Describing and Predicting Adjustment in Burn Survivors

Patterson, David R.; Ptacek, J. T.; Cromes, G. F.; Fauerbach, J. A.; Lh, Engrav

doi:10.1097/00004630-200001001-00011

Cited by 12 publications

(18 citation statements)

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“…13 Both psychosocial (eg, mental health treatment in year before the burn, marital status) and medical (days of intensive care) variables contributed significantly in predicting satisfaction with life at discharge and at 6-month follow-up, and satisfaction with life of burn survivors at both assessments was significantly lower than published normative data. 14 Although most studies use a generic measure of quality of life, some are beginning to use burn-specific measures. 15 Although repeated measures analysis indicated no change in global quality of life across the first postdischarge year, cross-sectional analyses found that higher global quality of life is associated with less distress and less pain at 2 months; less distress, less pain, and better community reentry at 6 months; and less distress and better community reentry at 12 months.…”

mentioning

confidence: 99%

Burden of Burn: A Norm-Based Inquiry into the Influence of Burn Size and Distress on Recovery of Physical and Psychosocial Function

Fauerbach¹,

Lezotte²,

Hills³

et al. 2005

Journal of Burn Care & Rehabilitation

117

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This prospective, longitudinal study examined the influence of baseline physical and psychological burden on serial assessments of health-related quality of life among adults with major burns from three regional burn centers (n = 162). Physical burden groups were defined by % TBSA burned: <10%, 10% to 30%, or >30%. Psychological burden groups were defined by in-hospital distress using the Brief Symptom Inventory Global Severity Index T-score with scores of < 63 or > or = 63. Analyses compared groups across level of burden and with published normative data. Assessments reflected health and function (Short Form 36) during the month before burn, at discharge, and at 6 and 12 months after burn. Physical functioning was significantly more impaired and the rate of physical recovery slower among those with either large physical burden or large psychological burden. Notably, psychosocial functioning also was more impaired and the rate of psychosocial recovery slower among those with greater psychological burden. These results suggest that, in addition to aggressive wound closure, interventions that reduce in-hospital distress may accelerate both physical and psychosocial recovery.

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mentioning

confidence: 99%

Burden of Burn: A Norm-Based Inquiry into the Influence of Burn Size and Distress on Recovery of Physical and Psychosocial Function

Fauerbach¹,

Lezotte²,

Hills³

et al. 2005

Journal of Burn Care & Rehabilitation

117

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“…12 A recent study found that hand injury was prospectively related to greater distress and lower satisfaction. 13 Hence, there is some evidence that visible scarring is associated with greater distress.…”

mentioning

confidence: 99%

The 2003 Clinical Research Award

Lawrence

Fauerbach

Heinberg

et al. 2004

The Journal of Burn Care &Amp; Rehabilitation

150

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This study examined the relationship among burn scarring, severity and visibility, and body esteem. Previous work addressing this question has relied on case studies and small samples. We mailed a survey to 2500 members of a national burn survivor support group. Survivors were asked to complete and return the mailed survey or complete the survey on line at our Web site. Three hundred sixty-one survivors completed all questionnaires in the survey relevant to this study, which included measures of burn characteristics, social stigmatization, social support, depression, and body esteem. The sample characteristics were as follows: 52% were women, the mean age was 44.1 years, the mean age burned was 26 years, 88% were European American, 5% were African American, 4% were multiracial, 3% were other, the average TBSA was 48%, and the mean educational level was high school graduate. We measured scar visibility by asking survivors to rate "how often are your burn scars visible to others" on a six-point scale. We also asked them to rate the presence or absence of scars on 15 body parts, total TBSA, and number of surgeries. The correlation between visible scarring and different aspects of body esteem, that is, self-satisfaction with appearance (-.19) and perception of others reaction to your appearance (-.27), was statistically significant but low. Visible scarring was unrelated to self-satisfaction with weight (.01). Visible scarring had a low but significant correlation with perceived stigmatization (.23) and was not correlated with depression (0.01). Other measures of scarring also had low correlations with social and emotional outcome variables. Because scar severity and visibility are hypothesized to be particularly relevant to body esteem, we performed a multiple regression predicting body esteem. We entered the variables in three blocks: burn characteristics, demographic characteristics, and social and emotional characteristics. Burn characteristics accounted for less than 20% of the variance. R square for the final equation equaled.62, with social adjustment and depression accounting for the largest portion of the variance. In this sample, burn scar visibility and severity did not have a strong relationship with social and emotional adjustment variables. More effort must be placed into developing psychosocial interventions that help survivors accept scars, reduce depression, and build a strong loving support system.

