RESEARCH PAPER
Evaluation of differences in health-related quality of life during the treatment of post-burn scars in pre-school and school children
 
More details
Hide details
1
The Malopolska Centre for Burns and Plastic Surgery, Ludwik Rydygier Memorial Specialist Hospital, Krakow, Poland
 
2
Chair of Neuropsychology, Andrzej Frycz Modrzewski Krakow University, Krakow, Poland
 
 
Corresponding author
Maria Pąchalska   

Chair of Neuropsychology, Andrzej Frycz Modrzewski Krakow University, Krakow, Poland
 
 
Ann Agric Environ Med. 2014;21(4):861-865
 
KEYWORDS
ABSTRACT
Objective:
The aim of the research was an assessment of the differences in the self-evaluation of health-related quality of life during the treatment of post-burn scars on the upper limbs of pre-school and school children.

Material and Methods:
A group of 120 children were examined – 66 boys and 54 girls, divided into a pre-school group of 60 children (average age 4.3 ± 1.7) and a primary school group of 60 children (average age 10.4 ± 1.2). The structured interview and an adopted Visual Analog Anxiety Scale and Visual Analog Unpleasant Events Tolerance Scale were used to evaluate the level of plaster tolerance, and anxiety caused by the removal of dressings during treatment.

Results:
In the first test, In both groups, a low tolerance was noted to the pressure plaster, with the pre-school aged children obtaining worse results (x=18.9 ± SD 10.16) than those of school age (x=33.65± SD 13,21), regardless of gender. Pre-school children were afraid (x=47.5 ± SD 24.26), while school-aged children were not afraid of having the plaster removed (x=20.5 ± SD 9.46). The differences between the groups were statistically significant. In the fourth and final test on pre-school aged children, the tolerance of plasters had improved (x=23.24 ± SD 15.43) obtaining a value somewhat lower than for school-aged children (32.4 ± SD 6.45), as well as a noted fall in the anxiety level (30.83 ± SD 23.38) with an average value insignificantly higher than that recorded for the children of school age (15.83 ± SD 6.19).

Conclusions:
The tests confirmed the appearance of differences in the self-evaluation of health-related life quality in pre-school and school-aged children.

 
REFERENCES (20)
1.
Palmieri TL, Nelson-Mooney K, Kagan RJ, et. al. Multi-Center Benchmarking Study Working Group. Impact of hand burns on health-related quality of life in children younger than 5 years. J Trauma Acute Care Surg. 2012; 73(3 Suppl 2): 197–204. doi: 10.1097/TA.0b013e318265c7ff.
 
2.
Corry N, Pruzinsky T, Rumsey N. Quality of life and psychosocial adjustment to burn injury: Social functioning, body image, and health policy perspectives. International Review of Psychiatry 2009; 21(6): 539–548.
 
3.
Pruzinsky T. Enhancing quality of life in medical populations. A vision for body image assessment and rehabilitation as standards of care. Body Image 2004; 1(1): 71–81.
 
4.
Landolt MA, Grubenmann S, Meuli M. Family impact greatest: Predictors of quality of life and psychological adjustment in pediatric burn survivors. Journal of Trauma – Injury, Infection and Critical Care 2002; 53(6): 1146–1151.
 
5.
Rimmer RB, Bay CRC, Croteau RR, et al. The effect of parental support on burn-injured children’s self-reported anxiety. Burns 2009: 119. doi:10.1016/j.
 
6.
Van Loey NEE, van Son MJM, van der Heijden PGM, et al. PTSD in persons with burns: An explorative study examining relationship with attributed responsibility, negative and positive emotional states. Burns 2008; 34: 1082–1089.
 
7.
Tziotzios C, Profyris C, Sterling C. Cutaneous scarring: pathophysiology, molecular mechanism, and scar reduction therapeutics. J Am Acad Dermatol. 2012; 66: 13–24.
 
8.
Puchała J., Chrapusta-Klimeczek A. The treatment of post-operative and post-burn scars with innoviate application of the Granuflex Extra Thin dressing. Leczenie Ran 2006; 3(supl. 2): 66–71.
 
9.
Ming-Kun L, Yu-San L, Pesus Ch, Tao-Hsin T. Post-traumatic stress disorder after severe burn in southern Taiwan. Burns 2007; 33: 649–652.
 
10.
Pąchalska M, Kaczmarek BLJ, Kropotov JD. Neuropsychologia kliniczna: od teorii do praktyki. Warszawa: Wydawnictwo Naukowe PWN; 2014 [in Polish].
 
11.
Lorenz P, Sina Bari A. Scar prevention, treatment, and revision. Neligan Plastic Surgery. NY: Elsevier; 2013.p. 298–319.
 
12.
Brown JW. The self-embodying mind. Process, brain dynamics and the conscious present. Barrytown, New York: Barrytown/ Station Hill; 2002.
 
13.
Brown JW. Process and the authentic life: Toward a psychology of value. Frankfurt & Lancaster: Ontos Verlag; 2005.
 
14.
Chrapusta A. Granuflex® Extra Thin dressing in the treatment of scars – own experience. Leczenie Ran 2012; 9(3): 25–32.
 
15.
Mirastschijski U, Jokuszies A, Vogt PM. Skin wound healing: repair biology, wound, and scar treatment. In In Neligan Plastic Surgery. Elsevier 2013: 267–296.
 
16.
Brusselaers N, Pirayesh A, Hoeksema H, et al: Burn scar assessment: a systematic review of objective scar assessment tools. Burns 2010; 36: 1157–1164.
 
17.
Pope SJ, Solomons WR, Done DJ, et al. Body image, mood and quality of life in young burn survivors. Burns 2007; 33: 747–755.
 
18.
Pąchalska M, Buliński L, Kaczmarek BLJ, Grochmal-Bach B, Jastrzębowska G, Bazan M. Fine art and the quality of life of a prominent artist with Frontotemporal Dementia. Acta Neuropsychologica 2013; 11(4): 451–471.
 
19.
Tomaszewski W, Mańko G, Ziółkowski A, Pąchalska M. An evaluation of the health-related quality of life of patients aroused from prolonged coma when treated by physiotherapists with or without training in the “Academy of Life” program. Ann Agric Environ Med. 2013; 20 (2): 319–323.
 
20.
Frenkel L. A support group for parents of burned children: A South African Children’s Hospital Burns Unit. Burns 2008; 34: 565–569.
 
eISSN:1898-2263
ISSN:1232-1966
Journals System - logo
Scroll to top