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Wu J, Zou J, Yang Q, Wang H, Tian H, Chen L, Ji Z, Zheng D, Li Z, Xie Y. The effects of scar in psychological disorder: A bibliometric analysis from 2003 to 2022. Int Wound J 2024; 21:e14373. [PMID: 37675814 PMCID: PMC10784201 DOI: 10.1111/iwj.14373] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2023] [Accepted: 08/23/2023] [Indexed: 09/08/2023] Open
Abstract
Scars are fibrous tissues that replace normal tissue during the wound healing process. Scarring can lead to low self-esteem, social impairment, depression, anxiety, and other psychiatric and psychological distress, necessitating a comprehensive understanding of the latest perspectives, topical research, and directions in scarring-mental health. This is a biblioshiny and VOSviewer based bibliometric analysis study. All data were obtained from the Web of Science, and a total of 664 articles from 2003 to 2022 met the criteria. The last 7 years have been a period of rapid growth in the field, with 2022 having the highest number of articles. The United States is the core country with the highest production and citation rate. The most cited literature was written in 2003 by Van Loey NE et al. Van Loey NE is the most prolific and influential author in this field. The top five popular keywords include "quality of life", "depression", "management", "anxiety", and "prevalence". The paper concludes that the current focus of scholars in the field is on the treatment of scars and that multidisciplinary treatment of such patients is worth exploring. These findings provide relevant researchers with the current state of research and possible future directions in this field.
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Affiliation(s)
- Jinyao Wu
- Department of Respiratory and Critical Care MedicineThe First Affiliated Hospital of Shantou University Medical CollegeShantouChina
- Department of Thyroid, Breast and Hernia Surgery, General SurgeryThe Second Affiliated Hospital of Shantou University Medical CollegeShantouChina
| | - Juan Zou
- Department of Thyroid, Breast and Hernia Surgery, General SurgeryThe Second Affiliated Hospital of Shantou University Medical CollegeShantouChina
| | - Qiuping Yang
- Department of Thyroid, Breast and Hernia Surgery, General SurgeryThe Second Affiliated Hospital of Shantou University Medical CollegeShantouChina
| | - Haiting Wang
- Department of Thyroid, Breast and Hernia Surgery, General SurgeryThe Second Affiliated Hospital of Shantou University Medical CollegeShantouChina
| | - Huiting Tian
- Department of Thyroid, Breast and Hernia Surgery, General SurgeryThe Second Affiliated Hospital of Shantou University Medical CollegeShantouChina
| | - Lingzhi Chen
- Department of Thyroid, Breast and Hernia Surgery, General SurgeryThe Second Affiliated Hospital of Shantou University Medical CollegeShantouChina
| | - Zeqi Ji
- Department of Thyroid, Breast and Hernia Surgery, General SurgeryThe Second Affiliated Hospital of Shantou University Medical CollegeShantouChina
| | - Daitian Zheng
- Department of Thyroid, Breast and Hernia Surgery, General SurgeryThe Second Affiliated Hospital of Shantou University Medical CollegeShantouChina
| | - Zhiyang Li
- Department of Thyroid, Breast and Hernia Surgery, General SurgeryThe Second Affiliated Hospital of Shantou University Medical CollegeShantouChina
| | - Yanna Xie
- Department of Respiratory and Critical Care MedicineThe First Affiliated Hospital of Shantou University Medical CollegeShantouChina
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Wang YQ, Wu ZH, Chen XJ, Ma H. Patient-reported outcomes and their predictors 2 years after burn injury: A cross-sectional study. Int Wound J 2023; 21:e14448. [PMID: 37864399 PMCID: PMC10828125 DOI: 10.1111/iwj.14448] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Accepted: 10/11/2023] [Indexed: 10/22/2023] Open
Abstract
This study aimed to describe patient-reported outcomes 2 years after burn injury and to comprehensively elucidate predictors that may influence these outcomes. This cross-sectional, prospective study included 352 patients who were admitted to the Department of Burn Surgery at a tertiary teaching hospital between January 2017 and December 2020. We collected demographic and disease-related data and instructed participants to complete the Readiness for Hospital Discharge Scale (RHDS) and the Burn Specific Health Scale-Brief (BSHS-B) questionnaire. The overall score of patient-reported outcomes 2 years after burn injury was 126.55 ± 33.32 points, and the dimensions with the lowest scores were "hand function" (13.96 ± 5.75), "heat sensitivity" (14.84 ± 4.90), "treatment regimens" (13.41 ± 6.77) and "work" (11.30 ± 4.97). Multiple linear regression analysis revealed that less postburn pruritus, better readiness for hospital discharge, less total body surface area (TBSA), better social participation, white-collar jobs, older age, better sleep quality and burns not caused by electricity were associated with better outcomes. Patients experienced poor patient-reported outcomes 2 years after burn injury. Integrated rehabilitative care is necessary to address patients' unique needs and improve long-term patient-reported outcomes.
