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Document type:
Journal Article
Author(s):
Kovacs, L; Grob, M; Zimmermann, A; Eder, M; Herschbach, P; Henrich, G; Zimmer, R; Biemer, E; Papadopulos, NA
Title:
Quality of life after severe hand injury.
Abstract:
This study explores the quality of life in 118 patients following severe and major hand injury with a Hand Injury Severity Score >50. Each patient answered five different validated outcome measures (DASH (Disability of the Arm, Shoulder, and Hand), FLZ(M) ('Fragen zur Lebenszufriedenheit'), HADS (Hospital Anxiety and Depression Score), BDDE-SR (Body Dysmorphic Disorder Examination-Self Report) and FBeK ('Fragebogen zur Beurteilung des eigenen Körpers'), which were incorporated into a single questionnaire. Each of these questionnaires covered one or more of the established quality-of-life domains. Patients with pain and pressure sensations were significantly less satisfied in life, showed lower levels of health satisfaction, had higher levels of anxiety and depression and showed higher body dysmorphic disorder levels (all p < 0.001). General life satisfaction in this hand-injury study group is highly dependent on the patients` satisfaction with their health and appearance as well as self-confidence. The quality-of-life outcomes improve with time, and despite evidence of continued impairment in the injured hand, the majority of patients had a normal quality of life.
Journal title abbreviation:
J Plast Reconstr Aesthet Surg
Year:
2011
Journal volume:
64
Journal issue:
11
Pages contribution:
1495-502
Language:
eng
Fulltext / DOI:
doi:10.1016/j.bjps.2011.05.022
Pubmed ID:
http://view.ncbi.nlm.nih.gov/pubmed/21705290
Print-ISSN:
1748-6815
TUM Institution:
Fachgebiet Gefäßchirurgie (Prof. Eckstein); Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie; Lehrstuhl für Plastische Chirurgie und Handchirurgie (Prof. Machens)
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