重返工作岗位对重度烧伤患者身心健康的影响

Influence of Returning to Work on Health-Related Quality of Life on Patients after Severe Burn Injury

目的探讨重返工作岗位对重度烧伤患者康复期身心健康的影响。方法采用目的抽样法选择2007年1月至2011年1月在成都市某三级甲等医院住院的76例重度烧伤患者为研究对象,采用SF-36健康调查量表、精简烧伤健康量表(burn specific health scale-brief,BSHS-B)、事件影响量表修订版(impact of event scale-revised,IES-R)、医院焦虑抑郁量表(hospital anxiety and depression scale,HADS)等对其身心健康进行测评。结果 76例重度烧伤患者中,54例重返工作岗位,未返工作岗位组患者的生理功能、生理职能、躯体疼痛、总体健康及社会功能得分均低于四川省常模和重返工作岗位组,重返工作岗位组IES-R得分、BSHS-B各维度(除体像、人际关系及性生活外)得分明显低于未返工作岗位组(P<0.05或P<0.01),两组HADS得分差异无统计学意义(P>0.05)。结论重返工作岗位有助于促进重度烧伤患者的身心康复。

Objective To investigate the influence of returning to work on life quality of patients with severe burn injury.Methods By convenience sampling,76 patients suffered severe burns were randomly selected from one city general hospital during January 2007 to January 2011.The data of patients were collected by SF-36、BSHS-B、IES- R、HADS.Results Within 76 patients with severe burn injury,54 of them had returned to work.The score of physiological function,physical role,physical pain,general health status and social function in those patients who did not return to work were lower than general scale of Sichuan Province and group of patients who had returned to work.IES-R score and each dimension of BSHS-B （except body image,interpersonal relationship and sex life）were significantly lower than group of patients who had not return to work （P〈0.05 or P〈0.01）,but they did not differ on HADS scores （P〉0.05）.Conclusion Returning to work can promote the health-related quality of life and psychological health of severe burn patients.