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Affiliation(s)
- Yan qiong Wang
- Department of Burn and Plastic Surgery, West China HospitalSichuan University/West China School of Nursing, Sichuan UniversityChengduChina
| | - Zhi hui Wu
- Department of Burn and Plastic Surgery, West China HospitalSichuan University/West China School of Nursing, Sichuan UniversityChengduChina
| | - Xiao juan Chen
- Department of Burn and Plastic Surgery, West China HospitalSichuan University/West China School of Nursing, Sichuan UniversityChengduChina
| | - Hong Ma
- Department of Burn and Plastic Surgery, West China HospitalSichuan University/West China School of Nursing, Sichuan UniversityChengduChina
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Zolfagharzadeh H, Esfandiari M, Taheri Otaghsara SM, Mohebbi A, Emami Zeydi A, Zare-Kaseb A, Ghazanfari MJ. How to manage ongoing post-discharge challenges of burn survivors. Burns 2023; 49:1229-1230. [PMID: 36737379 DOI: 10.1016/j.burns.2023.01.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2022] [Accepted: 01/11/2023] [Indexed: 01/18/2023]
Affiliation(s)
- Hadi Zolfagharzadeh
- Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Islamic Azad University, Urmia, Iran
| | - Mostafa Esfandiari
- Department of Medical-Surgical Nursing, Nasibeh School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
| | - Seyedeh Mahjabin Taheri Otaghsara
- Department of Medical-Surgical Nursing, Nasibeh School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
| | - Alireza Mohebbi
- Department of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran
| | - Amir Emami Zeydi
- Department of Medical-Surgical Nursing, Nasibeh School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran
| | - Akbar Zare-Kaseb
- Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Mohammad Javad Ghazanfari
- Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
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Carney BC, Bailey JK, Powell HM, Supp DM, Travis TE. Scar Management and Dyschromia: A Summary Report from the 2021 American Burn Association State of the Science Meeting. J Burn Care Res 2023; 44:535-545. [PMID: 36752791 DOI: 10.1093/jbcr/irad017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2022] [Indexed: 02/09/2023]
Abstract
Burn scars, and in particular, hypertrophic scars, are a challenging yet common outcome for survivors of burn injuries. In 2021, the American Burn Association brought together experts in burn care and research to discuss critical topics related to burns, including burn scars, at its State of the Science conference. Clinicians and researchers with burn scar expertise, as well as burn patients, industry representatives, and other interested stakeholders met to discuss issues related to burn scars and discuss priorities for future burn scar research. The various preventative strategies and treatment modalities currently utilized for burn scars were discussed, including relatively noninvasive therapies such as massage, compression, and silicone sheeting, as well as medical interventions such as corticosteroid injection and laser therapies. A common theme that emerged is that the efficacy of current therapies for specific patient populations is not clear, and further research is needed to improve upon these treatments and develop more effective strategies to suppress scar formation. This will necessitate quantitative analyses of outcomes and would benefit from creation of scar biobanks and shared data resources. In addition, outcomes of importance to patients, such as scar dyschromia, must be given greater attention by clinicians and researchers to improve overall quality of life in burn survivors. Herein we summarize the main topics of discussion from this meeting and offer recommendations for areas where further research and development are needed.
