Main Article Content
Abstract
Background: Burn injuries can contribute to physical and psychological problems affecting quality of life (QoL). The QoL is a parameter to assess medical results after treatment. In Indonesia, studies concerning burn patients’ QoL after treatment are still limited.
Objective: This study aims to observe correlations between 8 dimensions of QoL after treatment and histories of burn severity, numbers of surgical procedures, and lengths of hospital stay
Methods: A cross sectional study was conducted in December 2018. Subject criteria of this study were patients who have experienced burn injuries for the last 2 years and have been treated at dr. Soebandi Hospital Jember. Then all the patients were discharged from the hospital by following medical advice in recovered conditions. They were asked to complete SF-36 questionnaires that consist of 8 dimensions of QoL. Every dimension was correlated with histories of burn severity, numbers of surgical procedure, and lengths of hospital stay. Next, the obtained data were analysed by Pearson and Spearman.
Results: 13 subjects or patients were analysed. Most of them (38.5%) were adults in a range of 41 – 50 years old and were male (69.2%). A bivariate analysis found a significant negative correlation between burn severity and QoL in physical functions, bodily pains, and mental health dimensions (p=0.030, p=0.012, p=0.044). A significant negative correlation was also reported between numbers of surgical procedures and QoL in physical role dimensions (p=0.047). Lengths of hospital stay had a significant negative correlation with physical functions and physical role dimensions (p=0.044, p=0.031).
Conclusion: This study revealed significant correlations between burn severity, numbers of surgical procedures, length of hospital stay and the various dimensions of QoL. This study also provided data of QoL, so in the future burn centres can identify dimensions of QoL after burn injuries and can improve their burn management and patient care to improve their QoL.
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References
- Wardhana A, Basuki A, Prameswara ADH, Rizkita DN, Andarie AA, Canintika AF. The epidemiology of burns in indonesia’s national referral burn center from 2013 to 2015. Burns: Journal of the International Society for Burn Injuries. 2017; 2(1):67-73.
- World Health Organization. Burns [Internet]. Genvea. 2018. Available from: http://www.who.int/news-room/fact-sheets/detail/burns/.
- Kementrian Kesehatan Republik Indonesia. Riset Kesehatan Dasar [Internet]. 2013. Available form: www.depkes.go.id chmidt FM, Santos VL. Prevalence of constipation in the general adult population: An integrative review. Journal of Wound Ostomy & Continence Nursing. 2014;41(1):70-6; quiz E1-2.
- Elfiah, U, Riasa N. Epidemiology and Burns Referral in Secondary Burn Unit of Soebandi Hospital, Jember Regency, East Java – Indonesia. In: The 11th Asia Pasific Burn Congress. 2017
- Tang D, Li-Tsang CWP, Au RKC, Li K, Yi X, Cao H, et al. Functional outcomes of burn patients with ot without rehabilitation in mainland china. Hongkong Journal of Occupational Therapy. 2015; 26: 15-23.
- Shahid F, Ismali M, Khan S. Assessment of QoL in post burn survivor: a crossectional single-center first validatin study from pakistan. Burns: Journal of the International Society for Burn Injuries. 2018; 2: 35-42.
- McAleavey AA. Wyka K, Peskin M, Difede J. Physical, functional, psychosocial recovery from burn injury related and their relationship changes over time: a burn model system study. Burns: Journal of the International Society for Burn Injuries. 2018; 44(4): 793-799.
- Wasiak J, Lee SJ, Paul E, Mahar B, Pfitzer B, Spinks A. Predictors of health status and health-related QoL 12 months after severe burn. Burns: Journal of the International Society for Burn Injuries. 2014; 40: 568-574.
- Edgar D, Dawson A, Hankey G, Phillips M, Rossi LA. Demonstration of the validity of the SF-36 for measurement of the temporal recovery of QoL outcomes in burns survivors. Burns: Journal of the International Society for Burn Injuries. 2010; 36: 1013-1020.
- Sjamsuhidajat R, De Jong W. Buku Ajar Ilmu Bedah. Jakarta: EGC, 2010.
- Odoch R, Atuhairwe C, Titus DAL, Agaba E, Nabankema E. Predictors of length of hospital stay among burns patients in mulago national referral hospital, kampala-uganda. Journal of Health, Medicine, and Nursing. 2016; 29: 32-39.
- Johnson LS, Shupp JW, Pavlovich AR, Pezzullo JC, Jeng JC, Jordan MH. Hospital length of stay –does 1% TBSA really equal 1 day?. Journal of Burn Care & Research. 2011; 32(1): 9-13.
- Needham DL. Longer stay in hospital ICU has lasting impact on QoL. 2014. Available from: www.hopkinsmedicine.org.
- Covinsky KE, Pierluissi E, Johnston CB. Hospitalization-associated disability: “she was probably able to ambulate, but im not sure”. Journal of the American Medical Association. 2011; 306(16): 1782-1793.
- Holavanahalli RK, Helm PA, Kowalske KJ. Long-term outcomes in patients surviving large burns: the musculoskeletal system. Journal of Burn Care & Research. 2016; 37(4): 243-245.
- Orwelius L, Willebrand M, Gerdin B, Ekselius L, Fredrikson M, Sjoberg F. Long term health-related QoL after burns is strongly depndent on pre-existing disease and psychological issues and less due to the burn itself. Burns. 2013; 39: 229-235.
