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Volume 41 Issue 12
Dec.  2025
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Article Navigation >  CHINESE JOURNAL OF BURNS AND WOUNDS  > 2025  >  41(12): 1154-1162
Bian RH,Huang SX,Li JB,et al.Construction of a topographic map assessment system for hand burn wounds and scars based on the Delphi method[J].Chin J Burns Wounds,2025,41(12):1154-1162.DOI: 10.3760/cma.j.cn501225-20250830-00375.
Citation: Bian RH,Huang SX,Li JB,et al.Construction of a topographic map assessment system for hand burn wounds and scars based on the Delphi method[J].Chin J Burns Wounds,2025,41(12):1154-1162.DOI: 10.3760/cma.j.cn501225-20250830-00375.
shu

Construction of a topographic map assessment system for hand burn wounds and scars based on the Delphi method

doi: 10.3760/cma.j.cn501225-20250830-00375
  • 1.

    Department of Rehabilitation Medicine, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China

  • 2.

    Department of Burns and Wound Repair Surgery, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China

  • 3.

    Department of Occupational Therapy, Guangdong Work Injury Rehabilitation Hospital, Guangzhou 510440, China

  • 4.

    Department of Burns and Plastic Surgery, Shenzhen Second People's Hospital, the First Affiliated Hospital of Shenzhen University, Shenzhen 518035, China

Funds:

Guangdong Provincial Clinical Research Center for Rehabilitation Medicine 2023B110003

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    Abstract
  •   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.

     

