严重烧伤患者康复期生活质量调查及其影响因素分析

目的 调查严重烧伤患者康复期的生活质量及相关影响因素.方法 采用社会支持评定量表、生活质量综合评定问卷和回顾性调查方法,对96例(病例组)16岁以上严重烧伤患者康复期的生活质量进行评估.分析生活质量与伤者一般情况及烧伤原因、烧伤面积、烧伤深度、住院时间、医疗费用支付情况和重返岗位之间的关系,与96名健康人(对照组)进行比较.结果 病例组患者生活质量总分为(53±12)分,与对照组(63±10)分比较,差异有统计学意义(P＜0.01).性别、年龄、文化程度、烧伤原因、住院时间及医疗费用支付情况各异者的生活质量比较,差异无统计学意义(P＞0.05).有配偶者社会功能维度和物质功能维度评分比无配偶者高;社会支持总分、重返岗位、伤后时间、职业与生活质量呈正相关;深度烧伤面积与生活质量呈负相关.结论 严重烧伤患者康复期的生活质量处于低水平,社会支持力度、重返岗位情况、伤后时间、职业、深度烧伤面积等因素与生活质量相关.

Investigation of life quality of severe burn patients at rehabilitation stage and analysis of the related influential factors

Objeetive To investigate the life quality in severe burn patients at rehabilitation stage and analysis of related influential factors. Methods Social support rating scale,general quality of life inventory and retrospective investigation were used to evaluate the life quality of 96 severe burn patients(E group,age:over 16 years)at rehabilitation stage,and 96 healthy people were enrolled into our study as control(C group).The relationship between the life quality and sex,age,education background,occupation,post burn time,burn causes,burn depth,total burn surface area,length of hospitalization,medical cost,return to work was respectively analyzed. Results There was obvious difference in total score of the life quality be-tween two groups(53±12 in E group.vs.63±10 in C group,P＜0.01).There were no obvious difference in life quality among patients with different sex,age,education,burn causes,length of hospitalization and medical expenditure(P＞0.05).The score of social function dimension and material function dimension in married patients were higher than that in singles.The life quality had positive correlation with social support score,return to work,post burn time,and occupation.There were negative correlation between deep burn ar-ea and life quality. Conclusion The life quality level of severe burn patients at rehabilitation stage is low.Social support,return to work,duration after burn,occupation and deep burn area are correlating factors affecting life quality.