Gandolfi S, Carloni R, Bertheuil N, Grolleau J L, Auquit-Auckbur I, Chaput B
Plastic and Reconstructive Surgery Unit, Faculty of Medecine, University of Rouen, CHU Charles Nicolle, Rouen, France.
Plastic and Reconstructive Surgery Unit, Faculty of Medecine, University of Rouen, CHU Charles Nicolle, Rouen, France.
Burns. 2018 Sep;44(6):1602-1609. doi: 10.1016/j.burns.2018.03.002. Epub 2018 Jun 27.
Burns to the cephalic extremities are particularly implicated in problems of self-image and alterations to personal social relations. The aim of this study was to objectively assess the quality-of-life (QoL) of patients suffering from face-and-neck burns through our newly created scale: The Burn-Specific Health Scale for Face and Neck (BSHS-FN).
After constructing the BSHS-FN, we compared QoL of patients with or without face-and-neck burns. SF-36, the French version of the BSHS-B (Burn Specific Health Scale-Brief), and the BSHS-FN were administrated to 53 patients divided into two groups: GB group (general burns, 26 patients) and FN group (face-neck burns, 27 patients).
QoL evaluated using the SF-36 had a higher average total score in GB patients compared to FN patients, but there were no significant difference between the two groups (54.3±18.5 vs. 47.0±17.3, respectively, p=0.11). In contrast, in BSHS-B the total score was significantly different between the two groups with a higher score recorded for the GB group (71.9±13.4 [median: 72.8] in the GB group vs. 62.2±14.4 [median: 64.4] in the FN group). In percentage terms, total score of BSHS-FN for GB group was 79.1±10.1, while total score for FN group was 53.6±13.1 (p<0.001), with the highest score for the Face and Neck domain in GB group (99.7±1.1, p<0.001) CONCLUSION: The BSHS-FN seemed to be more appropriate to assess QoL for FN burn patients. This study supports its application in routine clinical practice and in international studies.
头部四肢烧伤尤其会引发自我形象问题以及个人社会关系的改变。本研究的目的是通过我们新创建的量表——面部和颈部烧伤特异性健康量表（BSHS-FN），客观评估面部和颈部烧伤患者的生活质量（QoL）。
构建BSHS-FN后，我们比较了有或无面部和颈部烧伤患者的生活质量。对53例患者进行了SF-36、法语版BSHS-B（烧伤特异性简要健康量表）和BSHS-FN评估，这些患者分为两组：GB组（全身烧伤，26例患者）和FN组（面部颈部烧伤，27例患者）。
使用SF-36评估的生活质量，GB组患者的平均总分高于FN组患者，但两组之间无显著差异（分别为54.3±18.5和47.0±17.3，p = 0.11）。相比之下，在BSHS-B中，两组的总分有显著差异，GB组得分更高（GB组为71.9±13.4[中位数：72.8]，FN组为62.2±14.4[中位数：64.4]）。从百分比来看，GB组BSHS-FN的总分是79.1±10.1，而FN组的总分是53.6±13.1（p<0.001），GB组面部和颈部领域得分最高（99.7±1.1，p<0.001）。结论：BSHS-FN似乎更适合评估面部颈部烧伤患者的生活质量。本研究支持其在常规临床实践和国际研究中的应用。
