본문 바로가기
KERD
논문KCI 등재

재활단계 화상 환자의 가려움증

Itching among Burn Patients in the Rehabilitation Phase

1

조회

0

다운로드

2

인용

0

참고문헌

키워드

주제분류간호학

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)

  1. Bell, L., "Pruritus in burns : A descriptive study", Journal of Burn Care & Rehabilitation, 9(3), pp.305~ (1988)
  2. 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]
  3. 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]
  4. Michaël Casaer, "Pruritus in patients with small burn injuries", Burns, 34(2), pp.185~191 (2008), Elsevier BV[DOI]
  5. 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]
  6. Ioannis Goutos, "Burns pruritus—A study of current practices in the UK", Burns, 36(1), pp.42~48 (2010), Elsevier BV[DOI]
  7. Ioannis Goutos, "Pruritus in Burns: Review Article", Journal of Burn Care & Research, 30(2), pp.221~228 (2009), Ovid Technologies (Wolters Kluwer Health)[DOI]
  8. Chris Haest, "Measurement of itching: Validation of the Leuven Itch Scale", Burns, 37(6), pp.939~950 (2011), Elsevier BV[DOI]
  9. Kim, D. C., "Epidemiology of burns in Korea from 2010 to 2014", Journal of Korean Burn Society, 18(1), pp.1~6 (2015)
  10. 김형석, "한국인에서 화상 후 만성 감각이상의 특징에 대한 연구", The Korean Journal of Pain, 20(2), pp.13~13 (2007), 대한통증학회
  11. 김경자, "화상환자의 소양증 특성 조사", 한국산학기술학회논문지, 17(1), pp.45~53 (2016), 한국산학기술학회[DOI]
  12. 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]
  13. Gretchen J. Summer, "Burn Injury Pain: The Continuing Challenge", The Journal of Pain, 8(7), pp.533~548 (2007), Elsevier BV[DOI]
  14. N.E.E. Van Loey, "Itching following burns: epidemiology and predictors", British Journal of Dermatology, 158(1), pp.95~100 (2007), Wiley-Blackwell[DOI]
  15. Vitale, M., "Severe itching in the patient with burns", Journal of Burn Care & Research, 12(4), pp.330~333 (1991)
  16. 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]
  17. Gil Yosipovitch, "Neuropathic and psychogenic itch", Dermatologic Therapy, 21(1), pp.32~41 (2008), Wiley-Blackwell[DOI]
  18. Yosipovitch, G., "Itch", Lancet, 361, pp.690~694 (2003)
  19. 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]
  20. Jewel Raj Zachariah, "Post burn pruritus—A review of current treatment options", Burns, 38(5), pp.621~629 (2012), Elsevier BV[DOI]

관련 논문AI추천

이 간행물의 다른 논문 (6건)