Impact of Physical, Psychological, and Social Factors on Health-Related Quality of Life in Burn Rehabilitation Patients

Purpose: This study aimed to investigate how physical, psychological, and social factors influence the health-related quality of life (HRQoL) among patients with burn injuries during the rehabilitation phase. Methods: A cross-sectional survey was conducted with 178 patients with burn injuries who began self-care after completing acute treatment at burn centers affiliated with a university hospital in Seoul. Participants completed self-administered questionnaires. Data were analyzed using independent t-tests, one-way ANOVA, Pearson's correlation coefficient, and multiple regression analysis. Results: Burn site and psychological maladjustment were significant predictors of HRQoL, accounting for 14.4% of the variance. Burn injuries to the wrist and hand, ankle and foot, and upper limbs were significantly associated with lower HRQoL. Among psychological factors, anxiety showed a significant negative effect. Conclusion: The findings suggest the need to increase awareness of how specific injury sites affect recovery and emphasize the importance of targeted physical and occupational therapy to restore functional capacity and improve QoL. Furthermore, early identification of psychological issues and the integration of counseling and psychoeducational support may enhance HRQoL in patients with burn injuries.