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    • References(41)
  • [1]
    Mata-RibeiroL,VieiraL,VilelaM.Epidemiology and outcome assessment of hand burns: a 3-year retrospective analysis in a burn unit[J].Ann Burns Fire Disasters,2022,35(1):18-25.
    [2]
    WangKA,SunY,WuGS,et al.Epidemiology and outcome analysis of hand burns: a 5-year retrospective review of 378 cases in a burn center in Eastern China[J].Burns,2015,41(7):1550-1555.DOI: 10.1016/j.burns.2015.04.004.
    [3]
    ZikajG,BelbaG,XhepaG.Epidemiology of hand burn in Albania 2011-2016[J].Open Access Maced J Med Sci,2018,6(5):931-933.DOI: 10.3889/oamjms.2018.202.
    [4]
    MurtaughB,WarthmanR,BoulterT.Rehabilitation management of the burned hand[J].Phys Med Rehabil Clin N Am,2023,34(4):767-782.DOI: 10.1016/j.pmr.2023.05.001.
    [5]
    JohnsonSP,ChungKC.Outcomes assessment after hand burns[J].Hand Clin,2017,33(2):389-397.DOI: 10.1016/j.hcl.2016.12.011.
    [6]
    EdwardsJ,MasonS.Hand burn management: minimising pain and trauma at dressing change[J].Br J Nurs,2013,22(20):S46, S48-50.DOI: 10.12968/bjon.2013.22.Sup20.S46.
    [7]
    卞瑞豪,黄诗欣,朱家源,等. 基于德尔菲法构建烧伤患者面颈部创面与瘢痕地形图评估系统[J]. 中华烧伤与创面修复杂志,2023,39(12):1115-1121. DOI: 10.3760/cma.j.cn501225-20230905-00075.
    [8]
    DalkeyN, HelmerO. An experimental application of the Delphi method to the use of experts[J]. Manage Sci, 1963,9(3):458-467.
    [9]
    von der GrachtHA. Consensus measurement in Delphi studies: review and implications for future quality assurance[J]. Technol Forecast Soc Change, 2012,79(8):1525-1536. DOI: 10.1016/j.techfore.2012.04.013.
    [10]
    DiamondIR,GrantRC,FeldmanBM,et al.Defining consensus: a systematic review recommends methodologic criteria for reporting of Delphi studies[J].J Clin Epidemiol,2014,67(4):401-409.DOI: 10.1016/j.jclinepi.2013.12.002.
    [11]
    NasaP,JainR,JunejaD.Delphi methodology in healthcare research: how to decide its appropriateness[J].World J Methodol,2021,11(4):116-129.DOI: 10.5662/wjm.v11.i4.116.
    [12]
    NiederbergerM,KöberichS,members of the DeWiss Network.Coming to consensus: the Delphi technique[J].Eur J Cardiovasc Nurs,2021,20(7):692-695.DOI: 10.1093/eurjcn/zvab059.
    [13]
    JaamM,AwaisuA,El-AwaisiA,et al.Use of the Delphi technique in pharmacy practice research[J].Res Social Adm Pharm,2022,18(1):2237-2248.DOI: 10.1016/j.sapharm.2021.06.028.
    [14]
    NiederbergerM,SprangerJ.Delphi technique in health sciences: a map[J].Front Public Health,2020,8:457.DOI: 10.3389/fpubh.2020.00457.
    [15]
    ZarnowitzV, LambrosLA. Consensus and uncertainty in economic prediction[J]. J Polit Econ, 1987,95(3):591-621.
    [16]
    LinstoneHA, TuroffM. The delphi method[M]. Massachusetts: Addison-Wesley, 1975.
    [17]
    HassonF,KeeneyS,McKennaH.Research guidelines for the Delphi survey technique[J].J Adv Nurs,2000,32(4):1008-1015.
    [18]
    陆树良.把握创面修复的规律和特征促进创面愈合[J].中华烧伤杂志,2021,37(5):401-403.DOI: 10.3760/cma.j.cn501120-20210322-00100.
    [19]
    BaronJM,GlatzM,ProkschE.Optimal support of wound healing: new insights[J].Dermatology,2020,236(6):593-600.DOI: 10.1159/000505291.
    [20]
    沈余明.复杂性创面的修复与功能重建[J/CD].中华损伤与修复杂志(电子版),2015,10(1):9-12.DOI: 10.3877/cma.j.issn.1673-9450.2015.01.004.
    [21]
    黄书润,刘江涛,张勇,等.手部烧创伤后复杂创面的修复[J].中华烧伤杂志,2019,35(5):362-366.DOI: 10.3760/cma.j.issn.1009-2587.2019.05.007.
    [22]
    KumarS,KhanFAA,AliH,et al.Surgical management of post burn hand deformities[J].Pak J Med Sci,2020,36(6):1387-1391.DOI: 10.12669/pjms.36.6.2206.
    [23]
    KowalskeK.Outcome assessment after hand burns[J].Hand Clin,2009,25(4):557-561.DOI: 10.1016/j.hcl.2009.06.003.
    [24]
    KnightA,WasiakJ,SalwayJ,et al.Factors predicting health status and recovery of hand function after hand burns in the second year after hospital discharge[J].Burns,2017,43(1):100-106.DOI: 10.1016/j.burns.2016.07.025.
    [25]
    AntonopulosD, DanikasD, DotsikasR, et al. The treatment of early and late hand contractures following burn injury (1978–1991)[J].Ann MBC, 1992,30:100-101.
    [26]
    SchneiderJC,HolavanahalliR,HelmP,et al.Contractures in burn injury part II: investigating joints of the hand[J].J Burn Care Res,2008,29(4):606-613.DOI: 10.1097/BCR.0b013e31817db8e1.
    [27]
    KantS,van den KerckhoveE,CollaC,et al.Duration of scar maturation: retrospective analyses of 361 hypertrophic scars over 5 years[J].Adv Skin Wound Care,2019,32(1):26-34.DOI: 10.1097/01.ASW.0000547415.38888.c4.
    [28]
    刘毅.瘢痕非手术治疗中几个值得关注的问题[J].中华烧伤杂志,2021,37(12):1194-1198.DOI: 10.3760/cma.j.cn501120-20210705-00235.
    [29]
    中国整形美容协会瘢痕医学分会.瘢痕早期治疗全国专家共识(2020版)[J].中华烧伤杂志,2021,37(2):113-125.DOI: 10.3760/cma.j.cn501120-20200609-00300.
    [30]
    BacheSE,Fitzgerald O'ConnorE,TheodorakopoulouE,et al.The hand burn severity (HABS) score: a simple tool for stratifying severity of hand burns[J].Burns,2017,43(1):93-99.DOI: 10.1016/j.burns.2016.07.011.
    [31]
    张娟,蔡娟,李海芬,等.手部烧伤严重程度评估工具的汉化及初步临床应用研究[J].中华急危重症护理杂志,2023,4(5):399-404.DOI: 10.3761/j.issn.2096-7446.2023.05.003.
    [32]
    皋文君,袁长蓉.患者自我报告结局测量信息系统在国外的应用进展[J].中华护理杂志,2018,53(11):1401-1405.DOI: 10.3761/j.issn.0254-1769.2018.11.026.
    [33]
    ZiolkowskiNI,PusicAL,FishJS,et al.Psychometric findings for the SCAR-Q patient-reported outcome measure based on 731 children and adults with surgical, traumatic, and burn scars from four countries[J].Plast Reconstr Surg,2020,146(3):331e-338e.DOI: 10.1097/PRS.0000000000007078.
    [34]
    邹颖,张慧琳,陈偶英,等.国内患者报告结局研究热点可视化分析[J].护士进修杂志,2024,39(5):552-557.DOI: 10.16821/j.cnki.hsjx.2024.05.020.
    [35]
    BroderickJE,MayM,SchwartzJE,et al.Patient reported outcomes can improve performance status assessment: a pilot study[J].J Patient Rep Outcomes,2019,3(1):41.DOI: 10.1186/s41687-019-0136-z.
    [36]
    BacheSE,Fitzgerald O'ConnorE,DrakePJH,et al.Development and validation of the Burnt Hand Outcome Tool (BHOT): a patient-led questionnaire for adults with hand burns[J].Burns,2018,44(8):2087-2098.DOI: 10.1016/j.burns.2018.07.014.
    [37]
    张娟,柴雪珺,关立锋,等. 手部烧伤结局评估工具的汉化和跨文化调试及信效度检验[J]. 中华烧伤杂志,2021,37(10):978-986. DOI: 10.3760/cma.j.cn501120-20210201-00042.
    [38]
    Mc KittrickA,GustafssonL,MarshallK.A systematic review to investigate outcome tools currently in use for those with hand burns, and mapping psychometric properties of outcome measures[J].Burns,2021,47(2):295-314.DOI: 10.1016/j.burns.2020.07.009.
    [39]
    MathersJ,MoiemenN,BamfordA,et al.Ensuring that the outcome domains proposed for use in burns research are relevant to adult burn patients: a systematic review of qualitative research evidence[J/OL].Burns Trauma,2020,8:tkaa030[2025-08-30].https://pubmed.ncbi.nlm.nih.gov/33163540/.DOI: 10.1093/burnst/tkaa030.
    [40]
    FinlayV,BurrowsS,BurmazM,et al.Increased burn healing time is associated with higher Vancouver Scar Scale score[J].Scars Burn Heal,2017,3:2059513117696324.DOI: 10.1177/2059513117696324.
    [41]
    郑民华,马君俊,戴可帆,等.智慧医学时代微创外科的进展与展望[J].中华消化外科杂志,2024,23(4):543-547.DOI: 10.3760/cma.j.cn115610-20240318-00162.
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