Browse > Article
http://dx.doi.org/10.5953/JMJH.2016.23.1.28

Itching among Burn Patients in the Rehabilitation Phase  

Kim, Kyung Ja (Department of Nursing, Hangang Sacred Heart Hospital, Hallym University Medical Center.Graduate School, College of Nursing, Ewha Womans University)
Seo, Cheong Hoon (Department of Rehabilitation Medicine, Hangang Sacred Heart Hospital, College of Medicine, Hallym University)
Kim, Eun Jung (Division of Nursing, Research Institute of Nursing Science, Hallym University)
Publication Information
Journal of muscle and joint health / v.23, no.1, 2016 , pp. 28-38 More about this Journal
Abstract
Purpose: The purpose of this study was to investigate post-burn itching relevant characteristics in the rehabilitation phase. Methods: Ninety four burn patients who were hospitalized in the rehabilitation phase participated in the study. Self-reported Leuven itch scale-Korean was used to evaluate itching related characteristics. Data were analyzed with descriptive analysis, $x^2$ test, and Kruskal-Wallis test. Results: All subjects except two had the itching. Itching frequency revealed that 68.1% of subjects experienced itching one or more episodes a day or always, and 18.7% had episode durations lasting more than 2 hours per incidence. Mean severity and distress of itching was $5.3{\pm}2.4$ and $5.2{\pm}2.5$, respectively. Itching sensation dimension of tickling was 56.4%. More than 25% of subjects "often" or "always" affected reduced quality of life, loss of concentration, bad mood, and difficulty in falling asleep. Satisfaction with itching treatment was intermediate level. Conclusion: Post-burn itching in the rehabilitation phase was a significant problem despite pruritus treatment. Based on the finding of this study, development of comprehensive and tailored nursing intervention programs for itching could be suggested.
Keywords
Pruritus; Burns; Rehabilitation;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 Bell, L., McAdams, T., Morgan, R., Parshley, P. F., Pike, R. C., Riggs, P., et al. (1988). Pruritus in burns: A descriptive study. Journal of Burn Care & Rehabilitation, 9(3), 305.   DOI
2 Bell, P. L., & Gabriel, V. (2009). Evidence based review for the treatment of post-burn pruritus. Journal of Burn Care & Research, 30(1), 55-61. http://dx.doi.org/10.1097/BCR.0b013e318191fd95   DOI
3 Carrougher, G. J., Martinez, E. M., McMullen, K. S., Fauerbach, J A., Holavanahalli, R. K., Herndon, D. N., et al. (2013). Pruritus in adult burn survivors: Postburn prevalence and risk factors associated with increased intensity. Journal of Burn Care & Research, 34(1), 94-101. http://dx.doi.org/10.1097/BCR.0b013e3182644c25   DOI
4 Casaer, M., Kums, V., Wouters, P. J., Van den kerckhove, E, & Van den Berghe, G. (2008). Pruritus in patients with small burn injuries. Burns, 34(2), 185-191. http://dx.doi.org/10.1016/j.burns.2007.03.004   DOI
5 Forbes-Duchart, L., Cooper, J., Nedelec, B., Ross, L., & Quanbury, A. (2009). Burn therapists' opinion on the application and essential characteristics of a burn scar outcome measure. Journal of Burn Care & Research, 30(5), 792-800. http://dx.doi.org/10.1097/BCR.0b013e3181b47cc2   DOI
6 Goutos, I. (2010). Burns pruritus-a study of current practices in the UK. Burns, 36(1), 42-48. http://dx.doi.org/10.1016/j.burns.2009.06.196   DOI
7 Goutos, I., Dziewulski, P., & Richardson, P. M. (2009). Pruritus in burns: Review article. Journal of Burn Care & Research, 30(2), 221-228. http://dx.doi.org/10.1097/BCR.0b013e318198a2fa   DOI
8 Haest, C., Casaer, M. P., Daems, A., De Vos, B., Vermeersch, E., Morren, M. A., et al. (2011). Measurement of itching: Validation of the Leuven Itch Scale. Burns, 37(6), 939-950. http://dx.doi.org/10.1016/j.burns.2011.04.007   DOI
9 Kim, D. C., Lee, R., Kim, J. H., Lee, H. Y., Jung, D. J., Kim, T. Y., et al. (2015). Epidemiology of burns in Korea from 2010 to 2014. Journal of Korean Burn Society, 18(1), 1-6.
10 Kim, H. S., Chang, H. M., Choi, D. Y., Woo, C. H., Mun, S. H., Kim, H. S., et al. (2007). Characteristics of chronic sensory abnormalities in Korean burn patients. Korean Journal of Pain, 20 (2), 158-162. http://dx.doi.org/10.3344/kjp.2007.20.2.158   DOI
11 Kim, K. J., & Won, M. H. (2016). Pruritus in burn survivors. Journal of the Korea Academia-Industrial Cooperation Society, 17(1), 45-53. http://dx.doi.org/10.5762/KAIS.2016.17.1.45   DOI
12 Reich, A., Heisig, M., Phan, N. Q., Taneda, K., Takamori, K., Takeuchi, S., et al. (2012). Visual analogue scale: Evaluation of the instrument for the assessment of pruritus. Acta Dermato-venereologica, 92(5), 497-501. http://dx.doi.org/10.2340/00015555-1265   DOI
13 Summer, G. J., Puntillo, K. A., Miaskowski, C., Green, P. G., & Levine, J. D. (2007). Burn injury pain: the continuing challenge. Journal of Pain, 8(7), 533-548. http://dx.doi.org/10.1016/j.jpain.2007.02.426   DOI
14 Van Loey, N. E., Bremer, M., Faber, A. W., Middelkoop, E., & Nieuwenhuis, M. K. (2008). Itching following burns: Epidemiology and predictors. British Journal of Dermatology, 158(1), 95-100. http://dx.doi.org/10.1111/j.1365-2133.2007.08278.x   DOI
15 Vitale, M., Fields-Blache, C., & Luterman, A. (1991). Severe itching in the patient with burns. Journal of Burn Care & Research, 12 (4), 330-333.   DOI
16 Willebrand, M., Low, A., Dyster-Aas, J., Kildal, M., Andersson, G., Ekselius, L., et al. (2004). Pruritus, personality traits and coping in long-term follow-up of burn-injured patients. Acta Dermato-Venereologica, 84(5), 375-380. http://dx.doi.org/10.1080/00015550410032941   DOI
17 Zachariah, J. R., Rao, A. L., Prabha, R., Gupta, A. K., Paul, M. K., & Lamba, S. (2012). Post burn pruritus: A review of current treatment options. Burns, 38(5), 621-629. http://dx.doi.org/10.1016/j.burns.2011.12.003   DOI
18 Yosipovitch, G., & Samuel, L. S. (2008). Neuropathic and psychogenic itch. Dermatologic Therapy, 21(1), 32-41. http://dx.doi.org/10.1111/j.1529-8019.2008.00167.x   DOI
19 Yosipovitch, G., Greaves, M. W., & Schmelz, M. (2003). Itch. Lancet, 361, 690-694.   DOI
20 Zachariae, R., Zachariae, C. O., Lei, U., & Pedersen, A. F. (2008). Affective and sensory dimensions of pruritus severity: Associations with psychological symptoms and quality of life in psoriasis patients. Acta Dermato-Venereologica, 88(2), 121-127. http://dx.doi.org/10.2340/00015555-0371   DOI