Department of Nursing Practice, Poznan University of Medical Sciences, 61-701 Poznan, Poland.
Department of Preventive Medicine, Poznan University of Medical Sciences, 61-701 Poznan, Poland.
Int J Environ Res Public Health. 2023 Jan 20;20(3):1951. doi: 10.3390/ijerph20031951.
Burn wounds most often occur on visible parts of the body. They therefore cause fear of disfigurement and rejection by those around them. In addition, they cause pain. The main aim of this study was to analyse factors affecting the functioning of patients hospitalised for burns. The study included 57 patients hospitalised for burns. Each person was surveyed twice: on day seven after admission and on the day of discharge from the hospital. The following research tools were used: a personal questionnaire to collect clinical data and the scales of the Katz Activities of Daily Living (ADL), the short-form McGill Pain Questionnaire (SF-MPQ), the Beck Depression Inventory (BDI) and the Satisfaction with Appearance Scale (SWAP). On the discharge day, compared to day 7, there was an improvement in the patient's level of functioning in all areas analysed. Pain intensity ( < 0.0001), depression ( < 0.0001) and dissatisfaction with appearance ( = 0.0239) decreased significantly. Improvements in daily functioning were also obtained ( < 0.0001). Multiple regression was performed to estimate the effect of selected variables on patients' level of functioning. Burn area ( = 0.0126), pain level (questionnaire part B: = 0.0004 and questionnaire part C: = 0.0208) and gender ( = 0.0413) had a significant impact on the level of daily functioning. Pain complaints are the most crucial predictor affecting the functional status and depression levels in burn wound patients. Increased levels of depression promote dissatisfaction with one's appearance.
烧伤创面多发生于身体可见部位，因此会引起患者对毁容和被周围人排斥的恐惧。此外，烧伤还会引起疼痛。本研究的主要目的是分析影响烧伤住院患者功能的因素。该研究纳入了 57 名因烧伤住院的患者。每位患者接受了两次调查：入院后第 7 天和出院当天。使用了以下研究工具：个人问卷收集临床数据，以及 Katz 日常生活活动（ADL）量表、简化版 McGill 疼痛问卷（SF-MPQ）、贝克抑郁量表（BDI）和外貌满意度量表（SWAP）。与入院第 7 天相比，出院当天患者在所有分析领域的功能水平均有所改善。疼痛强度（<0.0001）、抑郁（<0.0001）和对外貌的不满（=0.0239）显著降低。日常生活功能也得到了改善（<0.0001）。进行了多元回归分析，以评估选定变量对患者功能水平的影响。烧伤面积（=0.0126）、疼痛程度（问卷第 B 部分：=0.0004；问卷第 C 部分：=0.0208）和性别（=0.0413）对日常生活功能水平有显著影响。疼痛主诉是影响烧伤创面患者功能状态和抑郁水平的最关键预测因素。抑郁程度的增加会导致对外貌的不满。
