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Article Navigation >  CHINESE JOURNAL OF BURNS AND WOUNDS  >  > Accepted Manuscript
Bian Ruihao,Huang Shixin,Li Jingbo,et al.Construction of an assessment system for hand burn wound and scar topography map based on the Delphi method[J].Chin J Burns Wounds,2025,41(12):1-9.DOI: 10.3760/cma.j.cn501225-20250830-00375.
Citation: Bian Ruihao,Huang Shixin,Li Jingbo,et al.Construction of an assessment system for hand burn wound and scar topography map based on the Delphi method[J].Chin J Burns Wounds,2025,41(12):1-9.DOI: 10.3760/cma.j.cn501225-20250830-00375.
shu

Construction of an assessment system for hand burn wound and scar topography map 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, the First Affiliated Hospital, Shenzhen University, Shenzhen 518035, China

Funds:

Guangdong Provincial Clinical Research Center for Rehabilitation Medicine 2023B110003

More Information
  • Corresponding author: Chen Shaozhen, Email: daichenshaozhen@163.com
  • Received Date: 2025-08-30
    Available Online: 2025-12-08
    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 hand anatomy and function, and focusing on the assessment of hand wounds and scars after burns, a topographic map assessment system for hand burn wounds and scars was initially developed. A pre-consultation was conducted in the form of on-site presentations. Following revisions according to the suggestions of experts, a round of formal Delphi consultation was carried out with 16 experts in burns, rehabilitation, and relevant fields from December 2024 to March 2025. Among the consultation experts, 6 were male and 10 were female, aged (43±9) years, with working experience ranged from 9 to 39 years, and seven (43.75%) experts held the title of associate senior or higher. The effective recovery rate of the consultation questionnaires and the mean expert authority coefficient of all items were calculated. The mean experts' importance score, the mean coefficient of variation, and the mean full-score ratio, as well as the Kendall's coefficient of concordance and the coefficient of variation of all the third-level items were calculated. Based on the consultation results, the items for the topographic map assessment system for hand burn wounds and scars were ultimately determined.  Results  The effective recovery rate of the consultation questionnaires was 100% (16/16), and the mean expert authority coefficient of all items was 0.84. For all the third-level items, the mean experts' importance score was 4.76, the mean coefficient of variation was 0.10, and the mean full-score ratio was 80.32%. For all the third-level items, the Kendall's coefficient of concordance of experts' importance scores was 0.18, with statistically significance (χ2=15.83, P<0.05), and the mean coefficient of variation was <0.25. After the formal inquiry, 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, and 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 severity of wounds, scars, and deformities and range of motion of hand burns.

     

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