Assessment of the health status in Brazilian burn victims five to seven months after hospital discharge

Abstract Purpose To evaluate health status, impact of event, anxiety, and depression in burn victims at five-to-seven months after hospital discharge, and to explore the association between those variables with age, body surface area burn (BSA), sex, and marital status. Methods Cross-sectional study...

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Bibliographic Details
Published in:Burns 2014-06, Vol.40 (4), p.616-623
Main Authors: Ricci, Hermínia, Gonçalves, Natália, Gallani, Maria Cecília, Ciol, Márcia A, Dantas, Rosana A.S, Rossi, Lídia Aparecida
Format: Article
Language:English
Subjects:
Adult
Anxiety - psychology
Body Image - psychology
Brazil
Burns
Burns - psychology
Burns - rehabilitation
Cohort Studies
Critical Care
Cross-Sectional Studies
Depression - psychology
Female
Health Status
Humans
Length of Stay
Male
Middle Aged
Nursing
Patient Discharge
Quality of life
Quality of Life - psychology
Rehabilitation
Sex Factors
Surveys and Questionnaires
Survivors - psychology
Young Adult
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Summary:Abstract Purpose To evaluate health status, impact of event, anxiety, and depression in burn victims at five-to-seven months after hospital discharge, and to explore the association between those variables with age, body surface area burn (BSA), sex, and marital status. Methods Cross-sectional study involving 73 adults who were interviewed for general health status (BSHS-R), impact of event (IES), and anxiety and depression (HADS). Results Participants were mostly men (68.5%), with mean age 38.4 years (SD = 14.5), and mean hospital length of stay (LOS) 24.5 days (SD = 25.3). Mean scores were: 128.1 (SD = 18.9) for BSHS-R, 62.1(SD = 35.8) for IES, 5.5 (SD = 4.1) for anxiety, and 3.9 (SD = 3.9) for depression. Health status was highly and inversely correlated with impact of event, depression, anxiety, LOS, number of surgeries, and BSA. Men and women differed in the BSHS-R affect and body image domains, and depression. Individuals with larger BSA reported worse scores for BSHS-R (work domain). Conclusion Burn victims reported good health status on average, which was negatively correlated with reported depression, anxiety, impact of event, LOS, number of operations, and BSA. These findings suggest that general health might be improved by interventions that target modifiable behavioral factors, such as support groups and cognitive behavioral therapies.
ISSN:0305-4179
1879-1409
DOI:10.1016/j.burns.2013.09.022