The Effects of Severe Burns on Levels of Activity

Hooman Ghrobani, M. Momeni, A. Zavareh, Mahshid Aghajanzadeh, M. Roham, H. Karimi, H. Rahbar
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引用次数: 2

Abstract

Purpose: With the recent advances in medicine, the survival rate of clients with severe burns has improved. This has resulted in greater demand for rehabilitation services. One of the major goals for rehabilitation programmes is to restore these clients to their pre-trauma activity levels. However, there is not much research on the subject. Methods: Based on their availability, 30 clients with severe burns were selected, who had been discharged from the hospital for periods ranging from 1 month to 1 year.  Interviews were conducted and the participants’ perceptions were recorded regarding changes in their self-care, household chores, professional work, hobbies and recreational activities. Based on the results, 2 independent assessors categorised the activity levels as none, minor, intermediate and severe, in terms of negative effect. Results: In the self-care category, 8 participants reported no negative effect, 12 reported minor, 4 reported intermediate and 6 reported severe effects. In the household chores category, only 2 clients reported no effect and 13 indicated severe effects on their activities. Of the 21 participants who were working, only 2 reported no change in pre-trauma activities while 11 reported severe changes in their working activity levels. While 5 participants indicated no change in their recreational and leisure activity levels, 6 reported severe changes. Conclusion: Severe burns reduce clients’ levels of activity in some of the categories. However, they often regain their ability to perform activities at a lower level, depending on the site of burn, burning agent, and having received early rehabilitation pre- and post-discharge. Psycho-social factors, pre- and post- trauma, are also important.
严重烧伤对活动水平的影响
目的:随着近年来医学的进步,严重烧伤患者的生存率有所提高。这导致对康复服务的需求增加。康复方案的主要目标之一是使这些病人恢复到创伤前的活动水平。然而,关于这个问题的研究并不多。方法:选取30例已出院1个月至1年的严重烧伤患者。研究人员进行了访谈,记录了参与者在自我照顾、家务、专业工作、爱好和娱乐活动方面的变化。根据结果,两名独立评估人员将活动水平按负面影响分为无、轻微、中等和严重。结果:在自我护理类别中,8名受试者报告无负面影响,12名受试者报告轻微影响,4名受试者报告中度影响,6名受试者报告严重影响。在家务方面,只有2名客户报告没有影响,13名客户表示他们的活动受到严重影响。在21名工作的参与者中,只有2名报告创伤前的活动没有变化,而11名报告他们的工作活动水平发生了严重变化。5名参与者表示他们的娱乐和休闲活动水平没有变化,6名报告发生了严重变化。结论:严重烧伤会降低患者某些类别的活动水平。然而,他们通常会恢复较低水平的活动能力,这取决于烧伤部位、燃烧剂以及是否在出院前后接受了早期康复治疗。心理社会因素,创伤前和创伤后,也很重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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