摘要
目的 分析烧伤儿童家长对瘢痕增生、预防和康复治疗的认知程度,为预防瘢痕增生导致的畸形和功能障碍提供指导. 方法 对笔者单位2010年10月-2011年11月收治的150例烧伤儿童的家长进行问卷调查,包括对烧伤后瘢痕形成的认知情况、对不同性别患儿进行瘢痕治疗的需求度、对不同烧伤部位进行瘢痕治疗的需求度、家长文化程度与瘢痕治疗意愿的关系、对瘢痕防治方法的了解和接受情况等.对数据进行x2检验、Fisher确切概率法检验. 结果 （1）本组病例入院前仅19例（12.7％）患儿家长意识到瘢痕形成问题.入院就诊后半数以上家长由医务人员告知患儿会形成瘢痕及需定期随访,但仅52例（34.7％）患儿家长被告知瘢痕防治的方法.（2） 140位（93.3％）家长认为患儿烧伤后需行瘢痕防治,男女患儿家长对瘢痕康复治疗的需求无明显差异（x2 =0.825,P＞0.05）.在对不同烧伤部位瘢痕进行康复治疗的需求上,患儿家长对双上肢烧伤的康复治疗需求最高,共85位（97.7％）.（3）不同文化程度的烧伤儿童家长对瘢痕增生治疗的意愿差异无统计学意义（P＞0.05）.（4）供患儿家长选择的瘢痕防治方法共8种,85位（56.7％）家长选择外用药物,选择压力疗法者26位（17.3％）,愿意接受口服药物治疗者比较少,仅有18位（12.0％）.结论 儿童烧伤后家长对瘢痕形成及防治认识不足,医务人员应强化家长的瘢痕康复意识,同时提高临床瘢痕康复治疗技术和社会关注度.
Objective To analyze the cognition degree of parents of pediatric burn patients on hyperplasia of scar and its prevention and rehabilitation,so as to provide a guidance for preventing deformity and dysfunction caused by scar hyperplasia.Methods Questionnaire survey was carried out among parents of 150 pediatric burn patients hospitalized from October 2010 to November 2011 to analyze the cognition degree of patients on the formation of scar after burns,the demand degree for scar treatment between parents of different genders of patients and among parents of patients with burn injury occurred in different body sites,the relationship between the literacy level of parents and their degree of willingness of undergoing scar treatment,and the degree of comprehension and acceptance on the part of parents regarding the methods of prevention and treatment of scar.Data were processed with chi-square test or Fisher＇s exact test.Results （1） Only the parents of 19 pediatric burn patients （accounting for 12.7％） realized the possibility of scar formation before admission.After admission,more than half of the parents were told that their children would bear scar and need regular follow-up,while only parents of 52 patients （34.7％） were instructed the methods of preventing and treating scar.（2） One hundred and forty parents （93.3％） considered their children need prevention and treatment of scar after burns.There was no statistically significant difference between parents of male patients and female patients in the demand for scar treatment （x2 =0.825,P ＞ 0.05）.The demand degree of parents for rehabilitation treatment for the upper limbs after burns surpassed those of the other sites of body,and altogether there were 85 parents accounting for 97.7％ of all.（3） The difference among parents with different levels of literacy was not obvious in the willingness of receiving treatment for scar hyperplasia （P ＞ 0.05）.（4） Eight methods were chosen by parents to prevent and treat scars of pati
出处
《中华烧伤杂志》
CAS
CSCD
北大核心
2013年第1期11-13,共3页
Chinese Journal of Burns
基金
云南省卫生科技计划项目（2010NS065）
关键词
烧伤
儿童
瘢痕
康复
认知
问卷调查
Burns
Child
Cicatrix
Rehabilitation
Cognition
Questionnaires
