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Scar Status, Depression, Sleep, and Health Related Quality of Life Following Severe Burn Injury: A Cross-sectional Descriptive Study

  • Oh, Hyunjin (College of Nursing, Gachon University) ;
  • Kim, Kyungja (Hangang Sacred Heart Hospital, Hallym University) ;
  • Seo, Cheonghoon (Department of Rehabilitation, Hangang Sacred Heart Hospital, Hallym University) ;
  • Kim, Dohern (Department of Rehabilitation, Hangang Sacred Heart Hospital, Hallym University) ;
  • Lee, Boung Chul (Department of Rehabilitation, Hangang Sacred Heart Hospital, Hallym University) ;
  • Boo, Sunjoo (Ajou University)
  • Received : 2019.12.01
  • Accepted : 2019.12.17
  • Published : 2019.12.31

Abstract

Purpose: Severe burn injuries require long periods of hospitalization and treatment, which results in various physical and psychological issues. The main purpose of this study was to identify burn characteristics and psychological problems that influence Health Related Quality of Life (HRQoL) after discharge. Methods: A cross-sectional descriptive study using mobile/web or paper-based survey methods was conducted from a major burn center. A total of 145 patients completed the scar assessment, quality of life, sleep disorders, and depression scales. Results: The overall mean HRQoL and scar status scores were 2.28 out of 5 and 34.45 out of 60 points, respectively. Participants with higher burn degree, joint involvement, and emotional distress reported significantly lower HRQoL and scar status. Participants with depression and sleep problems also had lower HRQoL. Significant predictors of HRQoL included burn range, scar status, depression, and sleep issues. Conclusion: The results show that patients with severe burn injury experience high levels of physical and psychological problems. Patients with severe burn injury and psychological problems such as depression and sleep are likely to experience a reduced HRQoL. Psychological management and intervention in home care setting may improve HRQoL of burn patients.