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Affiliation(s)
- Bonnie C Carney
- Firefighters' Burn and Surgical Research Laboratory, MedStar Health Research Institute, Washington, DC, USA
- Department of Biochemistry, Georgetown University School of Medicine, Washington, DC, USA
| | - John K Bailey
- Department of Surgery, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA
| | - Heather M Powell
- The Ohio State University, Departments of Materials Science and Engineering and Biomedical Engineering, Columbus, OH, USA
- Scientific Staff, Shriners Children's Ohio, Dayton, OH, USA
| | - Dorothy M Supp
- Scientific Staff, Shriners Children's Ohio, Dayton, OH, USA
- The University of Cincinnati College of Medicine, Department of Surgery, Cincinnati, OH, USA
| | - Taryn E Travis
- Firefighters' Burn and Surgical Research Laboratory, MedStar Health Research Institute, Washington, DC, USA
- The Burn Center, MedStar Washington Hospital Center, Washington, DC, USA
- Department of Surgery, Georgetown University School of Medicine, Washington, DC, USA
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Impact of severe necrotizing fasciitis on quality of life in the Netherlands. Eur J Trauma Emerg Surg 2022; 48:4805-4811. [PMID: 35678866 DOI: 10.1007/s00068-022-02011-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2022] [Accepted: 05/15/2022] [Indexed: 11/03/2022]
Abstract
PURPOSE Necrotizing fasciitis (NF) is a severe soft-tissue infection which can leave survivors with big and multiple disfiguring alterations to their bodies, which can negatively affect the lives of patients by causing functional limitations and altered self-perception. In this study we aim to find if NF affect (self-reported) quality of life (QoL) in patients surviving NF. METHODS All patients with (histopathological or surgical confirmed) NF who were admitted to the intensive care unit for 24 h or more between January 2003 and December 2017 in five hospitals from the Nijmegen teaching region were included. Quality of life was measured with the SF-36 and WHOQol-BREF. These results were compared to reference populations from the Netherlands and a Australian reference population. RESULTS 44 out of 60 patients (73.3%) who were contacted returned the surveys and were eligible for analysis. These patients showed lowered levels of quality of life on multiple domains of the SF-36: physical functioning, role limitations due to physical health, vitality and general health. The physical domain of the WHOQol-BREF showed also significant lowered levels of quality of life. CONCLUSION NF is a severe illness with a high morbidity and mortality rate. This study shows that patients who do survive NF have decreased (self-reported) quality of life in multiple domains with a focus on decreased physical functioning. During and after admission realistic expectations should be discussed and there should be more attention to signs of permanent disability. That way extra support by a physiotherapist or social worker can be provided.
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Almodumeegh AS, AlKhudair MR, Altammami AF, Alsuhaim RH, Alhumaidan AI, Alothman AM. Patient Satisfaction After Conservative Treatment for Burn Scars in Saudi Arabia. Cureus 2022; 14:e21896. [PMID: 35265422 PMCID: PMC8898341 DOI: 10.7759/cureus.21896] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/04/2022] [Indexed: 11/27/2022] Open
Abstract
Background Burn injury is a typical physical injury that occurs as a result of a thermal, electrical, or chemical stimulus. Burn injuries to the skin cause complicated issues, including scar marks, psychological impacts, and affect quality of life (QOL). The preferred treatment technique for burn scars is controversial, as attempts to control the contraction rate remain a challenge, often leading to a poor outcome. Thus, treating burn scar patients is one of the biggest challenges in reconstructive surgery. In this study, we aimed to assess the patients’ perception of pain and QOL after conservative treatment for burn scars in Saudi Arabia. Methodology This was a cross-sectional study conducted on Saudi Arabian patients who underwent conservative treatment for their burn scars. Information was obtained using a self-reported questionnaire which was distributed online using Google Forms on several social media platforms. MS Excel was used for data entry, while SPSS version 23 was used for data analysis. Results We collected 523 responses to our questionnaire. Among respondents, 70.2% were aged between 18-29 years and 62.1% were single. Most burns were on the upper limbs (74.2%), and 78% of burns were caused by a thermal stimulus (exposure to heat). In terms of emotional status, most respondents did not report significant emotional issues related to their burn scars with a mean emotional score of 12.5 out of 24. Overall, burn scars did not affect the respondents’ ability to work or independence in performing daily work. Regarding the impact of the burns on the patients’ appearance, 29.4% of respondents reported that their scars bothered them significantly, 64.2% reported that their appearance never bothered them, and 11.5% reported that they sometimes tried to forget how their appearance had been changed. Conclusions We found that conservative treatment of burn scars is effective in controlling the pain associated with the burns and can improve the patient’s ability to perform work and other daily activities. However, it did not completely improve the psychological distress associated with scars. Further investigations are required to understand the impact of adherence to conservative treatment for burn scars on the psychological status of patients.
