Clinical Division of Plastic and Reconstructive Surgery, Department of Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.
Clinical Division of Plastic and Reconstructive Surgery, Department of Surgery, Department of Clinical Psychology and Psychotherapy, Medical University of Vienna, Vienna, Austria.
Wien Klin Wochenschr. 2021 Jun;133(11-12):625-629. doi: 10.1007/s00508-021-01871-6. Epub 2021 Apr 28.
As a consequence of improved survival rates after burn injury occupational reintegration of burn survivors has gained increasing significance. We aimed to develop a precise patient questionnaire as a tool to evaluate factors contributing to occupational reintegration.
A questionnaire comprising 20 questions specifically evaluating occupational reintegration was developed under psychological supervision. The single-center questionnaire study was implemented in patients with burn injuries who were admitted to the 6‑bed burn intensive care unit (BICU) of the General Hospital of Vienna, Austria (2004-2013). The questionnaire was sent to burn survivors of working age (18-60 years) with an abbreviated burn severity index (ABSI) of 6 or greater, a total burn surface area (TBSA) of 15% or greater, and a BICU stay of at least 24 h.
A total of 112 burn survivors met the inclusion criteria and were contacted by mail. Of the 112 patients 11 (10%) decided to participate in the study and 218/220 questions (99%) in 11 patients were answered. Out of 11 patients 7 (64%) reported successful return to work and 4 of 11 (36%) did not resume their occupation. Advanced age, longer BICU and hospital stays, higher TBSA, burn at work, lower education, and problems with esthetic appearance seemed to impair patients' return to their occupation.
When implementing the questionnaire, severely burned patients with higher age, lower education, and longer hospital and BICU stay seemed at high risk for failed reintegration in their profession after burn injury.
随着烧伤患者存活率的提高，职业康复在烧伤患者中变得越来越重要。我们旨在开发一种精确的患者问卷，作为评估职业康复相关因素的工具。
在心理监督下，我们制定了一份包含 20 个专门评估职业康复问题的问卷。该单中心问卷调查研究在 2004 年至 2013 年期间，于奥地利维也纳总医院 6 床烧伤重症监护病房（BICU）收治的烧伤患者中开展。我们向工作年龄段（18-60 岁）的烧伤幸存者发放问卷，这些患者的烧伤严重指数（ABSI）为 6 或更高，总体表烧伤面积（TBSA）为 15%或更高，BICU 住院时间至少 24 小时。
共有 112 名烧伤幸存者符合纳入标准并通过邮件联系。在 112 名患者中，有 11 名（10%）决定参与研究，11 名患者中的 218/220 个问题（99%）得到了回答。在 11 名患者中，有 7 名（64%）报告成功重返工作岗位，而 4 名（36%）未恢复工作。高龄、BICU 和住院时间延长、TBSA 更高、工作中烧伤、受教育程度较低以及外观美观问题似乎会损害患者重返职业的能力。
在实施问卷时，年龄较大、受教育程度较低、住院和 BICU 时间较长的严重烧伤患者，在烧伤后重新融入职业的过程中似乎面临更高的失败风险。
