Select Practices in Management and Rehabilitation of Burns: A Survey Report
Select Practices in Management and Rehabilitation of Burns: A Survey Report
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烧伤管理和康复的精选实践：调查报告
DOI：
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发表时间：
2011
影响因子：
1.4
通讯作者：
D. Greenhalgh
中科院分区：
文献类型：
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作者：
R. Holavanahalli;P. Helm;I. Parry;C. Dolezal;D. Greenhalgh
本研究的目的是记录烧伤中心的组织和当前的物理康复实践。为本研究的特定目的而开发的在线调查寻求以下信息：a）烧伤中心的后勤; B）烧伤患者的住院和门诊治疗;以及c）烧伤继发并发症治疗的特定方案。在收到的159份答复中，115份来自美国，20份来自澳大利亚，16份来自加拿大，7份来自新西兰。整体样本包括76名物理治疗师（PT）和78名职业治疗师的回答。73名受访者认为自己主要是烧伤治疗师。据报告，护士（86%）主要负责住院患者的伤口护理，其次是伤口护理技术人员（24%）。97%的治疗师报告遵循自己的治疗计划。躯干和头颈部区域由PT和职业治疗师治疗，而下肢仍主要由PT治疗。一些常见的做法，治疗一些并发症继发于烧伤，如夹板，以防止挛缩，治疗暴露或断裂的伸肌肌腱，暴露的跟腱，异位骨化，术后截肢，空调，疤痕按摩，并使用压缩服装进行了描述。存在机会：1）制定烧伤物理康复实践指南的共同文件; 2）开展合作研究，以评估治疗干预措施和结果。
The purpose of this study is to document the organization and current practices in physical rehabilitation across burn centers. An online survey developed for the specific purposes of this study sought information regarding a) logistics of the burn center; b) inpatient and outpatient treatment of patients with burn injury; and c) specific protocols in the treatment of a few complications secondary to burn injuries. Of the 159 responses received, 115 were received from the United States, 20 from Australia, 16 from Canada, and 7 from New Zealand. The overall sample included responses from 76 physical therapists (PTs) and 78 occupational therapists. Seventy-three of those surveyed considered themselves primarily a burn therapist. Nurses (86%) were reported as primarily responsible for wound care of inpatients, followed by wound care technicians (24%). Ninety-seven percent of the therapists reported following their own treatment plans. The trunk and areas of head and neck were treated by both PTs and occupational therapists, whereas the lower extremities continue to be treated predominantly by PTs. Some common practices regarding treatment of a few complications secondary to burn injuries such as splinting to prevent contractures, treatment of exposed or ruptured extensor tendons, exposed Achilles tendons, heterotopic ossification, postoperative ambulation, conditioning, scar massage, and use of compression garments are described. Opportunities exist for 1) developing a common document for practice guidelines in physical rehabilitation of burns; and 2) conducting collaborative studies to evaluate treatment interventions and outcomes.