Bhatti Dujanah S, Ul Ain Nur, Zulkiffal Reesham, Al-Nabulsi Zuhdi Sufian, Faraz Ahmad, Ahmad Raheel
Plastic Surgery, Aberdeen Royal Infirmary, Aberdeen, GBR.
Plastic and Reconstructive Surgery, Holy Family Hospital, Rawalpindi, PAK.
Cureus. 2020 Nov 5;12(11):e11347. doi: 10.7759/cureus.11347.
A patient who suffers from burn injuries can be subjected to various mental and psychological conditions that can adversely affect their health and wellbeing.
A cross-sectional study was conducted between 1st September 2019 and 30th March 2020 in a tertiary care hospital in Pakistan. Patients were selected in the outpatient department and follow-up was done at two and four weeks following definitive. Some 225 patients in our study fulfilled the inclusion criteria. Patients were assessed using Urdu translated scales. Hamilton Anxiety Rating Scale (HAM-A) and Hamilton Depression Rating Scale (HAM-D) were used. Data were analyzed with the help of SSPS software version 13.0.
Out of 119 (52.8 %) male patients, the highest percentage was of accidental injuries 106 (89%) followed by suicidal burns 9 (7.5%). A similar trend was seen in females; out of n=106 females, 92 (86%) presented with accidental burn injuries and only 11 (10%) patients have a history of suicidal burns. A fraction of the sample had a history of homicidal burn injuries, with 4 (3%) male and 3 (2%) female patients. The variation of anxiety level and depth of burn varied considerably. Among patients who suffered superficial thickness burns (n=105, 47%), 69.5% of patients experienced mild anxiety symptoms. Only 28 (26.6%) patients had moderate anxiety and severe anxiety was the lowest, at only 3.8% (n=4). A similar trend was observed in deep burn patients, but the level of severe anxiety was significantly higher at 26%. This was statistically significant (p < 0.05). Deep burn patients had the highest percentage (n=54, 45.3%) of very severe depression compared to only 10% in superficial burns. The variation between the two categories was statistically significant (p < 0.05). The majority of (35.2%) patients experienced mild symptoms of depression and this correlated with superficial burn injuries.
A burn injury can seriously affect the mental wellbeing of patients. With the severity of burn injury we saw that severe depression was prevalent. This aspect must be taken into consideration when treating such patients and it warrants a multidisciplinary team (MDT) strategy.
烧伤患者可能会出现各种心理状况，这些状况会对他们的健康和幸福产生不利影响。
2019年9月1日至2020年3月30日在巴基斯坦一家三级护理医院进行了一项横断面研究。在门诊部选择患者，并在确诊后两周和四周进行随访。我们研究中的约225名患者符合纳入标准。使用乌尔都语翻译量表对患者进行评估。采用汉密尔顿焦虑评定量表（HAM - A）和汉密尔顿抑郁评定量表（HAM - D）。借助SSPS 13.0软件进行数据分析。
在119名（52.8%）男性患者中，意外伤害的比例最高，为106名（89%），其次是自杀性烧伤9名（7.5%）。女性患者呈现出类似趋势；在106名女性患者中，92名（86%）为意外烧伤，只有11名（10%）患者有自杀性烧伤史。一小部分样本有杀人烧伤史，男性患者4名（3%），女性患者3名（2%）。焦虑水平和烧伤深度的差异相当大。在浅度烧伤患者（n = 105，47%）中，69.5%的患者有轻度焦虑症状。只有28名（26.6%）患者有中度焦虑，重度焦虑最低，仅为3.8%（n = 4）。深度烧伤患者中观察到类似趋势，但重度焦虑水平显著更高，为26%。这具有统计学意义（p < 0.05）。与浅度烧伤患者中仅10%相比，深度烧伤患者中非常严重抑郁的比例最高（n = 54，45.3%）。这两类患者之间的差异具有统计学意义（p < 0.05）。大多数（35.2%）患者有轻度抑郁症状，这与浅度烧伤有关。
烧伤会严重影响患者的心理健康。随着烧伤严重程度的增加，我们发现重度抑郁很普遍。在治疗此类患者时必须考虑到这一方面，并且需要多学科团队（MDT）策略。
