八仙塵爆傷患受傷後1年生活品質及相關因素之探討

Explore the Quality of Life and the Relevant Factor of Burn Patients One Year after experiencing the Formosa Fun Coast Water Park Dust Explosion

許國正(Kuo-Cheng Hsu) ； 陳雅琦(Ya-Chi Chen) ； 陳麗芬(Li-Fen Chen) ； 呂慧芳(Hui-Fang Lu)

《長庚護理》 28卷4期 (2017/12) Pp. 575-587

https://doi.org/10.3966/102673012017122804001

摘要

八仙樂園塵爆事件為國內第一起人數最多的燒傷意外事件，嚴重的燒傷往往伴隨著生理、心理、社會、職業和審美觀等方面的長期影響，傷患將持續數年的醫療復健和心理調適，並會影響到他們的生活品質。本研究目的為探討八仙塵爆傷患，受傷一年後的生活品質及其相關因素。於門診招募在2015年八仙樂園塵爆事件燒傷的個案，以自填式問卷收集人口社會學資料、中文版精簡燒傷健康量表、燒傷創傷事件量表資料。使用IBM-SPSS21.0版本進行統計資料分析，共收案80人。研究結果得知，性別、年齡、教育程度、臉部受傷、受傷面積、住院天數、手術及重建次數會影響到受傷一年後的生活品質，且創傷後壓力症候群與生活品質呈負相關(r=- .81, p= .00)。在生活品質(0-4分)中以工作(平均：1.75分)、身體心像(平均：1.61分)影響最大，以簡單能力(平均：3.47分)影響最小；男性在生活品質總分(t=2.52，p= .01)、身體心像(t=3.61，p=.00)、情感(t=2.66，p= .01)、工作(t= .37，p= .01)上與女性顯著不同，且分數高於女性。研究結果亦發現，個案中40%有嚴重疼痛、53.7%有嚴重搔癢情形，且症狀越嚴重其生活品質分數越低。透過研究結果了解其相關因素，將有助於後續門診追蹤時適時提供相關的措施，促進個案重返社會及發展更完善的整體健康。

關鍵字

八仙樂園塵爆 ； 燒傷 ； 生活品質 ； 創傷後壓力症候群

並列摘要

The Formosa Fun Coast Water Park dust explosion event was the largest burn accidents in Taiwan. Severe burns are often accompanied with physical, psychological, social, occupational long-term impact as well as on appearance. Patients will receive medical rehabilitation and psychological adjustment during several years, which affect their quality of life. The aim of this study is to investigate the quality of life and its relevant factors of burn patients after the Formosa Fun Coast Water Park dust explosion one year post-trauma. Outpatient cases were recruited from the victims of Formosa Fun Coast Water Park Dust explosion event happening in 2015. Self-administered questionnaires were used to collect social demographics, Adapted Chinese version of the Burn Specific Health Scale-brief, and Impact of Events Scale for Burn There were 80 cases recruited in this study. The results showed that quality of life one year post burn injury was affected by sex, age, educational level, facial injury, total body surface area, length of hospitalization, operation and reconstruction times. It was found negatively correlated with posttraumatic stress disorder (r=- .81, p= .00). We found that work (average: 1.75) and body image (average: 1.61) had the greatest impact in quality of life (0-4 points), where as simple ability (average: 3.47) the least. The quality of life was significantly higher in male comparing with female in the aspect of total score, body image, affection, and work. The study also found that 40% of case had severe pain and 53.7% had severe itching, the more severe the symptoms, the lower the scores quality of life. The results of the study provide relevant measures in outpatient follow-up, helpthe patients return to the community, and develop better overall health.

並列關鍵字

the Formosa Fun Coast Water Park dust explosion ； burn ； quality of life ； posttraumatic stress disorder

參考文獻

許國正(2008)。探討灼傷傷患住院間睡眠品質與疼痛的相關( 未發表之碩士論文)，臺北醫學大學護理學研究所。[Hsu, K. C. (2008). Relationship between sleep quality and pain intensity in hospitalized burn patients. (Unpublished Master dissertation). Taipei medical university graduate institute of nursing.]。臺北醫學大學護理學研究所=Taipei medical university graduate institute of nursing。

衛生福利部中央健康保險署(2015，8 月13 日)‧八仙樂園傷患收治統計。取自http://www.mohw.gov.tw/CHT/BLAST/DM1_P.aspx?f_list_no=879&fod_list_no=0&doc_no=49959。[Health promotion administration, ministry of health and welfare, Taiwan, ROC. (2015, August, 13). The Formosa Fun Coast Water Park patient admission statistics. Retrieved from http://www.mohw.gov.tw/CHT/BLAST/DM1_P.aspx?f_list_no=879&fod_list_no=0&doc_no=49959.]

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