Department of Psychology, University of Texas Medical Branch/Shriners Hospitals for Children, Galveston, TX.
Department of Surgery, University of Texas Medical Branch/Shriners Hospitals for Children, Galveston, TX.
Arch Phys Med Rehabil. 2020 Jan;101(1S):S26-S35. doi: 10.1016/j.apmr.2017.10.023. Epub 2017 Nov 26.
To compare the effects of long-term psychosocial functioning and mental health of a "day hospital"-based exercise program (DAYEX) versus a community-based exercise program (COMBEX).
A prospective design that consisted of 2 groups (DAYEX and COMBEX).
A children's hospital specialized in burn care.
Patients (N=18; DAYEX [n=9], COMBEX [n=9]) were assessed at intensive care unit discharge and up to 1 year postburn.
The Child Health Questionnaires (CHQ-Child Form [CHQ-CF87] and CHQ-Parent Form [CHQ-PF28]) were used to assess changes in quality of life from discharge to 1 year postburn.
CHQ-PF28 and CHQ-CF87.
Demographic characteristics and total body surface area burned were similar in both groups. Length of hospital stay was significant in the COMBEX group. CHQ-CF87 and CHQ-PF28 documented significant improvements in both groups between discharge and 1 year. Significance was evident in Physical Functioning, Bodily Pain, Self-Esteem, Change in Health, and Family Activities. CHQ-CF87 showed improvement in Family Cohesion in COMBEX more than DAYEX. CHQ-PF28 showed improvement in Role/Social Limitations-Emotional, Bodily Pain, and Family Activities in COMBEX more than DAYEX.
The proposed COMBEX program is feasible and beneficial physically, psychosocially, and mentally. The results show some improvements in the COMBEX group in optimizing function and health in severely burned children. The COMBEX group performed at least as well as the DAYEX group. Larger-scale studies are needed to validate current findings.
比较基于日间医院的运动项目（DAYEX）与基于社区的运动项目（COMBEX）对长期心理社会功能和心理健康的影响。
前瞻性设计，包括 2 个组（DAYEX 和 COMBEX）。
一家专门从事烧伤护理的儿童医院。
患者（N=18；DAYEX[n=9]，COMBEX[n=9]）在重症监护病房出院时和烧伤后 1 年进行评估。
使用儿童健康问卷（CHQ-儿童问卷[CHQ-CF87]和 CHQ-家长问卷[CHQ-PF28]）评估从出院到烧伤后 1 年生活质量的变化。
CHQ-PF28 和 CHQ-CF87。
两组患者的人口统计学特征和总体表面积烧伤相似。COMBEX 组的住院时间较长。CHQ-CF87 和 CHQ-PF28 在两组出院后 1 年之间均记录到显著改善。身体功能、身体疼痛、自尊、健康变化和家庭活动方面有显著改善。COMBEX 组的家庭凝聚力在 CHQ-CF87 中改善程度高于 DAYEX 组。COMBEX 组在 CHQ-PF28 中的角色/社交限制-情绪、身体疼痛和家庭活动方面的改善程度高于 DAYEX 组。
提出的 COMBEX 方案在身体、心理社会和心理方面是可行和有益的。结果表明，COMBEX 组在优化严重烧伤儿童的功能和健康方面有一些改善。COMBEX 组的表现至少与 DAYEX 组一样好。需要更大规模的研究来验证当前的发现。
