Johnson J, Greenspan B, Gorga D, Nagler W, Goodwin C
Department of Rehabilitation Medicine, New York Hospital Cornell Medical Center, NY 10021.
J Burn Care Rehabil. 1994 Mar-Apr;15(2):180-8. doi: 10.1097/00004630-199403000-00015.
Pressure garment use is recommended 23 to 24 hours a day for hypertrophic scar control after a burn injury. Compliance with this treatment has not been documented. A 52-question survey was administered to 101 adult outpatient burn survivors to rate compliance with this program. The average compliance of each patient was assessed. The framework of the Health Belief Model was used to identify the patients' beliefs and factors reported to interfere with compliance. Strategies patients believed to enhance garment use were identified. Forty-one percent of the patients reported total compliance. The difficulties with garment use such as discomfort and activity limitations appeared to promote low compliance. The primary strategies patients believed would enhance compliance were seeing outcome pictures of scars and having contact with other survivors. This step toward identifying compliance rates and factors that affect them will guide the health care worker in techniques to facilitate adherence to the scar management program.
对于烧伤后的增生性瘢痕控制，建议每天使用压力衣23至24小时。尚未有关于这种治疗依从性的记录。对101名成年门诊烧伤幸存者进行了一项包含52个问题的调查，以评估他们对该方案的依从性。评估了每位患者的平均依从性。采用健康信念模型框架来确定患者的信念以及据报告会干扰依从性的因素。确定了患者认为能增加压力衣使用的策略。41%的患者报告完全依从。压力衣使用方面的困难，如不适和活动受限，似乎导致了依从性较低。患者认为能提高依从性的主要策略是查看瘢痕的预后图片以及与其他幸存者接触。这一确定依从率及其影响因素的步骤将指导医护人员采用相关技巧来促进对瘢痕管理方案的坚持。
