Quality of life impact as outcome in burns patients.
OBJECTIVE
Severe burns have not only physical but also psychological consequences both during and after hospitalisation. By identifying the mainly impaired areas of a patient's quality of life (QoL), specific psychological support programmes can be provided. The assessment of subjectively perceived QoL impairment can also provide an indicator of the outcome of the medical and psychological treatment.


METHODS
This study used the Sickness Impact Profile (SIP) to investigate QoL in 30 burned patients after discharge and again three months' later.


RESULTS
At the first assessment, both the physical and psychological dimensions were significantly impaired, although there was an improvement at the 3-month follow-up, particularly in the physical dimension. Data suggest that there are QoL areas that appear to be compromised in burn patients. Even after hospital discharge, the burn injury causes major limitations that extend well beyond the physical area and involve emotional, social and relational aspects. Nevertheless, most of the categories in the physical dimension tend to improve during follow-up and, three months after the first administration, the predominant limitations are in emotional behaviour and sleep and rest in the psychosocial dimension. The SIP score matched for depth and extent of burns show that females were in poorer health than males. At the first administration, gender-related differences were particularly marked in Ambulation (p = .005), Body Care and Movement (p = .004), Home Management (p = .013), Mobility (p = .011), Physical Dimension (p = .004) and the QoL general score (p = .031). Although all of these areas had improved by the time of the retest, the gender-related differences remained. The categories assessed with the Psychosocial Dimension of SIP did not correlate with the clinical parameters of the burn, whereas those pertaining to the Physical Dimension did.


CONCLUSIONS
Multidisciplinary support for burn patients appears to be necessary even many months after hospital discharge.
Novelli
B
B
Centro Grandi Ustionati, Ospedale "Bufalini", Cesena, Italy. bnovelli@ausl-cesena.emr.it
Melandri
D
D
Bertolotti
G
G
Vidotto
G
G
D000203:Activities of Daily Living / Q000523:psychology; D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D000368:Aged; D002056:Burns / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D002057:Burns, Chemical / Q000523:psychology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007558:Italy; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D011788:Quality of Life; D018570:Risk Assessment; D012494:Sampling Studies; D012720:Severity of Illness Index; D018434:Sickness Impact Profile; D012944:Social Support; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D016138:Walking / Q000523:psychology