Patient experience of scar assessment and the use of scar assessment tools during burns rehabilitation: a qualitative study

Kate Price; Naiem Moiemen; Laura Nice; Jonathan Mathers

doi:10.1093/burnst/tkab005

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Patient experience of scar assessment and the use of scar assessment tools during burns rehabilitation: a qualitative study

更新时间：2022-06-14

- Patient experience of scar assessment and the use of scar assessment tools during burns rehabilitation: a qualitative study
- Burns & Trauma Vol. 9, Issue 1, (2021)
- 作者机构：
  
  1. College of Medical and Dental Sciences, University of Birmingham
  2. Scar Free Foundation Centre for Conflict Wound Research
  3. University Hospitals Birmingham NHS Foundation Trust
  4. NIHR Surgical Reconstruction and Microbiology Research Centre, Queen Elizabeth Hospital
  5. Institute of Applied Health Research, University of Birmingham
- 作者简介：
- 基金信息：
- DOI：10.1093/burnst/tkab005
  CLC：
- Published：2021，
  
  Published Online：1 June 2021，
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Kate Price, Naiem Moiemen, Laura Nice, Jonathan Mathers, Patient experience of scar assessment and the use of scar assessment tools during burns rehabilitation: a qualitative study, Burns & Trauma, Volume 9, 2021, tkab005, https://doi.org/10.1093/burnst/tkab005
DOI：

Kate Price, Naiem Moiemen, Laura Nice, Jonathan Mathers, Patient experience of scar assessment and the use of scar assessment tools during burns rehabilitation: a qualitative study, Burns & Trauma, Volume 9, 2021, tkab005, https://doi.org/10.1093/burnst/tkab005 DOI：

摘要

Abstract

BackgroundScar assessment plays a key role during burns aftercare

to monitor scar remodelling and patients’ psychosocial well-being. To aid assessment

subjective scar assessment scales are available that use health-care professionals’ and patients’ opinions to score scar characteristics. The subjective scales are more widely used in clinical practice over objective scar measures. To date

there is no research that considers patients’ views on scar assessment and the role of subjective and objective assessment tools. Therefore

the aim of this qualitative study was to explore patients’ perspectives on scar assessment and the utility of scar assessment tools during burns rehabilitation.MethodsSemi-structured interviews were conducted with 10 adult burn patients who were being reviewed in clinic for scarring. Participants were recruited via their clinical care team and research nurses at the Queen Elizabeth Hospital

Birmingham

UK. Topics covered during interview included patient experience of scar assessment

the use of scar assessment tools and discussion surrounding important factors to be addressed when assessing scars. A thematic analysis using the Framework Method was conducted.ResultsParticipants identified key subthemes that contribute towards the overarching theme of patient-centred scar assessment. These are: patient-led care; continuity in care; learning how to self-manage scarring; and psychological assessment. Links were demonstrated between these subthemes and the remaining themes that describe scar assessment strategies

indicating their potential patient-centred contributions. The subjective opinions of clinicians were found to be valued above the use of subjective or objective scar assessment tools. Scar assessment scales were perceived to be a beneficial method for self-reflection in relation to psychosocial functioning. However

minimal feedback and review of completed assessment scales led to uncertainty regarding their purpose. Patients perceived objective tools to be of primary use for health-care professionals

though the measures may aid patients’ understanding of scar properties.ConclusionsScar assessment tools should be used to support

rather than replace

health-care professionals’ subjective judgements of scarring. Adapting the way in which clinicians introduce and use scar assessment tools

according to patient needs

can support a patient-centred approach to scar assessment.

关键词

Keywords

BurnsScarringScar assessmentScar assessment scalesQualitative researchInterviewsObjective scar assessment

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