摘要
目的构建一套适用于手部烧伤创面与瘢痕的地形图评估系统。方法该研究采用文献分析和调查研究相结合的方法,以手部功能解剖和美学为基础,以手部烧伤创面、瘢痕、畸形与活动度评估为中心,初步形成手部烧伤创面与瘢痕地形图评估系统。采取现场汇报的方式进行预函询,根据专家意见修订后于2024年12月—2025年3月,运用德尔菲法对符合入选标准的16名来自广州市、深圳市的烧伤与康复相关领域专家开展了1轮正式函询,其中男6人、女10人,年龄(43±9)岁,工作年限9~39年,副高级及以上职称者7人。统计正式函询问卷有效回收比例、所有条目的专家权威系数均值,所有三级条目的重要性专家评分的均值、变异系数均值、满分率均值以及肯德尔和谐系数、变异系数。根据正式函询结果最终确定手部烧伤创面与瘢痕地形图评估系统的条目。结果正式函询问卷有效回收比例为16/16,所有条目的专家权威系数均值为0.84。所有三级条目的重要性专家评分的均值为4.76,变异系数均值为0.10,满分率均值为80.32%。所有三级条目重要性专家评分的肯德尔和谐系数为0.18,结果有统计学意义(χ2=15.83,P<0.05);所有三级条目重要性专家评分的变异系数均<0.25。正式函询后无删除或增添条目,最后形成手部烧伤创面与瘢痕地形图评估系统。该评估系统由手部烧伤创面与瘢痕地形图结合创面、瘢痕、畸形与活动度评估表构成,包含6个一级条目、16个二级条目、44个三级条目。结论构建了一套涵盖面广、可用性强的手部烧伤创面与瘢痕地形图评估系统,可精准评估手部烧伤后的创面、瘢痕、畸形和活动度。
Objective To construct a topographic map assessment system for hand burn wounds and scars.Methods A combination of literature analysis and survey research was adopted in this study.Based on the functional anatomy and aesthetics of hands,and focusing on the assessment of the wounds,scars,deformities,and range of motion after hand burns,a topographic map assessment system for hand burn wounds and scars was preliminarily developed.A pre-consultation was conducted in the form of on-site presentations.After revision based on expert opinions,the Delphi method was used to conduct a round of formal consultation from December 2024 to March 2025 with 16 experts from Guangzhou and Shenzhen in burns,rehabilitation,and relevant fields who met the selection criteria.Among the consultation experts,6 were male and 10 were female,aged(43±9)years,with working experience ranging from 9 to 39 years,and 7 experts held the title of associate senior or higher.The effective recovery ratio of the formal consultation questionnaires and the mean expert authority coefficient of all items were calculated.The mean value,the mean coefficient of variation,and the mean full-score rate,as well as the Kendall's coefficient of concordance and the coefficient of variation of the expert importance score of all the third-level items were calculated.Based on the formal consultation results,the items for the topographic map assessment system for hand burn wounds and scars were ultimately determined.Results The effective recovery ratio of the formal consultation questionnaires was 16/16,and the mean expert authority coefficient of all items was 0.84.For the expert importance scores of all the third-level items,the mean value was 4.76,the mean coefficient of variation was 0.10,and the mean full-score rate was 80.32%.For all the third-level items,the Kendall's coefficient of concordance of expert importance scores was 0.18,with statistically significance(χ2=15.83,P<0.05),and the coefficient of variation of expert importance scores was<0.25.After the formal consultation,no items were deleted or added,and finally a topographic map assessment system for hand burn wounds and scars was formed.The evaluation system consists of a combination of hand burn wounds and scars topographic map and an evaluation table for wounds,scars,deformities,and range of motion,including 6 first-level items,16 second-level items,and 44 third-level items.Conclusions A comprehensive and highly usable topographic map assessment system for hand burn wounds and scars was constructed,which enables precise assessment of the wounds,scars,deformities,and range of motion after hand burns.
作者
卞瑞豪
黄诗欣
黎景波
郑嘉璇
朱家源
徐盈斌
吴军
唐冰
陈少贞
Bian Ruihao;Huang Shixin;Li Jingbo;Zheng Jiaxuan;Zhu Jiayuan;Xu Yingbin;Wu Jun;Tang Bing;Chen Shaozhen(Department of Rehabilitation Medicine,the First Affiliated Hospital,Sun Yat-sen University,Guangzhou 510080,China;Department of Burns and Wound Repair Surgery,the First Affiliated Hospital,Sun Yat-sen University,Guangzhou 510080,China;Department of Occupational Therapy,Guangdong Work Injury Rehabilitation Hospital,Guangzhou 510440,China;Department of Burns and Plastic Surgery,Shenzhen Second People's Hospital,the First Affiliated Hospital of Shenzhen University,Shenzhen 518035,China)
出处
《中华烧伤与创面修复杂志》
北大核心
2025年第12期1154-1162,共9页
Chinese Journal of Burns And Wounds
基金
广东省康复医学临床医学研究中心项目(2023B110003)。
关键词
手
烧伤
瘢痕
德尔菲技术
创面
评估系统
Hand
Burns
Cicatrix
Delphi technique
Wounds
Assessment system
