Niţescu C, Calotă D R, Stăncioiu T A, Marinescu S A, Florescu I P, Lascăr I
Clinical Emergency Hospital for Plastic, Reconstructive and Burns Surgery, Bucharest, Romania.
Rom J Morphol Embryol. 2012;53(3):577-83.
With the remarkable progress in the field of burns treatment, the outcome of extensive burns improved significantly. The increased likelihood of survival of a burn victim heightens concerns for potential psychological morbidity for the survivors. Hypertrophic scarring is devastating and can result in disfigurement that affects quality of life. To assess the impact of burn scars on the quality of life of the survivors, we used two scales: the WHOQOL-BREF questionnaire to evaluate the quality of life and the POSAS scale for the subjective evaluation of the post-burn scars in 26 patients who suffered extensive burns and received allotransplant. A significant correlation was observed between the WHOQOL-BREF score and POSAS scale (r=-0.93, p<0.001). In conclusion, burn scar visibility and severity did have a strong relationship with the quality of life in the survivors of a major burn who received allotransplant. Therefore, more effort must be placed into developing psychosocial interventions that help survivors to accept scars, reduce depression and build a strong supportive system.
随着烧伤治疗领域的显著进展，大面积烧伤的治疗结果有了显著改善。烧伤患者存活可能性的增加，也加剧了人们对幸存者潜在心理疾病的担忧。增生性瘢痕具有破坏性，会导致毁容，进而影响生活质量。为了评估烧伤瘢痕对幸存者生活质量的影响，我们使用了两个量表：世界卫生组织生活质量简表（WHOQOL-BREF）来评估生活质量，以及患者和观察者瘢痕评估量表（POSAS）对26例遭受大面积烧伤并接受同种异体移植的患者的烧伤后瘢痕进行主观评估。WHOQOL-BREF评分与POSAS量表之间存在显著相关性（r=-0.93，p<0.001）。总之，烧伤瘢痕的可见度和严重程度与接受同种异体移植的重度烧伤幸存者的生活质量密切相关。因此，必须加大力度开展心理社会干预措施，帮助幸存者接受瘢痕、减轻抑郁并建立强大的支持系统。
