Evaluation of differences in health-related quality of life during the treatment of post-burn scars in pre-school and school children

The Malopolska Centre for Burns and Plastic Surgery, Ludwik Rydygier Memorial Specialist Hospital, Krakow, Poland
Chair of Neuropsychology, Andrzej Frycz Modrzewski Krakow University, Krakow, Poland
Ann Agric Environ Med 2014;21(4):861–865
[b]objective[/b]. The aim of the research was an assessment of the differences in the self-evaluation of health-related quality of life during the treatment of post-burn scars on the upper limbs of pre-school and school children. [b]materials and method[/b]. a group of 120 children were examined – 66 boys and 54 girls, divided into a pre-school group of 60 children (average age 4.3 ± 1.7) and a primary school group of 60 children (average age 10.4 ± 1.2). The structured interview and an adopted Visual Analog Anxiety Scale and Visual Analog Unpleasant Events Tolerance Scale were used to evaluate the level of plaster tolerance, and anxiety caused by the removal of dressings during treatment. [b]results[/b]. In the first test, In both groups, a low tolerance was noted to the pressure plaster, with the pre-school aged children obtaining worse results (x=18.9 ± SD 10.16) than those of school age (x=33.65± SD 13,21), regardless of gender. Pre-school children were afraid (x=47.5 ± SD 24.26), while school-aged children were not afraid of having the plaster removed (x=20.5 ± SD 9.46). The differences between the groups were statistically significant. In the fourth and final test on pre-school aged children, the tolerance of plasters had improved (x=23.24 ± SD 15.43) obtaining a value somewhat lower than for school-aged children (32.4 ± SD 6.45), as well as a noted fall in the anxiety level (30.83 ± SD 23.38) with an average value insignificantly higher than that recorded for the children of school age (15.83 ± SD 6.19). [b]conclusions[/b]. The tests confirmed the appearance of differences in the self-evaluation of health-related life quality in pre-school and school-aged children.