Oley M H, Oley M C, Langi F L F G, Sinaga E S, Gunawan D F, Faruk M
Plastic Reconstructive and Aesthetic Surgery Division, Faculty of Medicine, Sam Ratulangi University, Manado, Indonesia.
Plastic Reconstructive and Aesthetic Surgery Division, RD Kandou Hospital, Manado, Indonesia.
Ann Burns Fire Disasters. 2024 Dec 31;37(4):312-316. eCollection 2024 Dec.
Hypertrophic burn scars can occur due to imbalances in the healing process and affect quality of life. They can be assessed with the Patient and Observer Scar Assessment Scale (POSAS). This is an assessment instrument with both a patient scale and an observer scale. This study aimed to assess the reliability and validity of the POSAS score to measure the quality of scars in evaluating burns that produce scar tissue. It also aimed to determine similarities in the assessment of scar tissue using the POSAS score according to observers and patients. This cross-sectional study had a sample of 30 patients, including 19 women (63%). Assessments were performed before the initial treatment procedure and 1 and 6 months after. The post-incision scar tissue assessment results using the POSAS instrument were expressed as a score: 5-50 (observer), 6-60 (patient), or 11-110 (both total). The highest degree of burns was superficial-mid-dermal (20 patients; 67%). The POSAS assessment by doctors and patients tended to be the same and decreased at both months 1 and 6 after the treatment procedure. The mean total score was 51.3 ± 12.1 before treatment, 44.2 ± 9.5 at month 1, and 30.3 ± 5.9 at month 6. This study shows that in evaluating burns that produce hypertrophic scars, similarities exist in the POSAS score according to observers and patients. Precautions at the beginning of the observation will affect the POSAS score.
肥厚性烧伤瘢痕可因愈合过程失衡而出现，并影响生活质量。可使用患者和观察者瘢痕评估量表（POSAS）对其进行评估。这是一种兼具患者量表和观察者量表的评估工具。本研究旨在评估POSAS评分在测量烧伤产生瘢痕组织时瘢痕质量方面的可靠性和有效性。它还旨在确定根据观察者和患者使用POSAS评分评估瘢痕组织时的相似性。这项横断面研究有30名患者作为样本，其中包括19名女性（63%）。在初始治疗程序前以及治疗后1个月和6个月进行评估。使用POSAS工具进行的切口后瘢痕组织评估结果以评分表示：5 - 50分（观察者）、6 - 60分（患者）或11 - 110分（两者总分）。烧伤程度最高的是浅 - 中真皮层烧伤（20例患者；67%）。医生和患者的POSAS评估趋于一致，且在治疗程序后的第1个月和第6个月均有所下降。治疗前的平均总分是51.3 ± 12.1，第1个月时为44.2 ± 9.5，第6个月时为30.3 ± 5.9。本研究表明，在评估产生肥厚性瘢痕的烧伤时，观察者和患者的POSAS评分存在相似性。观察开始时的注意事项会影响POSAS评分。