Keywords

References

  1. Oh H, Boo S. Assessment of burn-specific health-related quality of life and patient scar status following burn. Burns. 2017;43(7):1479-85. http://dx.doi.10.1016/j.burns.2017.03.023.
  2. Zhang L-J, Cao J, Feng P, Huang J, Lu J, Lu X-Y, et al. Influencing factors of the quality of life in Chinese burn patients: Investigation with adapted Chinese version of the BSHS-B. Burns. 2014;40(4):731-6. http://dx.doi.10.1016/j.burns.2013.09.011.
  3. Wasiak J, Lee S, Paul E, Mahar P, Pfitzer B, Spinks A, et al. Predictors of health status and health-related quality of life 12 months after severe burn. Burns. 2014;40(4):568-74. http://dx.doi.10.1016/j.burns.2014.01.021.
  4. Draaijers LJ, Tempelman FR, Botman YA, Tuinebreijer WE, Middelkoop E, Kreis RW, et al. The patient and observer scar assessment scale: a reliable and feasible tool for scar evaluation. Plastic and reconstructive Surgery. 2004;113(7):1960-5. http://dx.doi.10.1097/01.PRS.0000122207.28773.56.
  5. Simons M, Price N, Kimble R, Tyack Z. Patient experiences of burn scars in adults and children and development of a health-related quality of life conceptual model: A qualitative study. Burns. 2016;42(3):620-32. http://dx.doi.10.1016/j.burns.2015.11.012.
  6. Oh H, Boo S. Quality of life and mediating role of patient scar assessment in burn patients. Burns. 2017;43(6):1212-7. http://dx.doi.10.1016/j.burns.2017.03.009.
  7. McAleavey AA, Wyka K, Peskin M, Difede J. Physical, functional, and psychosocial recovery from burn injury are related and their relationship changes over time: A Burn Model System study. Burns. 2018;44(4):793-9. http://dx.doi.10.1016/j.burns.2017.12.011.
  8. Spronk I, Legemate C, Oen I, van Loey N, Polinder S, van Baar M. Health related quality of life in adults after burn injuries: A systematic review. PloS one. 2018;13(5):e0197507. http://dx.doi.10.1371/journal.pone.0197507.
  9. Fauerbach JA, Lawrence J, Haythornthwaite J, Richter D, McGuire M, Schmidt C, et al. Preburn psychiatric history affects posttrauma morbidity. Psychosomatics. 1997;38(4):374-85. https://doi.org/10.1016/S0033-3182(97)71445-2
  10. Tedstone JE, Tarrier N. An investigation of the prevalence of psychological morbidity in burn-injured patients. Burns. 1997;23(7-8):550-4. https://doi.org/10.1016/S0305-4179(97)00083-1
  11. Esselman PC. Burn rehabilitation: an overview. Archives of physical medicine and rehabilitation. 2007;88(12):S3-S6. http://dx.doi.10.1016/j.apmr.2007.09.020.
  12. Son H, Seo C, Kim J, Jang K, Noh S. Reliability and validity of a Korean version of the Burn Specific Health Scale-Brief (BSHS-BK). Journal of the Korean burn society 2005;8(2):127-36.
  13. Soldatos CR, Dikeos DG, Paparrigopoulos TJ. Athens Insomnia Scale: validation of an instrument based on ICD-10 criteria. Journal of psychosomatic research. 2000;48(6):555-60. http://dx.doi.10.1016/S0022-3999(00)00095-7.
  14. Jeong HS, Jeon Y, Ma J, Choi Y, Ban S, Lee S, et al. Validation of the Athens Insomnia Scale for screening insomnia in South Korean firefighters and rescue workers. Quality of Life Research. 2015;24(10):2391-5. https://doi.org/10.1007/s11136-015-0986-7
  15. Spitzer RL, Kroenke K, Williams JB, Group PHQPCS. Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. JAMA. 1999;282(18):1737-44. http://dx.doi.10.1001/jama.282.18.1737.
  16. Kroenke K, Spitzer RL, Williams JB. The PHQ‐9: validity of a brief depression severity measure. Journal of general internal medicine. 2001;16(9):606-13. http://dx.doi.10.1046/j.1525-1497.2001.016009606.x.
  17. Han C, Jo SA, Kwak J-H, Pae C-U, Steffens D, Jo I, et al. Validation of the Patient Health Questionnaire-9 Korean version in the elderly population: the Ansan Geriatric study. Comprehensive psychiatry. 2008;49(2):218-23. http://dx.doi.10.1016/j.comppsych.2007.08.006.
  18. Roh YS, Chung HS, Kwon B, Kim G. Association between depression, patient scar assessment and burn-specific health in hospitalized burn patients. Burns. 2012;38(4):506-12. http://dx.doi.10.1016/j.burns.2011.12.027.
  19. Ahuja RB, Mulay AM, Ahuja A. Assessment of quality of life (QoL) of burn patients in India using BSHS-RBA scale. Burns. 2016;42(3):639-47. http://dx.doi.10.1016/j.burns.2015.11.011.
  20. Ehde DM, Patterson DR, Wiechman SA, Wilson LG. Post-traumatic stress symptoms and distress 1 year after burn injury. The Journal of burn care & rehabilitation. 2000;21(2):105-11. http://dx.doi.10.1016/j.burns.2015.11.011.
  21. Wiechman S, Ptacek J, Patterson D, Gibran N, Engrav L, Heimbach D. Rates, trends, and severity of depression after burn injuries. The Journal of burn care & rehabilitation. 2001;22(6):417-24. http://dx.doi.10.1097/00004630-200111000-00012.
  22. Renneberg B, Ripper S, Schulze J, Seehausen A, Weiler M, Wind G, et al. Quality of life and predictors of long-term outcome after severe burn injury. Journal of behavioral medicine. 2014;37(5):967-76. http://dx.doi.10.1007/s10865-013-9541-6.
  23. Van Loey NE, van Beeck EF, Faber BW, van de Schoot R, Bremer M. Health-related quality of life after burns: a prospective multicenter cohort study with 18 months follow-up. Journal of trauma and acute care surgery. 2012;72(2):513-20. http://dx.doi.10.1097/TA.0b013e3182199072.