运动计划对烧伤患者生活质量的影响

Fateme Zeinali Ghasemi, Mehdi Rezvani Amin, F. Yaghoubinia
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摘要

背景:烧伤是导致残疾和死亡的最主要原因之一,对人类社会造成了严重的经济和社会后果。研究目的本研究旨在探讨运动项目对扎黑丹阿里-伊本-阿比-塔利卜医院烧伤科收治的烧伤患者生活质量的影响。研究方法在这项准实验研究中,2021 年扎黑丹阿里-伊本-阿比-塔利卜医院烧伤科收治了 30 名肩关节烧伤患者。符合纳入标准的患者是通过方便抽样选出的,然后采用排列组合法随机分配到干预组和对照组。干预措施包括 4 节个人训练课和一项锻炼计划。干预组患者在12周内每天进行3次锻炼,而对照组患者只接受常规病房护理。采用烧伤专用健康量表(BSHS)收集数据,并在干预后的 1 个月和 3 个月对各组进行施测。数据分析采用 SPSSv.21 软件,采用卡方检验、独立样本 t 检验和重复测量方差分析(ANOVA),显著性水平设定为 P <0.05。结果干预后一个月,干预组的平均生活质量评分为 121.73 ± 7.52,对照组为 122.93 ± 5.72。3 个月后,干预组的得分变为 156.46 ± 9.53,对照组为 122.82 ± 8.09,表明干预组的得分显著提高(P = 0.001)。重复测量方差分析显示,干预后 1 个月,两组的生活质量无明显差异(P = 0.37);但 3 个月后,两组的生活质量有明显差异(P = 0.001)。结论研究结果表明,运动可以提高肩关节烧伤患者的生活质量。因此,建议将运动和后续计划纳入烧伤患者的出院计划中。
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The Effect of an Exercise Program on the Quality of Life in Burn Patients
Background: Burn injuries are among the most significant causes of disability and death, having severe economic and social consequences in human societies. Objectives: This study aims to examine the effect of an exercise program on the quality of life of burn patients admitted to the burn department of Ali Ibne Abi Talib Hospital in Zahedan. Methods: In this quasi-experimental study, 30 patients with shoulder joint burns admitted to the burn department of Ali Ibne Abi Talib Hospital in Zahedan in 2021 participated. Patients meeting the inclusion criteria were selected via convenience sampling and then randomly assigned to intervention and control groups using permuted blocks. The intervention consisted of 4 individual training sessions and an exercise program. Patients in the intervention group performed exercises 3 times daily for 12 weeks, while those in the control group received only routine ward care. Data were collected using the Burn Specific Health Scale (BSHS), administered to groups 1- and 3-months post-intervention. Data analysis was conducted using SPSSv.21 software, employing the chi-square test, independent samples t-test, and repeated measures analysis of variance (ANOVA), with a significance level set at P < 0.05. Results: One month post-intervention, the mean quality of life scores were 121.73 ± 7.52 in the intervention group and 122.93 ± 5.72 in the control group. After 3 months, these scores changed to 156.46 ± 9.53 in the intervention group and 122.82 ± 8.09 in the control group, indicating a significant increase in the intervention group (P = 0.001). Repeated measures ANOVA revealed no significant difference in quality of life between the 2 groups 1 month post-intervention (P = 0.37); however, a significant difference was observed at 3 months (P = 0.001). Conclusions: The study's findings suggest that exercise can improve the quality of life in patients with shoulder joint burns. Therefore, incorporating exercise and follow-up programs into the discharge plans of burn patients is recommended.
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