Department of Plastic Surgery, Helsinki University Central Hospital, Helsinki Finland, P.O. Box 266, 00029 HUS, Finland.
Burns. 2013 May;39(3):451-7. doi: 10.1016/j.burns.2012.07.024. Epub 2013 Jan 10.
Health-related quality of life (HRQoL) has gained increasing interest as an important indicator of adaptation after a burn injury. Our objective was to compare HRQoL of medium severity hospitalized burn victims with no need for intensive care treatment with that of the general population.
The 15D HRQoL questionnaire at discharge, and 6, 12 and 24 months thereafter.
44 patients filled in the baseline questionnaire between June 2007 and December 2009. At discharge the mean (SD) HRQoL score (on a scale of 0-1) of the patients was worse in comparison with that of the general population (0.839 (0.125) vs. 0.936 (0.071)), p<0.001. The most striking differences (p<0.001) were seen on the dimensions of sleeping, usual activities, discomfort and symptoms, and sexual activity. At the 2-year follow-up the mean HRQoL score had increased from 0.835 (0.121) to 0.856 (0.149), but the difference was not statistically significant. Of the dimensions, moving and usual activities improved statistically significantly.
HRQoL of patients hospitalized for treatment of burns is, at discharge, compromised compared with that of the general population. During follow-up HRQoL showed slight improvement but remained at a clearly lower level.
健康相关生活质量(HRQoL)作为烧伤后适应的一个重要指标,其重要性日益增加。我们的目的是比较中重度烧伤住院患者与普通人群的 HRQoL。
在出院时、之后的 6、12 和 24 个月使用 15D HRQoL 问卷进行评估。
2007 年 6 月至 2009 年 12 月期间,44 名患者填写了基线问卷。出院时,患者的 HRQoL 评分(0-1 分)均值(SD)明显差于普通人群(0.839(0.125)比 0.936(0.071),p<0.001)。差异最显著的维度(p<0.001)是睡眠、日常活动、不适和症状以及性行为。在 2 年随访时,HRQoL 评分均值从 0.835(0.121)增加到 0.856(0.149),但无统计学差异。移动和日常活动维度有统计学意义的改善。
与普通人群相比,住院治疗烧伤的患者在出院时的 HRQoL 受损。随访期间 HRQoL 略有改善,但仍明显较低。