Fatores associados ao transtorno de estresse pós-traumático e sua relação sobre a qualidade de vida em mulheres com queimadura profunda / Factors associated with post-traumatic stress disorder and their relationship on quality of life in women with deep burns

OBJETIVOS: Determinar os fatores associados ao transtorno de estresse pós-traumático (TEPT) e verificar a correlação com a qualidade de vida (QV) em mulheres com queimaduras profundas. MÉTODO: Estudo de corte transversal, realizado em um hospital de referência para queimados na Região Nordeste do Brasil. Foram incluídas 50 mulheres adultas com mais de 20 anos, que sofreram queimaduras profundas e estavam em tratamento ambulatorial de reabilitação. Foram aplicados os questionários das variáveis sociodemográficas e clínicas e instrumentos para verificar a QV, Burn Specific Health Scale-Revised-BSHS-R, e o TEPT, o Impact of Event Scale-IES. Para análise estatística, foi usado o teste t de Student e também os modelos de regressão linear simples e múltipla. RESULTADOS: Observou-se uma média do escore IES menor estatisticamente quando o índice de massa corporal < 30kg/m2 e maior quando a renda familiar mensal <1 salário-mínimo, o tempo de fisioterapia < 6 meses e diante da necessidade de utilização de órtese. Exceto o domínio de habilidades funcionais simples do questionário BSHS-R, para os demais domínios, incluindo o somatório total, encontrou-se uma correlação positiva entre os escore do IES e do BSHS-R. CONCLUSÕES: Obesidade, baixa renda familiar, menor tempo de fisioterapia e necessidade de uso de órtese, além da pior qualidade de vida, foram os fatores associados ao TEPT em mulheres com queimaduras profundas, sugerindo necessidade de políticas públicas específicas para essa população.

OBJECTIVES: To determine factors associated with post-traumatic stress disorder (PTSD) and actively check with quality of life (QoL) in women with deep burns. METHODS: Cross-sectional study, carried out in a reference hospital for burns in the northeast region of Brazil. Fifty adult women over 20 years old who had suffered deep burns and were undergoing outpatient rehabilitation treatment were included. The experimental variables of sociodemographic and clinical variables and instruments were applied to verify QoL, Burn Specific Health Scale-Revised-BSHS-R, and PTSD, Impact of Event Scale-IES. For statistical analysis, Students t test was used, as well as simple and multiple linear regression models. RESULTS: A statistically lower average IES score was observed when the body mass index < 30kg/m2 and higher when the monthly family income < 1 minimum wage, the time of physiotherapy < 6 months and in view of the need to use an orthosis. Except for the simple skills domain of the BSHS-R, for the other domains, including the total sum, a positive correlation was found between the IES and BSHS-R scores. CONCLUSIONS: Obesity, low family income, shorter physiotherapy time and the need to use an orthosis, in addition to a worse quality of life, were factors associated with PTSD in women with deep burns, suggesting the need for specific public policies for this population.

Impact of Profound Burn on the Quality of Life of Women Attended at the Referral Outpatient Clinic in the State of Pernambuco.

Analyze the influence of deep-degree burns on the quality of life (QoL) of women at treatment in ambulatory after hospital discharge. A cross-sectional study was conducted at a reference public hospital for burns in Recife, Pernambuco, Brazil, from August 2017 to May 2018. Fifty adult women over 20 years old who suffered deep burns and were in outpatient rehabilitation treatment were included. The variables studied were biological, sociodemographic, and clinical. The dynamometry and goniometry tests and the instruments to verify the QV Burn-Specific Health Scale-Revised were included in the analysis. Multiple linear regression models were fitted to identify factors associated with the six domains of the QoL instrument. The results identified a greater negative influence of burns on the QoL of women when associated with the variables: dark-black skin color, low levels of education, low income, motion impairment in right upper limb and lesions less than 6 months in the face, head and neck region. It should be noticed that the overall QoL score presented a median of 92.0, a score considered high, revealing an important QoL impairment. Deep-degree burn victims had a great impact on physical, emotional, and psychological abilities, acting harmfully on their self-image and causing difficulties in the execution of their daily and professional life activities, which are reinforced by aspects such as social position, level of education, and extent and duration of injury, resulting in a low QoL.

A máscara facial de traçäo reversa em combinaçäo com a expansäo palatina rápida: método de tratamento de escolha para a interceptaçäo precoce das má-oclusöes de Classe III / The reverse-pull facemask in combination with rapid palatal expansion: treatment method of choice for early inteception of Class malocclusions

Este trabalho discute a importância do tratamento precoce das má-oclusöes de Classe III, avaliando clínica e cefalométricamente a utilizaçäo da máscara facial de traçäo reversa, em combinaçäo com a expansäo palatina rápida em um caso