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        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 
         
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        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. |