Burn Therapists' Opinion on the Application and Essential Characteristics of a Burn Scar Outcome Measure
Burn Therapists' Opinion on the Application and Essential Characteristics of a Burn Scar Outcome Measure
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DOI：
10.1097/bcr.0b013e3181b47cc2
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发表时间：
2009-09-01
影响因子：
1.4
通讯作者：
Quanbury, Arthur
中科院分区：
文献类型：
--
作者：
Forbes-Duchart, Lisa;Cooper, Juliette;Quanbury, Arthur
全面的烧伤康复需要使用适当的烧伤疤痕结局指标（BSOM）。文献报道了许多BSOM，然而，一个客观的，实用的，廉价的，有效的，可靠的，和响应的仪器躲避我们。在这种措施的发展中的一个问题是分歧，其中疤痕属性包括。本研究的目的是确定治疗师认为应该包括在BSOM中的烧伤疤痕变量。一个互联网调查管理烧伤职业和物理治疗师。答复率为38.6%（105次调查）。在受访者中，38.1%使用BSOM;其中，75%使用温哥华疤痕量表。受访者不使用BSOM的原因（61.9%）是因为他们不熟悉可用的测量方法，没有找到临床实用的方法，或者需要更多的培训。大多数人（95%）认为使用BSOM很重要，以下BSOM特征被报告为重要：可靠，有效，快速，简单和无创。受访者表示，BSOM应包括以下属性：柔韧性（96.2%）、血管分布（92.4%）、身高（87.6%）、外观（75.2%）、皮肤破裂（74.3%）、瘙痒（73.3%）、表面纹理（70.5%）、色素沉着（68.6%）和疼痛（67.6%）。这项研究表明，使用BSOM是重要的，尽管其不一致的使用，和BSOM教育可能是有价值的。前三个商定的属性列入已经纳入最常用的BSOM-温哥华疤痕规模-这表明修改可能是合理的。（J Burn Care Res 2009;30：792-800）
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. (J Burn Care Res 2009;30:792-800)