迈向瘢痕管理干预措施的整体评估
Towards the Holistic Assessment of Scar Management Interventions.
作者信息
Mathers Jonathan
机构信息
Institute of Applied Health Research, University of Birmingham, Birmingham B15 2TT, UK.
出版信息
Eur Burn J. 2022 Mar 8;3(1):207-210. doi: 10.3390/ebj3010018.
Presently, research assessments of burn scar management interventions focus on measures of scarring and scar features. However, qualitative research demonstrates that patients experience scarring and scar management therapies holistically. Patient-centred assessment should reflect this. An agreement is required regarding what to assess, which tools and measures to use and at what time points. Key issues include (1) whether and how burn- or scar-related quality-of-life measures could be included in the assessment of scar management interventions and how these are weighed against scar measures; (2) routine inclusion of the assessment of treatment burden (or treatment experience) in comparative research and (3) generating further understanding of the relationship between scar management and psychosocial adaptation, along with an assessment of this. A debate concerning a holistic and standardized evaluation of scar management interventions is needed to ensure that future evidence-based decisions are made in a patient-centred manner.
目前，烧伤瘢痕管理干预措施的研究评估集中在瘢痕形成和瘢痕特征的测量上。然而，定性研究表明，患者对瘢痕形成和瘢痕管理治疗有整体体验。以患者为中心的评估应反映这一点。需要就评估内容、使用哪些工具和测量方法以及在哪些时间点进行评估达成一致。关键问题包括：（1）烧伤或瘢痕相关的生活质量测量指标是否以及如何纳入瘢痕管理干预措施的评估中，以及这些指标如何与瘢痕测量指标进行权衡；（2）在比较研究中常规纳入治疗负担（或治疗体验）的评估；（3）进一步了解瘢痕管理与心理社会适应之间的关系，并对此进行评估。需要就瘢痕管理干预措施的全面和标准化评估展开辩论，以确保未来以患者为中心做出基于证据的决策。
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