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“…[6] Ayrıca yanık yaralanmasının yeni oluştuğu hastaların yanık yaralanmasına ait yaşadıkları olayların taze olması ve sık sık olay anını hafızalarında canlandırmaları hastaları strese sokmakta ve bu durum da uyku kalitesini düşürmektedir. [22] Yanık yaralanmasının yeni oluştuğu hastalarda tedavi süreci, bu süreç içinde hastaların rol ve fonksiyonlarındaki değişik-likler, taburculuk sonrası yaşanılacakların belirsizliği gibi durumlar da hastalarda anksiyete, stres yaratmakta ve bunların sonucunda uyku problemleri ortaya çıkabilmektedir. [7] Bu açı-dan bakıldığında yanık yaralanması sonrasında hastaların uyku problemlerinin nedenlerinin tespit edilerek uyku problemlerinin genel sağlığa olan olumsuz etkilerinin belirlenmesi ve tedavi edilmesi için rehabilitasyon programlarından yararlanmasının sağlanmasının hastaların uyku kalitelerini arttıracağı düşünülmektedir.…”

Section: Bulgularunclassified

Determination of Subacute and Chronic Period Sleep Quality in burns patient

Pazar

İyigün

Şahin

2016

Ulus Travma Acil Cerrahi Derg

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AMAÇ:Bu araştırmanın amacı yanık hastasında sub akut ve kronik dönemde uyku kalitesinin belirlenmesidir. GEREÇ VE YÖNTEM:Araştırma, bir üniversite hastanesinde Ocak 2014-Haziran 2015 tarihleri arasında tanımlayıcı olarak yapıl-mıştır. Araştırmaya 36 hasta dâhil edilmiştir. Verilerin toplanmasında hastaların tanıtıcı özelliklerini belirleyen form ve Pittsburgh Uyku Kalitesi İndeksi (PUKİ) kullanılmıştır. Araştırmadan elde edilen verilerin analizi için SSPS 22.0 paket programı kullanılmış olup tüm analizlerde istatistiksel önemlilik için p<0.05 kabul edilmiştir. BULGULAR:Araştırmaya katılan 36 hastanın yaş ortalaması 26.69±9.63, (yaş aralığı 19-60) olup %11.1'i kadın, %88.9'u erkektir. Hastaların %50'sinin yanık yarası evde alev yanığı nedeniyle oluşmuştur. Yanığa bağlı hastaların %52.8'inde komplikasyon gelişmiştir. Hastaların PUKİ skor ortalaması 9.30±4.03'tür ve %86.5'inin uyku kalitesi kötüdür. Hastaların yoğun bakımda yatma, eğitim durumu, yanık alanı yüzdesi, yanık yaralanmasının üzerinden geçen zaman ve ilaç kullanma (antidepresan, antipsikotik) durumu ile Pittsburgh Uyku Kalitesi ortalamaları arasında istatistiksel olarak anlamlı bir ilişki bulunmuştur (p<0.05). SONUÇ:Araştırmaya katılan hastaların uyku kalitesinin kötü olduğu değerlendirilmiştir. Yanık yaralanması sonrasında yeterli uykunun, doğal savunma hücrelerinin işlevini, protein sentezini ve büyüme hormonu salınımını arttırarak yanık yaralarının iyileşmesini sağladığı bilinmektedir. Bu nedenle hastaların uyku kalitesi ve yaşadıkları uyku problemlerinin bilinmesinin, yanıklı hastaların hemşirelik bakımının gelişmesine katkı sağlayacağı düşünülmektedir.Anahtar sözcükler: Hemşirelik bakımı; uyku kalitesi; yanık yarası.

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Describing and Predicting Adjustment in Burn Survivors

Cited by 12 publications

References 0 publications

Burden of Burn: A Norm-Based Inquiry into the Influence of Burn Size and Distress on Recovery of Physical and Psychosocial Function

Burden of Burn: A Norm-Based Inquiry into the Influence of Burn Size and Distress on Recovery of Physical and Psychosocial Function

The 2003 Clinical Research Award

Determination of Subacute and Chronic Period Sleep Quality in burns patient

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