Post burn contracture of hand -treatment and assessment in terms of quality of life in a tertiary care hospital of northern Uttar Pradesh

Author: 
*Dr. Pooja Pandey, Dr. Abhay Pandey, Dr. Irfan Khan and Dr. Sandesh B. Singh

Background: Burn not only affects the survivor's physical health, but it also affects the survivor's psychological state. The most important thing for burn patients is survival, and then comes the disability part. Scarring causes not only disfigurement and a restriction in range of motion, but also a reduction in quality of life in people who have a low mental state. Material & Method: A prospective study was conducted from January 2021 to February 2022 on 55 patients who visited the OPD of the Department of General Surgery, Mayo Institute of Medical Sciences, Barabanki, and Uttar Pradesh. The Institutional Ethics Committee (IEC) had granted ethical clearance. A questionnaire based on the EQ-5D-5L and a predictor of health-related quality of life (HRQL) was tabulated with MS-Office and SPSS version 21 software. Result: Young generations, with a preponderance of women from middle- to low-socioeconomic status, are the most affected in this study. EQ-5D-5L pre-operative questionnaire On the other hand, none of the burn contracture patients are in good health; 4-7 patients have a zero score. On evaluation of mental status, it was seen that all 55 patients had been facing anxiety and depression due to social fear, feeling disabled, and feeling helpless. After a year of follow-up, they have no social fear, depression, or anxiety and have happily returned to work, revealing a score of 100, which indicates excellent health. Conclusion: Burn survivors' mental health is impacted by post-burn hand contracture. Hence, it requires psychological counselling routinely as a part of the rehabilitation programme in order to improve the quality of life.

Paper No: 
5006