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Assessment of Health Status of Adolescent Burn Victims Undergoing Rehabilitation: A Cross-Sectional Field Study

Nicolosi, Júlia Teixeira RN, MSM; de Carvalho, Viviane Fernandes RN, CWOCN, PhD; Sabatés, Ana Llonch RN, PhD; Paggiaro, André Oliveira MD, PhD

doi: 10.1097/PSN.0000000000000013
Departments: Reconstructive Department

Teenagers may experience physiological and psychological changes when they suffer from a severe burn. The aim of this study was to assess the state of health of teenagers who were undergoing a rehabilitation process following a severe burn. A cross-sectional field study was carried out with 63 teenagers and young adults who had suffered burns. The tests applied were social, demographic, and clinical instruments. The specific tests included the Burn Specific Health Scale–Revised, Beck Depression Inventory, Rosenberg's Self-Esteem Scale, and Functional Independence Measurement. The results were analyzed by using descriptive statistics, multivariate analysis of variance, variance analysis, and Cronbach's reliability analysis. The social and demographic analysis of the population has shown a prevalence of female (60.3%), single subjects (93.7%), and ages between 12 and 20 years (mean age of 15.95 years). The mean total body surface area burn was 23.84%, with accidents as the main causative factor (92.10%). More than half (52.4%) reported functional and aesthetic effects after the burn, with 81% concerned about the visible scar. Cronbach's reliability analysis has shown statistically confident results for all the instruments as applied. The multivariate analysis showed a correlation between the work domain and marital status, whereas there was no evidence to show a correlation between sex, age, physical or aesthetic sequelae or visibility of burns, and depression, self-esteem, functional independence, or current state of health. The results obtained prove the reliability of the instruments applied, making it possible to assess the state of teenagers and young adults health during the rehabilitation process.

Júlia Teixeira Nicolosi, RN, MSM, is master in nursing from the University Guarulhos, has degree in nursing from the School of Nursing of the Hospital Israelita Albert Einstein, and is Professor, Department of Health, University Nove de Julho. She is also specialist, neonatal nursing program by improving the Hospital of the Faculty of Medicine, University of São Paulo, São Paulo, Brazil.

Viviane Fernandes de Carvalho, RN, CWOCN, PhD, is technical assistant of the Executive Board of the Health Institute Central Clinical Hospital of the Faculty of Medicine, University of São Paulo, voluntary teacher at the Faculty of Medicine, University of São Paulo, and permanent faculty of the Masters Program in Nursing at the University Guarulhos (UnG). She graduated from the University of São Paulo (2002), with postgraduate Sense Stomatherapy Lato in the School of Nursing, University of São Paulo (2003), and Strict Sense - PhD from the Faculty of Medicine, University of São Paulo (2008). She is currently pursuing Post doctorate at the Faculty of Medicine, University of São Paulo, São Paulo, SP, Brazil.

Ana Llonch Sabatés, MD, PhD, is full professor at the University Guarulhos, São Paulo, Brazil. She master in pediatric nursing, University of São Paulo (1983) and doctorate in nursing, Federal University of São Paulo (1995). Thematic search: nursing the child in the disease process, promoting the health of children with emphasis on monitoring the growth and development, and therapeutic play in child care and family.

André Oliveira Paggiaro, MD, PhD, is currently assistant physician at the Hospital das Clínicas, Medical Tissue Bank of the ICHC, medical outpatient wound of Plastic Surgery ICHC, researcher - LIM 4 - Microsurgery Laboratory and USP Plastic Surgery. He graduated in Medicine at Hospital das Clínicas (2001), specialist in General Surgery (ICHC-2003), specialist in Plastic Surgery (ICHC-2005), and PhD (USP-2011).

Address correspondence to Júlia Teixeira Nicolosi, Rua João Batista, 54, Jd Pinheiros, São Paulo SP, Brazil 05596-090 (juliatnicolosi@yahoo.com.br).

This paper was presented at the University of Guarulhos to obtain a master's degree. This study was carried out in the plastic surgery and burns outpatient unit at the Central Institute of the Clínicas Hospital of the Faculty of Medicine of the University of São Paulo, São Paulo, Brazil.

The authors hereby declare that there has been no commercial association or other interest that could create conflict with the current study here submitted.

Copyright © 2013 by American Society of Plastic Surgical Nurses