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Brewin M, Docherty S, Heaslip V, Breheny K, Pleat J, Rhodes S. Early Laser for Burn Scars (ELABS): protocol for a multi-centre randomised, controlled trial of both the effectiveness and cost-effectiveness of the treatment of hypertrophic burn scars with Pulsed Dye Laser and standard care compared to standard care alone [version 1; peer review: 2 approved]. NIHR OPEN RESEARCH 2022; 2:1. [PMID: 35392303 PMCID: PMC7612584 DOI: 10.3310/nihropenres.13234.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Accepted: 11/09/2021] [Indexed: 11/22/2022]
Abstract
This paper outlines the protocol for a study that is being carried out at multiple centres across the UK in the next three years. It is a Research for Patient Benefit (RfPB) study funded by the National Institute for Healthcare Research (NIHR). The aim is to assess the effectiveness of treating hypertrophic burns scars with pulsed dye laser (PDL) at an early stage of scar formation. The objective is to improve Quality of Life for the patient by improving both the appearance and quality of burn scarring, as well as reducing its psychological impact. This is a parallel-arm randomised, controlled trial to compare PDL and standard care against standard care alone. The difference is measured between baseline and six-month follow-up. Recruits are within three months of healing from a burn injury; with wounds showing a defined potential for hypertrophic scarring. A total of 120 patients are recruited in a multi-centre study; with randomisation in a 1:1 allocation to each arm. The treatment arm receives 3 PDL treatments at six-week intervals in addition to standard care, whereas the control arm receives standard care alone. The primary outcome is the patient-rated part of the Patient and Observer Scar Scale (POSAS). Psychological and psycho-social impact is evaluated using the CARe burn scale (UWE, Bristol) and Quality Adjusted Life Years (QALY) is determined using the Short-Form Health Survey (SF-12). The study evaluates both the cost-effectiveness through an economic analysis and the patient-reported experience of the treatment by phone interviews.
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Affiliation(s)
- Mark Brewin
- Burns & Plastics, Salisbury NHS Foundation Trust, Salisbury, Wiltshire, SP2 8BJ, UK
| | | | | | | | - Jonathon Pleat
- Burns & Plastics, North Bristol NHS Trust, Bristol, BS10 5NB, UK
| | - Shelley Rhodes
- Exeter Clinical Trials Unit, University of Exeter, Exeter, EX4 4SB, UK
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Kim KJ, Boo S, Oh H. Burn Survivors' Experiences of the Ongoing Challenges after Discharge in South Korea: A Qualitative Study. Adv Skin Wound Care 2021; 34:1-6. [PMID: 33797424 DOI: 10.1097/01.asw.0000734380.80661.cc] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE To help burn survivors during the recovery time after discharge, healthcare professionals need to understand their experiences and care requirements. However, little is known about the experience of burn survivors after discharge in South Korea. This study aims to explore their experiences in a community setting. METHODS Using a qualitative descriptive format, data were collected by semistructured interview from 10 patients who had sustained major burns. Each interview was based on a protocol of 60 to 90 minutes' duration and used a qualitative content analysis. RESULTS Three themes were identified in the analysis: (1) ongoing distressing symptoms and the unpredictability of hypertrophic scars, (2) difficulties in reintegration into society, and (3) burden of health expenditure. CONCLUSIONS Several participants expressed consistent difficulties with distressing symptoms such as wound pain, pruritus, sleep disturbances, and unpredictable scar and symptom changes. Survivors further described the financial burden associated with high expenditures from nonreimbursable rehabilitation expenses, and the high cost incurred with consistent skin care. By providing support based on their needs, appropriate interventions would be more readily available for burn survivors.
