The Correlation Between Quality of Life and Acceptability of Disability in Patients With Facial Burn Scars.

Xiuni Zhang,Chengsong Deng,Yuan Liu,Yunfeng Pan,Ailing Hu,Xiaohong Deng

doi:10.3389/fbioe.2019.00329

Abstract

The purpose of our research is to understand the status of the quality of life and level of disability acceptance in patients with facial burn scars and to explore the correlation between quality of life and disability acceptance and how to improve nursing care for these patients. Patients with facial burn scars were investigated in an outpatient clinic of tertiary hospitals from September 2015 to February 2016. A cross-sectional survey was conducted. The questionnaires used included demographic data and investigations using the burn scars table, Burn-Specific Health Scale-Brief (BSHS-B), and acceptance disability scale (ADS). Differences between participants in terms of demographic characteristics, quality of life, and disability acceptance were assessed using two-tailed independent t-tests. The total score of quality of life and disability acceptance in facial burn scar patients was 137.06 ± 17.05 and 185.68 ± 23.74, respectively. The results of Spearman correlation analysis showed that the overall quality of life score of facial burn scar patients was positively correlated with disability acceptance (r = 0.245, p = 0.007). The quality of life of facial burn scar patients will improve with the improvement of disability acceptance level. Therefore, medical staff can improve the quality of life of patients by improving their disability acceptance level.

Highlights

Burns are generally caused by high-intensity currents, high temperatures, chemicals, physical rays, etc. (Simons et al, 2018; Van Lieshout et al, 2018)
Patients with facial burn scars were investigated in an outpatient clinic of tertiary hospitals from September 2015 to February 2016
The quality of life of facial burn scar patients will improve with the improvement of disability acceptance level

Summary

Introduction

Burns are generally caused by high-intensity currents, high temperatures, chemicals, physical rays, etc. (Simons et al, 2018; Van Lieshout et al, 2018). The government’s efforts in prevention and treatment have reduced the mortality of burn, the disability rate of burn patients has not decreased. It is reported that the annual incidence of burns in China is ∼2% (Brewin and Homer, 2018), which occupies the second highest mortality rate among accidents. As an obvious exposed part of the body, facial burns account for more than half of all burn incidents. The loose subcutaneous adipose tissue and complex vascular nerves in facial areas makes it easier for body fluids to accumulate in the interstitial space. The body’s own oral and nasal secretions increase the incidence of infection in facial burns, resulting in hypertrophic scars or keloids during the tissue repair process (Kowal-Vern and Criswell, 2005). Deep second degree burns usually leave scars of different sizes, and when the wounds are not treated properly, shallow second degree burns or even degree I burns may form scars

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