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Health status in Swedish burn patients:: Assessment utilising three variants of the Burn Specific Health Scale.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Plastic Surgery.
2002 In: Burns, Vol. 28, 639-645 p.Article in journal (Refereed) Published
Place, publisher, year, edition, pages
2002. Vol. 28, 639-645 p.
URN: urn:nbn:se:uu:diva-90297OAI: oai:DiVA.org:uu-90297DiVA: diva2:162602
Available from: 2003-04-22 Created: 2003-04-22 Last updated: 2015-03-17Bibliographically approved
In thesis
1. Perceived Physical and Psychological Outcome After Severe Burn Injury
Open this publication in new window or tab >>Perceived Physical and Psychological Outcome After Severe Burn Injury
2003 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

There is very little data on physical and psychological long-term outcome after severe burn injury. The aim of the present thesis was to improve current instruments for assessment of these issues, to assess long-term outcome in a cohort of patients with burn injuries, and to explore the contribution of the individual factors of personality and coping on perceived outcome.

Patients treated at the Burn Unit, Uppsala University Hospital, between 1980 and 1995 were included on a consecutive basis if they were 18 years of age or older at follow-up, had burn injuries of ten percent or more, or hospitalization times of seven days or more. A total of 350 patients fulfilled these inclusion criteria.

A factor analytic approach was used to derive a 40-item instrument called the Burn Specific Health Scale-Brief (BSHS-B), resulting in nine well-defined domains. Most burn patients reported a very good perceived outcome but a subgroup reported problems years after injury. On a group level most problems were related to Heat Sensitivity, Work and Body Image. The depth of injury, gender, marital status and living conditions were all related to outcome. Neurotic personality traits were related to perceived health, and were not confined only to psychological aspects of life but also included physical aspects. A 33-item burn-specific coping scale, the Coping with Burns Questionnaire (CBQ), with six clearly separated domains with acceptable internal consistencies was developed. Coping strategies were strongly related to outcome in the subgroup of patients reporting most problems in perceived health, and coping contributed more to psychosocial than physical health. Avoidant coping and Emotional support seeking had independent effects on outcome.

The observation that Neuroticism and Avoidant coping strategies are related to bad outcome after severe burn injury indicates that patients with such characteristics should be given special attention during rehabilitation.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2003. 59 p.
Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 0282-7476 ; 1247
Surgery, Burns, Outcome Assessment, Health Status, Quality of Life, Personality, Rehabilitation, Wounds and Injuries, Accidents, Coping, Kirurgi
National Category
Research subject
Plastic Surgery
urn:nbn:se:uu:diva-3386 (URN)91-554-5590-5 (ISBN)
Public defence
2003-05-17, Stora Aulan, Entrance 50, Akademiska sjukhuset, Uppsala, 09:15
Available from: 2003-04-22 Created: 2003-04-22Bibliographically approved

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