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Affiliation(s)
- Kyung Ja Kim
- Kyung Ja Kim, PhD, RN, is Unit Manager, Hangang Sacred Heart Hospital, Hallym University, Seoul, Korea. Sunjoo Boo, PhD, RN, is Associate Professor, Ajou University, Suwon, Korea. Hyunjin Oh, PhD, RN, is Associate Professor, Gachon University, Incheon, Korea. Acknowledgments: The authors thank the patients who participated in the study. This work was supported by the National Research Foundation of Korea grant funded by the Korean government (Ministry of Science and ICT, 2017R1C1B1005527). The authors have disclosed no other financial relationships related to this article. Submitted March 20, 2020; accepted in revised form May 13, 2020; published online ahead of print, March 31, 2021
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Supp DM, Hahn JM, Lloyd CM, Combs KA, Swope VB, Abdel-Malek Z, Boyce ST. Light or Dark Pigmentation of Engineered Skin Substitutes Containing Melanocytes Protects Against Ultraviolet Light-Induced DNA Damage In Vivo. J Burn Care Res 2020; 41:751-760. [PMID: 32052834 DOI: 10.1093/jbcr/iraa029] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
Engineered skin substitutes (ESS) containing autologous fibroblasts and keratinocytes provide stable wound closure in patients with large, full-thickness burns, but are limited by hypopigmentation due to absence of added melanocytes. DNA damage caused by ultraviolet radiation (UV) increases risk for skin cancer development. In human skin, melanocytes provide pigmentation that protects skin from UV-induced DNA damage. This study investigated whether inclusion of human melanocytes (hM) affects the response of ESS to UV in vivo. Specifically, pigmentation and formation of cyclobutane pyrimidine dimers (CPDs), the most prevalent UV-induced DNA photoproduct, were analyzed. Three groups of ESS were prepared with fibroblasts and keratinocytes, ± melanocytes, and grafted orthotopically to immunodeficient mice: ESS without melanocytes (ESS-hM), ESS with light skin-derived (Caucasian) melanocytes (ESS+hM-L), and ESS with dark skin-derived (African-American) melanocytes (ESS+hM-D). Pigmentation of ESS+hM-L and ESS+hM-D increased significantly after grafting; pigmentation levels were significantly different among groups. Mean melanocyte densities in ESS+hM-L and ESS+hM-D were similar to each other and to densities in normal human skin. After 8 weeks in vivo, grafts were irradiated with 135 mJ/cm2 UV; non-UV-treated mice served as controls. UV modestly increased pigmentation in the ESS+hM groups. UV significantly increased CPD levels in ESS-hM, and levels in ESS-hM were significantly greater than in ESS+hM-L or ESS+hM-D. The results demonstrate that light or dark melanocytes in ESS decreased UV-induced DNA damage. Therefore, melanocytes in ESS play a photoprotective role. Protection against UV-induced DNA damage is expected to reduce skin cancer risk in patients grafted with ESS containing autologous melanocytes.
