns.2012.08.019. Epub 2012 Sep 15.
OBJECTIVE
To examine the effect of a 12-week Wellness and Exercise (W&E) program on the quality of life of pediatric burn survivors with burns of ≥40% total body surface area. We hypothesized this comprehensive regimen would improve physical and psychosocial outcomes.
METHODS
Children were recruited for participation upon their discharge from the ICU. They were not taking anabolic/cardiovascular agents. Seventeen children participated in the W&E group and 14 children in the Standard of Care (SOC) group. Quality of life was assessed with the Child Health Questionnaire (CHQ) at discharge and 3 months. Children completed the CHQ-CF 87 and caregivers completed the CHQ-PF 28.
RESULTS
The mean age of children in the W&E group was 14.07±3.5 years and mean TBSA was 58±11.8%. The mean age of children in the SOC group was 13.9±3.1 years and mean TBSA was 49±7.8%. ANOVA did not reveal statistically significant differences between the groups. Matched paired t-tests revealed that parents with children in the W&E group reported significant improvements with their children's physical functioning, role/social physical functioning, mental health, overall physical and psychosocial functioning after exercise.
CONCLUSIONS
These results are clinically relevant in that a comprehensive W&E program may be beneficial in promoting physical and psychosocial outcomes.
目的
研究为期 12 周的健康与运动（W&E）计划对烧伤面积≥40%总体表面积的儿科烧伤幸存者生活质量的影响。我们假设这种综合方案将改善身体和心理社会结果。
方法
患儿从 ICU 出院后即被招募参加。他们没有服用同化/心血管药物。17 名儿童参加了 W&E 组，14 名儿童参加了标准护理（SOC）组。生活质量在出院时和 3 个月时用儿童健康问卷（CHQ）进行评估。儿童完成 CHQ-CF 87，护理人员完成 CHQ-PF 28。
结果
W&E 组儿童的平均年龄为 14.07±3.5 岁，平均 TBSA 为 58±11.8%。SOC 组儿童的平均年龄为 13.9±3.1 岁，平均 TBSA 为 49±7.8%。方差分析未显示组间存在统计学差异。配对 t 检验显示，W&E 组儿童的父母报告说，在运动后，儿童的身体功能、角色/社会身体功能、心理健康、整体身体和心理社会功能都有显著改善。
结论
这些结果在临床上具有相关性，因为综合的 W&E 方案可能有益于促进身体和心理社会结果。
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