- Bentley A, Andrea P. Burns: Body Image. PACEsetterS. 2011; 8(3): 19-21
- Amstrong-James L. Coping with changed appearance and body image following a burn injury. Journal of Aesthetic Nursing. 2014; 3(5): 238-241.
- Candrawati O, Wirasto RT. Risk factor of stroke survivors’ quality of life. Jurnal Kedokteran dan Kesehatan Indonesia. 2017; 8(3): 176-182.
- Jeschkel MG, Gauglitz GG, Kulpl GA, Finnerty CC, Williams FN, Kraft R, et al. Long-term persistance of the pathophysiologic response to severe burn injury. PloS One. 2011; 6(7): e21245.
- Jain A, Rathore S, Jain R, Gupta ID, Choudhary GL. Assessment of depression and the QoL in burn patients seeking reconstruction surgery. Indian Journal of Burns. 2018; 23: 37-42
References
Wardhana A, Basuki A, Prameswara ADH, Rizkita DN, Andarie AA, Canintika AF. The epidemiology of burns in indonesia’s national referral burn center from 2013 to 2015. Burns: Journal of the International Society for Burn Injuries. 2017; 2(1):67-73.
World Health Organization. Burns [Internet]. Genvea. 2018. Available from: http://www.who.int/news-room/fact-sheets/detail/burns/.
Kementrian Kesehatan Republik Indonesia. Riset Kesehatan Dasar [Internet]. 2013. Available form: www.depkes.go.id chmidt FM, Santos VL. Prevalence of constipation in the general adult population: An integrative review. Journal of Wound Ostomy & Continence Nursing. 2014;41(1):70-6; quiz E1-2.
Elfiah, U, Riasa N. Epidemiology and Burns Referral in Secondary Burn Unit of Soebandi Hospital, Jember Regency, East Java – Indonesia. In: The 11th Asia Pasific Burn Congress. 2017
Tang D, Li-Tsang CWP, Au RKC, Li K, Yi X, Cao H, et al. Functional outcomes of burn patients with ot without rehabilitation in mainland china. Hongkong Journal of Occupational Therapy. 2015; 26: 15-23.
Shahid F, Ismali M, Khan S. Assessment of QoL in post burn survivor: a crossectional single-center first validatin study from pakistan. Burns: Journal of the International Society for Burn Injuries. 2018; 2: 35-42.
McAleavey AA. Wyka K, Peskin M, Difede J. Physical, functional, psychosocial recovery from burn injury related and their relationship changes over time: a burn model system study. Burns: Journal of the International Society for Burn Injuries. 2018; 44(4): 793-799.
Wasiak J, Lee SJ, Paul E, Mahar B, Pfitzer B, Spinks A. Predictors of health status and health-related QoL 12 months after severe burn. Burns: Journal of the International Society for Burn Injuries. 2014; 40: 568-574.
Edgar D, Dawson A, Hankey G, Phillips M, Rossi LA. Demonstration of the validity of the SF-36 for measurement of the temporal recovery of QoL outcomes in burns survivors. Burns: Journal of the International Society for Burn Injuries. 2010; 36: 1013-1020.
Sjamsuhidajat R, De Jong W. Buku Ajar Ilmu Bedah. Jakarta: EGC, 2010.
Odoch R, Atuhairwe C, Titus DAL, Agaba E, Nabankema E. Predictors of length of hospital stay among burns patients in mulago national referral hospital, kampala-uganda. Journal of Health, Medicine, and Nursing. 2016; 29: 32-39.
Johnson LS, Shupp JW, Pavlovich AR, Pezzullo JC, Jeng JC, Jordan MH. Hospital length of stay –does 1% TBSA really equal 1 day?. Journal of Burn Care & Research. 2011; 32(1): 9-13.
Needham DL. Longer stay in hospital ICU has lasting impact on QoL. 2014. Available from: www.hopkinsmedicine.org.
Covinsky KE, Pierluissi E, Johnston CB. Hospitalization-associated disability: “she was probably able to ambulate, but im not sure”. Journal of the American Medical Association. 2011; 306(16): 1782-1793.
Holavanahalli RK, Helm PA, Kowalske KJ. Long-term outcomes in patients surviving large burns: the musculoskeletal system. Journal of Burn Care & Research. 2016; 37(4): 243-245.
Orwelius L, Willebrand M, Gerdin B, Ekselius L, Fredrikson M, Sjoberg F. Long term health-related QoL after burns is strongly depndent on pre-existing disease and psychological issues and less due to the burn itself. Burns. 2013; 39: 229-235.
Bentley A, Andrea P. Burns: Body Image. PACEsetterS. 2011; 8(3): 19-21
Amstrong-James L. Coping with changed appearance and body image following a burn injury. Journal of Aesthetic Nursing. 2014; 3(5): 238-241.
Candrawati O, Wirasto RT. Risk factor of stroke survivors’ quality of life. Jurnal Kedokteran dan Kesehatan Indonesia. 2017; 8(3): 176-182.
Jeschkel MG, Gauglitz GG, Kulpl GA, Finnerty CC, Williams FN, Kraft R, et al. Long-term persistance of the pathophysiologic response to severe burn injury. PloS One. 2011; 6(7): e21245.
Jain A, Rathore S, Jain R, Gupta ID, Choudhary GL. Assessment of depression and the QoL in burn patients seeking reconstruction surgery. Indian Journal of Burns. 2018; 23: 37-42