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Use of healthcare a long time after severe burn injury: relation to perceived health and personality characteristics
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Plastic Surgery. (Brännskadeforskning)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Psychiatry, University hospital.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Plastic Surgery.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Plastic Surgery.
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2005 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Disability and Rehabilitation, ISSN 0963-8288, Vol. 27, no 15, 863-870 p.Article in journal (Refereed) Published
Abstract [en]

Purpose. The aim of the study was to evaluate which factors are associated with the use of healthcare a long time after severe burn injury.

Method. After a review process based on clinical reasoning, 69 former burn patients out of a consecutive group treated at the Uppsala Burn Unit from 1980 – 1995 were visited in their homes and their use of care and support was assessed in a semi-structured interview. Post-burn health was assessed with the Burn-Specific Health Scale-Brief (BSHS-B) and personality was assessed with the Swedish universities Scales of Personality (SSP).

Results.  The participants were injured on average eight years previously. Thirty-four had current contact with healthcare due to their burn injury and had significantly lower scores on three BSHS-B-domains: Simple Abilities, Work and Hand function, and significantly higher scores for the SSP-domain Neuroticism and the SSP-scales Stress Susceptibility, Lack of Assertiveness, and lower scores for Social Desirability. There was no relation to age, gender, time since injury, length of stay, or to the surface area burned.

Conclusions. A routine screening of personality traits as a supplement to long-term follow-ups may help in identifying the patient's need for care.

Place, publisher, year, edition, pages
2005. Vol. 27, no 15, 863-870 p.
Keyword [en]
Rehabilitation, burns, personality, follow-up studies
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-97493DOI: 10.1080/09638280500030753OAI: oai:DiVA.org:uu-97493DiVA: diva2:172466
Available from: 2008-09-11 Created: 2008-09-11 Last updated: 2017-12-14Bibliographically approved
In thesis
1. Use of Healthcare, Perceived Health and Patient Satisfaction in Patients with Burns
Open this publication in new window or tab >>Use of Healthcare, Perceived Health and Patient Satisfaction in Patients with Burns
2008 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

A severe burn is a trauma fraught with stress and pain and may change the entire course of life. This thesis focuses on care utilisation, care experiences and patient satisfaction after a severe burn.

The patients studied were treated at the Burn Unit at Uppsala University Hospital between 1980 and 2006. Burn-related health was examined using the Burn Specific Health Scale-Brief (BSHS-B), personality traits with the Swedish universities Scales of Personality (SSP), psychological symptoms using the Hospital Anxiety and Depression scale (HADS), symptoms of posttraumatic stress with the Impact of Event Scale-Revised (IES-R) and satisfaction with care using the Patient Satisfaction-Results and Quality (PS-RESKVA) questionnaire.

Those utilising care years after injury reported poorer functioning on three of the BSHS-B subscales. Personality traits had a greater impact on care utilisation than injury severity.

Social desirability was lower among care utilisers and was associated with burn-related health aspects.

The participants reported a low level of negative care experiences, the most common of which was Powerlessness.

Most patients were satisfied with care, more with quality of contact with the nursing staff, and less with treatment information. Multiple regressions showed that the BSHS-B Interpersonal relationships subscale was an independent variable related to all measured aspects of patient satisfaction. The highest adjusted R2 was 0.25.

In a prospective assessment with multiple regression analyses, Age and Education, the personality traits of Stress susceptibility, Trait irritability, Detachment and Social desirability, in addition to the post-traumatic stress symptoms Intrusion and Hyperarousal, were predictors of satisfaction with care. The highest adjusted R2 was 0.19.

The thesis has pointed out that interpersonal factors are related to care utilisation as well as satisfaction with care. However, satisfaction with care was only moderately associated with health and individual characteristics, which may imply that the care itself is of major importance.

Place, publisher, year, edition, pages
Uppsala: Universitetsbiblioteket, 2008. 50 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 373
Keyword
Burns, health status, care utilisation, rehabilitation, personality traits, care experiences, patient satisfaction
National Category
Surgery
Identifiers
urn:nbn:se:uu:diva-9262 (URN)978-91-554-7271-9 (ISBN)
Public defence
2008-10-03, Enghoffsalen, ing. 50, Akademiska sjukhuset, Uppsala, 09:15
Opponent
Supervisors
Available from: 2008-09-11 Created: 2008-09-11 Last updated: 2012-03-01Bibliographically approved

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Wikehult, BjörnWillebrand, MimmieKildal, MortenFugl-Meyer, Axel REkselius, LisaGerdin, Bengt

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Wikehult, BjörnWillebrand, MimmieKildal, MortenFugl-Meyer, Axel REkselius, LisaGerdin, Bengt
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Plastic SurgeryDepartment of Psychiatry, University hospitalRehabilitation Medicine
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