재활단계 화상 환자의 가려움증
Itching among Burn Patients in the Rehabilitation Phase
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초록
Purpose: The purpose of this study was to investigate post-burn itching relevant characteristics in the rehabilitation phase. Methods: Ninety four burn patients who were hospitalized in the rehabilitation phase participated in the study. Self-reported Leuven itch scale-Korean was used to evaluate itching related characteristics. Data were analyzed with descriptive analysis, x2 test, and Kruskal-Wallis test. Results: All subjects except two had the itching. Itching frequency revealed that 68.1% of subjects experienced itching one or more episodes a day or always, and 18.7% had episode durations lasting more than 2 hours per incidence. Mean severity and distress of itching was 5.3±2.4 and 5.2±2.5, respectively. Itching sensation dimension of tickling was 56.4%. More than 25% of subjects “often” or “always” affected reduced quality of life, loss ofconcentration, bad mood, and difficulty in falling asleep. Satisfaction with itching treatment was intermediate level. Conclusion: Post-burn itching in the rehabilitation phase was a significant problem despite pruritus treatment. Based on the finding of this study, development of comprehensive and tailored nursing intervention programs for itching could be suggested.
Abstract
Purpose: The purpose of this study was to investigate post-burn itching relevant characteristics in the rehabilitation phase. Methods: Ninety four burn patients who were hospitalized in the rehabilitation phase participated in the study. Self-reported Leuven itch scale-Korean was used to evaluate itching related characteristics. Data were analyzed with descriptive analysis, x2 test, and Kruskal-Wallis test. Results: All subjects except two had the itching. Itching frequency revealed that 68.1% of subjects experienced itching one or more episodes a day or always, and 18.7% had episode durations lasting more than 2 hours per incidence. Mean severity and distress of itching was 5.3±2.4 and 5.2±2.5, respectively. Itching sensation dimension of tickling was 56.4%. More than 25% of subjects “often” or “always” affected reduced quality of life, loss ofconcentration, bad mood, and difficulty in falling asleep. Satisfaction with itching treatment was intermediate level. Conclusion: Post-burn itching in the rehabilitation phase was a significant problem despite pruritus treatment. Based on the finding of this study, development of comprehensive and tailored nursing intervention programs for itching could be suggested.
참고문헌 (20)
- Bell, L., "Pruritus in burns : A descriptive study", Journal of Burn Care & Rehabilitation, 9(3), pp.305~ (1988)
- P Lynn Bell, "Evidence Based Review for the Treatment of Post-burn Pruritus", Journal of Burn Care & Research, 30(1), pp.55~61 (2009), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Gretchen J. Carrougher, "Pruritus in adult burn survivors: Postburn prevalence and risk factors associated with increased intensity", Journal of Burn Care & Research, 34(1), pp.94~101 (2013), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Michaël Casaer, "Pruritus in patients with small burn injuries", Burns, 34(2), pp.185~191 (2008), Elsevier BV[DOI]
- Lisa Forbes-Duchart, "Burn Therapists’ Opinion on the Application and Essential Characteristics of a Burn Scar Outcome Measure", Journal of Burn Care & Research, 30(5), pp.792~800 (2009), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Ioannis Goutos, "Burns pruritus—A study of current practices in the UK", Burns, 36(1), pp.42~48 (2010), Elsevier BV[DOI]
- Ioannis Goutos, "Pruritus in Burns: Review Article", Journal of Burn Care & Research, 30(2), pp.221~228 (2009), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Chris Haest, "Measurement of itching: Validation of the Leuven Itch Scale", Burns, 37(6), pp.939~950 (2011), Elsevier BV[DOI]
- Kim, D. C., "Epidemiology of burns in Korea from 2010 to 2014", Journal of Korean Burn Society, 18(1), pp.1~6 (2015)
- 김형석, "한국인에서 화상 후 만성 감각이상의 특징에 대한 연구", The Korean Journal of Pain, 20(2), pp.13~13 (2007), 대한통증학회
- 김경자, "화상환자의 소양증 특성 조사", 한국산학기술학회논문지, 17(1), pp.45~53 (2016), 한국산학기술학회[DOI]
- A Reich, "Visual Analogue Scale: Evaluation of the Instrument for the Assessment of Pruritus", Acta Dermato Venereologica, 92(5), pp.497~501 (2012), Acta Dermato-Venereologica[DOI]
- Gretchen J. Summer, "Burn Injury Pain: The Continuing Challenge", The Journal of Pain, 8(7), pp.533~548 (2007), Elsevier BV[DOI]
- N.E.E. Van Loey, "Itching following burns: epidemiology and predictors", British Journal of Dermatology, 158(1), pp.95~100 (2007), Wiley-Blackwell[DOI]
- Vitale, M., "Severe itching in the patient with burns", Journal of Burn Care & Research, 12(4), pp.330~333 (1991)
- Mimmie Willebrand, "Pruritus, Personality Traits and Coping in Long-term Follow-up of Burn-injured Patients", Acta Dermato-Venereologica, 84(5), pp.375~380 (2004), Acta Dermato-Venereologica[DOI]
- Gil Yosipovitch, "Neuropathic and psychogenic itch", Dermatologic Therapy, 21(1), pp.32~41 (2008), Wiley-Blackwell[DOI]
- Yosipovitch, G., "Itch", Lancet, 361, pp.690~694 (2003)
- R Zachariae, "Affective and Sensory Dimensions of Pruritus Severity: Associations with Psychological Symptoms and Quality of Life in Psoriasis Patients", Acta Dermato-Venereologica, 88(2), pp.121~127 (2008), Acta Dermato-Venereologica[DOI]
- Jewel Raj Zachariah, "Post burn pruritus—A review of current treatment options", Burns, 38(5), pp.621~629 (2012), Elsevier BV[DOI]
