Papers of The 4th Japan Scar Workshop

19. Effect of rehabilitation makeup (rehabili-makeŽ) on promoting a quality of life of patients with burn scar

Reiko Kazuki1,2,3, Hiko Hyakusoku2
1:REIKO KAZKI, Tokyo, Japan
2:Department of Plastic Surgery, Nippon Medical School, Tokyo, Japan
3:University of Waseda, Tokyo, Japan

Rehabilitation makeup (rehabili-makeTM) was developed to encourage social rehabilitation of patients through psychologically acceptance of their disfigurement. In this study, the effects of rehabili-makeTM on quality of life (QOL) of patients with facial burn scar were examined. Self-assessment of their appearance shown by the visual analog scale (VAS) improved just after treatment with rehabili-makeTM for all 14 patients tested. Three weeks after rehabili-makeTM, scores for VAS and all regions of WHO-QOL26 were found to be higher for patients who had suffered burns at the age of 8 or younger, suggesting an improvement in QOL for some patients. However, significant improvement of VAS and WHO-QOL26 three weeks after the treatment was not observed for patients suffering from burns at the age of 19 or older. We omitted patients suffering from burns between 8 and 19 years old. It is thought that the body image is being formed from the infant stage and established at the secondary sexual development stage. No effect of rehabili-makeTM on the QOL of patients suffering burns in adulthood would cause in change in the established body image. We suggest that association with psychiatrists, clinical psychotherapists and social workers is required for more efficient social rehabilitation of patients suffering from burns after puberty.
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