Elliott Timothy R, Berry Jack W, Nguyen Huynh Mai, Williamson Meredith Lc, Kalpinski Ryan J, Underhill Andrea T, Fine Philip R
Texas A&M University, USA
Samford University, USA.
J Health Psychol. 2016 Oct;21(10):2398-408. doi: 10.1177/1359105315577686. Epub 2015 Apr 13.
We examined the prospective impact of injury severity, functional impairment, and pain on participation in the community and subsequently on life satisfaction and self-rated health of 260 burn survivors 5 years post-discharge. Predictor variables include injury severity and total body surface area burned (assessed during acute care), functional independence (assessed at 12 months post-discharge), pain (assessed at the 24th month), and participation (assessed at the 48th month). Participation predicted life satisfaction and self-rated health. Functional independence and injury severity had significant indirect influences on adjustment via their influence on participation. Pain predicted both outcome variables. Clinical and research implications are discussed.
我们研究了损伤严重程度、功能障碍和疼痛对260名烧伤幸存者出院5年后社区参与度的预期影响，以及随后对生活满意度和自评健康状况的影响。预测变量包括损伤严重程度和烧伤总面积（在急性护理期间评估）、功能独立性（出院后12个月评估）、疼痛（第24个月评估）和参与度（第48个月评估）。参与度可预测生活满意度和自评健康状况。功能独立性和损伤严重程度通过对参与度的影响，对适应情况有显著的间接影响。疼痛可预测这两个结果变量。文中讨论了临床和研究意义。
