| ObjectiveTo investigate the present situation of life quality and positive psychological capital of burn inpatients,to explore the factors that influence the life quality of burn inpatients and the relationship between positive psychological capital and life quality of burn inpatients,to provide theoretical basis for the government and health workers for improving theirs quality of life.MethodsA questionnaire survey was conducted in the burn department of a grade III first-class general hospital in Kaifeng city from November 2017 to December 2018 by using the method of convenient sampling.The research tools included general information questionnaire,Chinese version of burn patient health scale(BSHS-C)and positive psychological capital questionnaire(PPQ).In this study,200 questionnaires were distributed and 186 effective questionnaires were recovered,with an effective recovery rate of 93%.SPSS22.0 statistical software was used to analyze the data and mean and standard deviation were used to describe the measurement data.Frequency and percentage description counting data;Independent sample t test and one-way anova were used to compare the effects of different demographic data and clinical data on the quality of life of burn patients.Pearson correlation analysis was used to investigate the relationship between psychological capital and quality of life of burn patients.Multiple linear regression was used to analyze the factors influencing the quality of life of burn patients.Results1.Quality of life scores of burn inpatients and basic demographic and clinical dataAmong the 186 burn hospitalized patients,48.9% were males and 51.1% were females.The proportion between 18 and 44 years old was 39.8%,and the proportion ?45 years old was 60.2%.Primary school culture accounts for 33.9 percent,junior high school 29.0 percent,senior high school 25.8 percent,university and above 11.3 percent;Farmers account for 25.8%,workers 30.6%,civil servants 5.9% and others 37.6%.Unmarried 13.4%,married 53.8%,divorced 18.8%,widowed 14.0%;Annual income ?20,000 yuan accounts for 40.9%,20001-50,000 yuan accounts for 12.9%,50001-100,000 yuan accounts for46.2%;Rural household registration(51.6%)and urban household registration(48.4%);Individual freepayment accounts for 7.0%,partial self-payment accounts for 83.9%,full self-payment accounts for 9.1%;Thermal burns accounted for 34.9%,flame burns 12.4%,electric burns 19.9%,chemical burns 10.8%,and other burns 22.0%.Burns: head and face accounted for 9.1%,upper limbs 42.5%,lower limbs 25.3%,trunk23.1%;Patients with mild burn accounted for 40.9% and those with moderate burn accounted for 59.1%.Body function: partial self-care(51.1%),self-care(48.9%).2.The quality of life scores of burn inpatients and the differences in basic demographic data and clinical data were comparedThe total score of quality of life of burn inpatients was 64.66±8.17,and the average score of each dimension was from high to low,followed by physical function(78.74±7.04),social relationship(63.76±12.54),psychological function(61.68±7.64),and general health status(52.78±8.91).Pearson correlation was used to analyze the differences in the quality of life scores of burn inpatients in demographic and sociological data.The results showed that age,gender,education,occupation,marriage,payment method and annual income were significantly correlated in the total quality of life score and all dimensions(P <0.01).The quality of life of burn inpatients was different in age,gender,education,occupation,marriage,annual income and payment method,and the difference was statistically significant(P < 0.05).There were significant differences in the cause and site of burns in the field of somatic function(P <0.05).There were significant differences in the total life quality score,physical function,psychological function and social relationship between burn sites(P < 0.01).3.Relationship between psychological capital and quality of life of burn inpatientsThe total score of psychological capital of burn inpatients was 124.15±18.20,and the average score of each dimension was optimistic(32.09±4.16),resilience(30.8±75.45),hope(30.76±4.26),and self-efficacy(30.41±4.93).Pearson correlation analysis showed that the total score of positive psychological capital and all dimensions of burn inpatients were significantly positively correlated with the total score of quality of life and all dimensions,and the correlation coefficient was 0.796-0.948.4.Multiple regression analysis of factors influencing the quality of life of burn inpatientsThe results of multiple linear regression analysis on the quality of life of burn inpatients showed that gender,education,marriage,self-efficacy and hope had significant effects on the prediction of somatic function.Age,gender,marriage,burn site and self-efficacy had significant effects on the prediction ofpsychological function.Education,marriage,payment methods,self-efficacy,and hope played a significant role in predicting social relationships.Age,marriage,self-efficacy,and resilience were significant predictors of general health outcomes.Age,gender,marriage,payment methods,self-efficacy,and resilience were significant predictors of overall quality of life scores.Conclusions1.The quality of life of burn inpatients was moderate,with the highest score in somatic function and lowest score in general health condition.Among them,there are many factors affecting the quality of life of burn inpatients,including the age,gender,educational background,occupation,marriage,payment method,annual income,and burn site of burn inpatients.2.The positive psychological capital of burn inpatients was in the middle level,among which optimism score was the highest and self-efficacy score was the lowest.Positive psychological capital of burn inpatients was positively correlated with all dimensions of life quality.Self-efficacy,resilience,hope and optimism can all significantly predict the quality of life of burn inpatients. |
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