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Previous issue date: 2013 / A queimadura e uma experiencia traumatica com importante repercussao social, economica e de Saúde publica que necessita de atencao de orgaos governamentais de forma multidisciplinar, estando entre as principais causas de morbidade e mortalidade devido a complexidade do tratamento. Objetivo: Avaliar a qualidade de vida, autoestima, capacidade funcional e dor em pacientes apos queimadura. Metodos: Estudo transversal, analitico e multicentrico. Foram incluidos no estudo 30 pacientes com idades entre 18 e 59 anos, com 6 a 24 meses de tempo apos a queimadura. Utilizou-se instrumento para coleta de dados demograficos e clinicos. A avaliacao foi realizada por meio dos questionarios SF-36, instrumento especifico para queimaduras BSHS-R, Escala de autoestima de Rosenberg/UNIFESP-EPM, instrumento de avaliacao da capacidade funcional HAQ-20, e para avaliacao da dor, a Escala Visual Analogica. Para a analise estatistica foram utilizados o Teste t de Student, Analise de Variancia (ANOVA), teste de Tukey, Kruskal-Wallis, Dunn e Spearman's. Resultados: Dos 30 pacientes, 56,7 % eram do genero masculino, com idade media de 36,1 anos. A principal causa da queimadura foi o liquido inflamavel (50 % dos pacientes) e a media da superficie corporea queimada foi de 21 %. Houve diferenca estatisticamente significante entre os generos nos dominios do SF-36 Aspecto Emocional (p = 0,023) e Saúde Mental (p = 0,047). Em ambos os dominios os homens apresentaram melhores resultados. Tambem tiveram diferenca estatisticamente significante os dominios do SF-36 Dor (p=0,025), Vitalidade (p=0,041) e Saúde Mental (p=0,023) com relacao ao consumo de alcool e tambem com as escalas BSHS-R (P=0,015), Rosenberg (p=0,044) e a EVA (p=0,007). O uso de drogas apresentou diferenca estatisticamente significante com relacao ao dominio Dor do SF-36 (P=0,008). Conclusao: A qualidade de vida de pacientes apos queimadura apresentou correlacao positiva com a autoestima, capacidade funcional e dor / Background: Burn injury is a traumatic experience that has social,
economic and public health implications and deserves the attention of
governmental agencies and multidisciplinary teams. Objective: To
evaluate quality of life, self-esteem, functional ability, and pain in burn
patients. Methods: This was a multicenter, cross-sectional, analytical
study. Thirty patients aged 18 to 59 years, who had suffered burn injury
during the past 6 to 24 months, were included in the study. A questionnaire
was used to collect clinical and demographic data. Patients were assessed
with the Short Form 36 Health Survey (SF-36), Burn Specific Health
Scale-Revised (BSHS-R), Rosenberg Self-Esteem Scale (RSE)/EPMUNIFESP,
Health Assessment Questionnaire (HAQ-20), and Visual
Analog Scale (VAS) for pain. Statistical analysis was performed using
Student’s t-test, analysis of variance (ANOVA), Tukey’s test, KruskalWallis
test, Dunn’s test, and Spearman's test. Results: Most of the patients
(56.7 %, n=17) were men and the mean age was 36.1 years. Buns were
mainly caused by flammable liquids (50 % of patients) and the mean burn
size was 21 % total body surface area. Men reported significantly better
health status on the role emotional (p=0.023) and mental health (p=0.047)
SF-36 subscales. A significant association was found between “alcohol
use” and SF-36 scores on the bodily pain (p=0.025), vitality (p=0.041), and
mental health (p=0.023) subscales, BSHS-R scores (p=0.015), RSE scores
(p=0.044), and VAS pain scores (p=0.007), and between “drug use” and
SF-36 scores on bodily pain (p=0.008). Conclusion: Burn injuries had a
negative impact on the health-related quality of life, functional ability, selfesteem,
and pain. / BV UNIFESP: Teses e dissertações
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.unifesp.br:11600/22713 |
| Date | January 2013 |
| Creators | Zorita, Liliane do Amaral [UNIFESP] |
| Contributors | Universidade Federal de São Paulo (UNIFESP), Ferreira, Lydia Masako [UNIFESP] |
| Publisher | Universidade Federal de São Paulo (UNIFESP) |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | 128 f. |
| Source | reponame:Repositório Institucional da UNIFESP, instname:Universidade Federal de São Paulo, instacron:UNIFESP |
| Rights | info:eu-repo/semantics/openAccess |
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