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Affiliation(s)
- Dorothy M Supp
- Research Department, Shriners Hospitals for Children - Cincinnati, Ohio.,Center for Stem Cell & Organoid Medicine (CuSTOM), Cincinnati Children's Hospital Medical Center, Ohio
| | - Jennifer M Hahn
- Research Department, Shriners Hospitals for Children - Cincinnati, Ohio
| | | | - Kelly A Combs
- Research Department, Shriners Hospitals for Children - Cincinnati, Ohio
| | - Viki B Swope
- Department of Dermatology, University of Cincinnati, College of Medicine, Ohio
| | - Zalfa Abdel-Malek
- Department of Dermatology, University of Cincinnati, College of Medicine, Ohio
| | - Steven T Boyce
- Research Department, Shriners Hospitals for Children - Cincinnati, Ohio.,Department of Surgery, University of Cincinnati, College of Medicine, Ohio
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Hsu KC, Chen YC, Chen LF, Lu HF. The Formosa Fun Coast water park dust explosion accident: Three-year cohort study to track changes and analyze the influencing factors of burn survivors’ quality of life. Burns 2019; 45:1923-1933. [DOI: 10.1016/j.burns.2019.07.017] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2019] [Revised: 05/29/2019] [Accepted: 07/10/2019] [Indexed: 10/26/2022]
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Nedelec B, Couture MA, Calva V, Poulin C, Chouinard A, Shashoua D, Gauthier N, Correa JA, de Oliveira A, Mazer B, LaSalle L. Randomized controlled trial of the immediate and long-term effect of massage on adult postburn scar. Burns 2019; 45:128-139. [DOI: 10.1016/j.burns.2018.08.018] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2018] [Revised: 06/22/2018] [Accepted: 08/07/2018] [Indexed: 11/24/2022]
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Yurdalan SU, Ünlü B, Seyyah M, Şenyıldız B, Çetin YK, Çimen M. Effects of structured home-based exercise program on depression status and quality of life in burn patients. Burns 2018. [PMID: 29534886 DOI: 10.1016/j.burns.2018.02.015] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
BACKGROUND Burns can cause life-threatening injuries and severe limitations. This study aimed to evaluate the effects of the structured home-based exercise program on depression status and quality of life in burn patients. MATERIALS AND METHODS This study was carried out in the Wound and Burn Treatment Department of University of Health Sciences, Dr. Lütfi Kırdar Kartal Education and Research Hospital, Istanbul. Thirty burn patients voluntarily participated in this study. Patients' demographic data such as burn area and grade, percentage, type, number of grafts, and duration of hospitalization were recorded. The quality of life was evaluated using the Short Form-36 (SF-36), and depression status was evaluated using Beck Depression Inventory (BDI). The home-based exercise program was defined by the clinical physiotherapist on the day when the patient was discharged. The home-based exercise program was applied for 3 weeks. Evaluations were performed at discharge and repeated after 3 weeks at the end of the exercise program. RESULTS Of the 30 patients who completed the study (age range, 21-61 years; mean, 34.9±12.99 years), 96.7% (n=29) were male and 3.3% (n=1) were female. A statistically significant difference was observed between BDI and SF-36 scores before and after the home-based exercise program (p<0.05). BDI scores decreased after the home-based exercise program, whereas SF-36 scores increased. CONCLUSION Our study concludes that burn patients who underwent the structured home-based exercise programs attained acceleration of their physical, social, and psychological integrity. Thus, establishing a structured home-based exercise program according to the burn type and clinical course should be continued.
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Affiliation(s)
- Saadet Ufuk Yurdalan
- Marmara University, Faculty of Health Sciences, Physiotherapy and Rehabilitation Department, Başıbüyük Mahallesi, Maltepe Başıbüyük Yolu Sokak, 9/4/1 Maltepe, Istanbul, Turkey.
| | - Begüm Ünlü
- Marmara University, Faculty of Health Sciences, Physiotherapy and Rehabilitation Department, Başıbüyük Mahallesi, Maltepe Başıbüyük Yolu Sokak, 9/4/1 Maltepe, Istanbul, Turkey.
| | - Mine Seyyah
- University of Health Sciences Kartal Dr. Lütfi Kırdar Education and Research Hospital, Wound and Burn Treatment Department, Cevizli Mahallesi, Şemsi Denizer Caddesi, E-5 Karayolu Cevizli Mevkii, 34890 Kartal, Istanbul, Turkey.
| | - Batuhan Şenyıldız
- Marmara University, Faculty of Health Sciences, Physiotherapy and Rehabilitation Department, Başıbüyük Mahallesi, Maltepe Başıbüyük Yolu Sokak, 9/4/1 Maltepe, Istanbul, Turkey.
| | - Yunus Kubilay Çetin
- Marmara University, Faculty of Health Sciences, Physiotherapy and Rehabilitation Department, Başıbüyük Mahallesi, Maltepe Başıbüyük Yolu Sokak, 9/4/1 Maltepe, Istanbul, Turkey.
| | - Menekşe Çimen
- Marmara University, Faculty of Health Sciences, Physiotherapy and Rehabilitation Department, Başıbüyük Mahallesi, Maltepe Başıbüyük Yolu Sokak, 9/4/1 Maltepe, Istanbul, Turkey.
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