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官方杂志> 哪些因素会影响大陆地区烧伤患者康复预后?
哪些因素会影响大陆地区烧伤患者康复预后?
      来源:Burns & Trauma



RESEARCH ARTICLE

Predictors of functional independence, quality of life, and return to work in patients with burn injuries in mainland China

引用格式:Tang D, Li-Tsang CWP, Au RKC, Shen X, Li K, Yi XF, et al. Predictors of functional independence, quality of life, and return to work in patients with burn injuries in mainland China. Burns & Trauma 2016; 4:32.


烧伤患者往往需要长期康复治疗,并有可能面临身体残疾。目前,针对烧伤患者伤后身体功能、生活质量和重返工作岗位情况的研究还很少。广东省工伤康复医院和香港理工大学的团队,通过一项针对415例烧伤患者的回顾性研究,分析了影响烧伤患者康复预后的影响因素,发现患者入院时身体功能和生活质量、薪酬来源和医保支付比例、家庭支持力度、康复治疗的起始及持续时间、年龄、受教育程度、疼痛、烧伤面积等因素密切相关。据此建立的模型较好预测了患者出院时身体功能及变化、生活质量变化和出院6个月后是否重返工作。这些影响因素的发现和模型的建立能够帮助临床医生预估患者后期的康复情况并合理分配资源,也有助于政策制定者充分配置相关资源以更好地帮助患者改善预后。


该研究最新发表在Burns & Trauma期刊,文章第一作者为广东省工伤康复医院唐丹教授,通讯作者为香港理工大学李曾慧平教授。欢迎阅读全文!


Abstract

Background    Burn injury may be associated with long-term rehabilitation and disability, while research studies on the functional performance after injuries, quality of life (QOL), and abilities to return to work of burn patients are limited. These outcomes are related not just to the degree and nature of injuries, but also to the socio-economical background of the society. This study aimed to identify the factors which might affect burn patients’ abilities to reintegrate back to the society based on a sample in mainland China.


Methods    A retrospective study was conducted to collect data of demographic characteristics, medical data about burn injuries, physical and psychological status, and self-perceived QOL at the initial phase and upon discharge from a rehabilitation hospital, timing of rehabilitation, and duration of rehabilitation intervention. Four hundred fifteen patients with burn injuries were recruited in the study. Multiple linear regression and logistic regression were used to obtain a model to predict the functional abilities and the perceived QOL at discharge and their changes during rehabilitation, as well as the post-injury work status within 6 months after discharge.


Results    The functional performance at discharge and its change were significantly predicted by the functional abilities and QOL at the admission, duration of treatment, timing of rehabilitation, payer source, and total body surface area burned. The perceived QOL at discharge and its change were significantly predicted by the baseline QOL at admission and duration of treatment. The significant predictors of work status within 6 months post-discharge included age, education, payer source, total body surface area burned, perceived QOL, and bodily pain at admission.


Conclusions    The present study identified a number of factors affecting the rehabilitation outcomes of people with burn injuries. Identification of these predictors may help clinicians assess the rehabilitation potential of burn survivors and assist in resource allocation. Policy makers should ensure that resources are adequate to improve the outcomes based on these factors.


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Predictors of functional independence, quality of life, and return to work in patients with burn injuries in mainland China