Application effect of hospital-home rehabilitation mode in patients with cicatricial contracture after limbs burn

HU Dan; GU Lijun; SHAO Yan; ZHANG Wenwen; GAO Yanfei

doi:10.3969/j.issn.2095-8331.2024.04.016

Abstract：Objective To observe the effect of hospital-home rehabilitation mode in patients with cicatricial contracture after limbs burn.Methods 50 patients with cicatricial contracture after burn of limbs admitted to the Department of Burn Plastic Surgery,The Second People's Hospital of Changzhou,from March 2022 to March 2023 were prospectively selected as research subjects,and randomly divided into control group(routine rehabilitation mode,n=25)and observation group(hospital-home rehabilitation mode,n=25)according to the numerical random table method.Scar condition(VSS),psychological resilience(CDRISC scale),quality of life(SF-36 scale)and satisfaction were compared.Results There were differences in the inter-group comparison of VSS,the trend over time,and the interaction between time and groups between the two groups(group F=50.861,time point F=263.014,and interaction F=9.115,P＜0.05).After intervention,the CDRISC scores of resilience,optimism and self-reliance in the observation group were higher than those in the control group(t=3.327,2.993,2.927,P＜0.05),and the differences of those CDRISC scores before and after intervention in the observation group were higher than those in the control group(t=2.428,3.644,2.695,P＜0.05).After intervention,the social function,physical function,role function and cognitive function in both groups were higher than those before intervention(t=-11.522,-13.074,-8.714,-7.830,-7.477,-5.860,-5.379,-3.704,P＜0.05).After intervention,the SF-36 scores in the observation group were higher than those in the control group(t=4.408,5.602,3.903,4.308,P＜0.05).Conclusions Hospital-home rehabilitation mode can improve scar condition,mental resilience and quality of life in patients with cicatricial contracture after limbs burn.