Association of Dutch Burn Centres, Maasstad Hospital, Rotterdam, The Netherlands.
Erasmus MC, University Medical Center Rotterdam, Department of Public Health, Rotterdam, The Netherlands.
J Burn Care Res. 2022 Jan 5;43(1):256-262. doi: 10.1093/jbcr/irab047.
An important aspect of the rehabilitation of burn patients is social participation, including daily activities and work. Detailed information on long-term activity impairment and employment is scarce. Therefore, we investigated activity impairment, work status, and work productivity loss in adults 5-7 years following burn injuries, and investigated associations with burn-specific health-related quality of life (HRQL) domains. Adult participants completed the Work Productivity and Activity Impairment General Health questionnaire and the Burn Specific Health Scale-brief (BSHS-B) 5-7 years post-burn. Outcomes were compared between participants with mild/intermediate and severe burns (>20% total body surface area burned). Seventy-six (36%) of the 213 participants experienced some degree of activity impairment due to burn-related problems 5-7 years post-burn. Seventy percent of the population was employed; 12% of them experienced work productivity loss due to burn-related problems. Nineteen percent reported changes in their work situation (partly) because of the burn injury. A higher proportion of participants with severe burns had activity impairments (56% vs 29%; P = .001) and work productivity loss (26% vs 8%; P < .001) compared to participants with mild/intermediate burns. Activity impairment and work productivity loss were both associated with burn-related work problems and lower mood, measured with the BSHS-B. In conclusion, a substantial part of the study population experienced activity impairment and work productivity loss, was unemployed, and/or reported changes in their work situation due to their injury. Particularly patients with severe burns reported productivity loss and had lower employment rates. This subscribes the importance of addressing work-related functioning in the rehabilitation of burn patients.
烧伤患者康复的一个重要方面是社会参与，包括日常活动和工作。关于长期活动障碍和就业的详细信息很少。因此，我们调查了烧伤后 5-7 年成人的活动障碍、工作状况和工作生产力损失，并调查了与烧伤特定健康相关生活质量（HRQL）领域的关联。成年参与者在烧伤后 5-7 年完成了工作生产力和活动障碍一般健康问卷以及烧伤特异性健康量表-简短版（BSHS-B）。将参与者中烧伤程度较轻/中度（>20%总体表烧伤面积）和严重烧伤（>20%总体表烧伤面积）之间的结果进行了比较。76 名（36%）213 名参与者在烧伤后 5-7 年因烧伤相关问题出现不同程度的活动障碍。70%的人口有工作；其中 12%因烧伤相关问题导致工作生产力下降。19%的人报告说，他们的工作情况发生了变化（部分），是因为烧伤。与烧伤程度较轻/中度的参与者相比，严重烧伤的参与者活动障碍（56%比 29%；P=.001）和工作生产力下降（26%比 8%；P<.001）的比例更高。活动障碍和工作生产力下降均与 BSHS-B 测量的与烧伤相关的工作问题和较低的情绪有关。总之，研究人群中有相当一部分人因受伤而出现活动障碍和工作生产力下降、失业和/或报告工作情况发生变化。特别是严重烧伤的患者报告生产力下降，就业率较低。这说明在烧伤患者的康复中解决与工作相关的功能非常重要。
