Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 4 de 4
Filtrar
Mais filtros










Base de dados
Intervalo de ano de publicação
1.
J Burn Care Res ; 30(5): 792-800, 2009.
Artigo em Inglês | MEDLINE | ID: mdl-19692907

RESUMO

Comprehensive burn rehabilitation requires the use of an appropriate burn scar outcome measure (BSOM). The literature reports many BSOMs; however, an objective, practical, inexpensive, valid, reliable, and responsive instrument eludes us. A problem in the development of such a measure is disagreement in which scar properties to include. The objective of this study was to determine the burn scar variables that therapists believe should be included in a BSOM. An Internet survey was administered to burn occupational and physical therapists. The response rate was 38.6% (105 surveys). Of the respondents, 38.1% use a BSOM; of those, 75% use the Vancouver Scar Scale. Reasons why respondents do not use a BSOM (61.9%) are because they are not familiar with available measures, have not found one that is clinically practical, or need more training. The majority (95%) believes that using a BSOM is important, and the following BSOM characteristics were reported as important: reliable, valid, quick, easy, and noninvasive. Respondents indicated that the following properties should be included in a BSOM: pliability (96.2%), vascularity (92.4%), height (87.6%), appearance (75.2%), skin breakdown (74.3%), itch (73.3%), surface texture (70.5%), pigmentation (68.6%), and pain (67.6%). This study suggests that using a BSOM is important despite its inconsistent use, and BSOM education may be valuable. The top three agreed-upon properties for inclusion are already incorporated into the most commonly used BSOM-the Vancouver Scar Scale-suggesting that modifications may be reasonable.


Assuntos
Atitude do Pessoal de Saúde , Queimaduras/fisiopatologia , Queimaduras/reabilitação , Cicatriz Hipertrófica/fisiopatologia , Cicatriz Hipertrófica/reabilitação , Avaliação de Resultados em Cuidados de Saúde , Adulto , Queimaduras/complicações , Distribuição de Qui-Quadrado , Cicatriz Hipertrófica/etiologia , Feminino , Humanos , Masculino , Terapia Ocupacional , Especialidade de Fisioterapia , Inquéritos e Questionários
2.
J Burn Care Res ; 30(4): 543-73, 2009.
Artigo em Inglês | MEDLINE | ID: mdl-19506486

RESUMO

Burn rehabilitation is an essential component of successful patient care. In May 2008, a group of burn rehabilitation clinicians met to discuss the status and future needs of burn rehabilitation. Fifteen topic areas pertinent to clinical burn rehabilitation were addressed. Consensus positions and suggested future research directions regarding the physical aspects of burn rehabilitation are shared.


Assuntos
Pesquisa Biomédica , Unidades de Queimados/normas , Queimaduras/reabilitação , Reabilitação/normas , Queimaduras/psicologia , Cicatriz/terapia , Cuidados Críticos/normas , Documentação , Humanos , Reabilitação/educação , Sobreviventes/psicologia , Texas
3.
J Burn Care Res ; 29(3): 425-32, 2008.
Artigo em Inglês | MEDLINE | ID: mdl-18388581

RESUMO

Burn rehabilitation has been a part of burn care and treatment for many years. Yet, despite of its longevity, the rehabilitation outcome of patients with severe burns is less than optimal and appears to have leveled off. Patient survival from burn injury is at an all-time high. Burn rehabilitation must progress to the point where physical outcomes parallel survival statistics in terms of improved patient well-being. This position article is a treatise on burn rehabilitation and the state of burn rehabilitation patient outcomes. It describes burn rehabilitation interventions in brief and why a need is felt to bring this issue to the forefront. The article discusses areas for change and the challenges facing burn rehabilitation. Finally, the relegation and acceptance of this responsibility are addressed.


Assuntos
Queimaduras/reabilitação , Queimaduras/mortalidade , Queimaduras/terapia , Humanos , Centros de Reabilitação , Taxa de Sobrevida , Resultado do Tratamento , Estados Unidos/epidemiologia
4.
J Burn Care Res ; 28(3): 460-7, 2007.
Artigo em Inglês | MEDLINE | ID: mdl-17438503

RESUMO

The Vancouver Scar Scale is too subjective for our needs and is not culturally sensitive to our Aboriginal clients. The VSS was modified by developing a color scale to aid with vascularity rating. This study was designed to measure the inter-rater reliability of the modified Vancouver Scar Scale (MVSS). Three raters assessed 14 pediatric patients, resulting in a total of 32 scars. Data were analyzed using a Spearman Rank Order Correlation, intraclass correlation coefficient, and the kappa statistic. All subtests were shown to have significant (P < .05) correlations except for the pigmentation subtest. Because the pigmentation subtest has poor reliability, its inclusion in scar assessment should be questioned. Results indicate that only total scores of the MVSS should be used when determining burn scar outcomes because individual subtest scores appear to have little reliability. Further modifications to the MVSS followed by additional research with greater numbers of subjects are warranted.


Assuntos
Queimaduras/complicações , Cicatriz/etiologia , Fatores Etários , Queimaduras/classificação , Queimaduras/cirurgia , Criança , Cicatriz/classificação , Cicatriz/diagnóstico , Humanos , Reprodutibilidade dos Testes , Índice de Gravidade de Doença
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...