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2020年埃塞俄比亚西北部阿姆哈拉州政府转诊医院烧伤患者的健康相关生活质量及其相关因素:基于机构的横断面研究

Health-Related Quality of Life and Its Associated Factors Among Burn Patients at Governmental Referral Hospitals of Amhara Regional State, Northwest Ethiopia, 2020: Institutional-Based Cross-Sectional Study.

作者信息

Tibebu Nigusie Selomon, Desie Tigabu, Marew Chalie, Wubneh Moges, Birhanu Adane, Tigabu Agimasie

机构信息

Department of Pediatrics and Child Health Nursing, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.

Department of Adult Health Nursing, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.

出版信息

Clin Cosmet Investig Dermatol. 2021 Apr 13;14:367-375. doi: 10.2147/CCID.S306211. eCollection 2021.

Abstract

INTRODUCTION

Burns can have a considerable negative impact on physical and psychosocial functioning that affects the quality of life. The physical and psychological manifestations may compromise the quality of life of burned patients. The aim is to assess health-related quality of life and associated factors among burn patients at Amhara regional state governmental referral hospitals, Northwest Ethiopia, 2020.

METHODS

Institution-based cross-sectional study was conducted from June 01 to July 15, 2020, in Amhara National regional state governmental referral hospitals. Systematic random sampling technique was used, and data were collected using structured Burn Specific Health Scale Brief Questionnaire through face-to-face interview and document review from patients time since burn 15 days and above. Data were entered into Epidata, and analysis was done by SPSS version 25. Descriptive statistics were computed, and binary logistic regression analysis was used to determine the association between the dependent and independent variables. Variables with a p-value of ≤0.05 in the multivariable analysis were considered statistically significant.

RESULTS

Of 423 study participants, 95.7% responded completely. Among the respondents, 58.8% (group mean and median of 18.38 and 21) for physical domain and 57% (group mean and median of 44.73 and 53) for generic domains had a poor health-related quality of life. Overall poor health-related quality of life was 57.5% with a mean of 63.12. Third-degree burn, exposed burnt body part, total body surface area burned ≥20%, having an amputation and having a co-morbid illness with (P = 0.001) were associated with poor health-related quality of life.

CONCLUSION AND RECOMMENDATION

This study revealed that more than half of the burn survivors had poor health-related quality of life. There shall be strengthened long-term physical and psychosocial domains (generic) intervention for burn survivors by giving more concern for those with the identified risk factors.

摘要

引言

烧伤会对身体和心理社会功能产生相当大的负面影响,进而影响生活质量。身体和心理表现可能会损害烧伤患者的生活质量。本研究旨在评估2020年埃塞俄比亚西北部阿姆哈拉州政府转诊医院烧伤患者的健康相关生活质量及其相关因素。

方法

2020年6月1日至7月15日,在阿姆哈拉民族州政府转诊医院开展了一项基于机构的横断面研究。采用系统随机抽样技术,通过面对面访谈和查阅自烧伤15天及以上患者的病历,使用结构化的烧伤特异性健康量表简版问卷收集数据。数据录入Epidata,并使用SPSS 25版进行分析。计算描述性统计量,并采用二元逻辑回归分析确定因变量和自变量之间的关联。多变量分析中p值≤0.05的变量被认为具有统计学意义。

结果

423名研究参与者中,95.7%的人做出了完整回应。在受访者中,身体领域的健康相关生活质量较差的比例为58.8%(组均值和中位数分别为18.38和21),一般领域的这一比例为57%(组均值和中位数分别为44.73和53)。总体健康相关生活质量较差的比例为57.5%,均值为63.12。三度烧伤、烧伤身体部位暴露、烧伤总面积≥20%、截肢以及患有合并症(P = 0.001)与健康相关生活质量较差有关。

结论与建议

本研究表明,超过一半的烧伤幸存者健康相关生活质量较差。应加强对烧伤幸存者的长期身体和心理社会领域(一般领域)干预,更加关注那些具有已确定风险因素的患者。

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