Pikturnaite Jurga, Soldin Mark
Plastic and Reconstructive Surgery Department, St. George's Hospital, Blackshaw Road, London SW17 0QT, UK.
Burns. 2014 Aug;40(5):848-51. doi: 10.1016/j.burns.2013.10.016. Epub 2013 Nov 16.
Mortality rates from severe necrotising soft tissue infections are improving progressively, therefore more emphasis should be placed on assessing and improving the quality of life of surviving patients. We investigated the functional and psychological issues, ability to social integration and self-perception of appearance in such patients presenting to our unit over 4 years. To conduct the study, we used the Short Form-36 and the Derriford Appearance Scale-24, which were distributed to those willing to participate. Ten patients have returned fully completed questionnaires. The overall quality of life and level of distress about the changed appearance were moderate (average SF-36 score of 65.8, DAS-24 score of 38). Statistical correlations between the scores and demographics were carried out using the Spearman rank correlation test. The capability of psychosocial adjustment was shown to improve with longer follow-up time and older age. However pain, physical limitations and energy levels were considerably more relevant in the older individuals and improved slower with time compared to psychological issues. Our results act as a good indicator of the quality of life in people dealing with the aftermath of necrotising soft tissue infections, but further, more extensive studies are required to achieve comprehensive and statistically significant results.
严重坏死性软组织感染的死亡率正在逐步下降，因此应更加重视评估和改善存活患者的生活质量。我们对4年来在我院就诊的此类患者的功能和心理问题、社会融入能力以及对外貌的自我认知进行了调查。为开展这项研究，我们使用了简短健康调查问卷（Short Form-36）和德里福德外貌量表（Derriford Appearance Scale-24），并将其分发给愿意参与的患者。10名患者返还了完整填写的问卷。生活质量总体情况以及对外貌改变的苦恼程度处于中等水平（简短健康调查问卷平均得分为65.8分，德里福德外貌量表得分为38分）。使用斯皮尔曼等级相关检验对得分与人口统计学数据之间进行了统计相关性分析。结果显示，随着随访时间延长和年龄增长，心理社会适应能力有所提高。然而，与心理问题相比，疼痛、身体限制和精力水平在老年个体中更为突出，且随着时间推移改善较慢。我们的研究结果是坏死性软组织感染幸存者生活质量的良好指标，但需要进一步开展更广泛的研究以获得全面且具有统计学意义的结果。
