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Budzyńska A, Talarska D, Bączyk G. Wound Pain as a Determinant of Function in Patients Hospitalised for Burns. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:1951. [PMID: 36767319 PMCID: PMC9915220 DOI: 10.3390/ijerph20031951] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/01/2022] [Revised: 01/09/2023] [Accepted: 01/17/2023] [Indexed: 06/18/2023]
Abstract
Burn wounds most often occur on visible parts of the body. They therefore cause fear of disfigurement and rejection by those around them. In addition, they cause pain. The main aim of this study was to analyse factors affecting the functioning of patients hospitalised for burns. The study included 57 patients hospitalised for burns. Each person was surveyed twice: on day seven after admission and on the day of discharge from the hospital. The following research tools were used: a personal questionnaire to collect clinical data and the scales of the Katz Activities of Daily Living (ADL), the short-form McGill Pain Questionnaire (SF-MPQ), the Beck Depression Inventory (BDI) and the Satisfaction with Appearance Scale (SWAP). On the discharge day, compared to day 7, there was an improvement in the patient's level of functioning in all areas analysed. Pain intensity (p < 0.0001), depression (p < 0.0001) and dissatisfaction with appearance (p = 0.0239) decreased significantly. Improvements in daily functioning were also obtained (p < 0.0001). Multiple regression was performed to estimate the effect of selected variables on patients' level of functioning. Burn area (p = 0.0126), pain level (questionnaire part B: p = 0.0004 and questionnaire part C: p = 0.0208) and gender (p = 0.0413) had a significant impact on the level of daily functioning. Pain complaints are the most crucial predictor affecting the functional status and depression levels in burn wound patients. Increased levels of depression promote dissatisfaction with one's appearance.
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Affiliation(s)
- Anna Budzyńska
- Department of Nursing Practice, Poznan University of Medical Sciences, 61-701 Poznan, Poland
| | - Dorota Talarska
- Department of Preventive Medicine, Poznan University of Medical Sciences, 61-701 Poznan, Poland
| | - Grażyna Bączyk
- Department of Nursing Practice, Poznan University of Medical Sciences, 61-701 Poznan, Poland
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Fassel M, Ong JE, Galet C, Wibbenmeyer L. Identifying and Assisting Burn Patients and Their Families With Needs Through Administration of an Assessment Tool on Admission. J Burn Care Res 2022; 44:114-120. [PMID: 35830485 PMCID: PMC9825300 DOI: 10.1093/jbcr/irac098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2022] [Indexed: 01/13/2023]
Abstract
Using a modified Safe Environment for Every Kid Questionnaire (Needs Survey), we previously showed a significant correlation between adverse childhood experiences (ACEs) and family needs. Herein, we retrospectively assessed whether patients' and their families' needs identified using the Needs Survey were addressed prior to discharge. We hypothesized that, without the knowledge gained by administering this tool, many basic needs may not have been fully addressed. Seventy-nine burn patients and families previously enrolled in our ACE studies were included. Answers to the Needs Surveys were reviewed to identify families with needs. Medical records were reviewed to determine if a social worker assessment (SWA) was completed per standard of care and if their needs were addressed prior to discharge. Of the 79 burn patients who received inpatient care and completed the Needs Survey, family needs were identified in 67 (84.8%); 42 (62.7%) received an SWA, and 25 (37.3%) did not. Those who did not receive a SWA had a shorter hospitalization and suffered less severe burns. Demographics, socioeconomics, ACEs, and identified needs were similar between the groups. Our study showed that SWA was performed on many patients with basic needs. However, with the focus of SWAs being on discharge arrangements, not all needs were addressed, and individualized resources were often not provided. Administering the Needs Survey on admission may help our social workers streamline and expedite this process to help support successful recovery for our burn patients and their families.
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Affiliation(s)
| | | | - Colette Galet
- Address correspondence to Colette Galet, PhD, Department of Surgery, Acute Care Surgery Division, University of Iowa Hospitals & Clinic, 200 Hawkins Dr., Iowa City, IA 52242.
| | - Lucy Wibbenmeyer
- Department of Surgery, Acute Care Surgery Division, University of Iowa, Iowa City, Iowa, USA
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Froutan R, Saberi A, Ahmadabadi A, Mazlom SR. The Effect of a Recreational Therapy Program on the Pain Anxiety and Quality of Life of Patients with Burn Injuries: A Randomized Clinical Trial. J Burn Care Res 2021; 43:381-388. [PMID: 34329456 DOI: 10.1093/jbcr/irab153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Pain anxiety and dysfunction are among the most prevalent complications of burns, impacting the quality of life of patients with burn injuries. As a non-pharmaceutical approach, recreational therapy can be effective in reducing the complications of burns. This study aimed to examine the effect of a recreational therapy program on the pain anxiety and quality of life of patients with burn injuries. This controlled randomized clinical trial was conducted on 58 patients admitted to the burn center of XXX. These patients were randomly allocated to the intervention and control group. The intervention group received a recreational therapy program three sessions a week, for two weeks. The control group performed routine daily activities. As the main variable of the study, the Burn Specific Pain Anxiety Scale and Burn Specific Health Scale-Brief were completed for both groups before and two weeks after the intervention. After controlling confounders, the pain anxiety score in the intervention group was significantly lower than in the control group (p = 0.002). The total quality of life score was significantly higher in the intervention group than the control group (p = 0.001). In addition, the intervention significantly increased the scores of quality of life in the physical (p< 0.001), emotional (p = 0.009), and social (p< 0.001) dimensions. As it reduces pain anxiety and promotes the quality of life of patients with burn injuries, this recreational therapy program is recommended for promoting the mental health and quality of life of these patients.
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Affiliation(s)
- Razieh Froutan
- Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran / Department of Medical Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Abolfazl Saberi
- Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Ali Ahmadabadi
- Surgical Oncology Research Centre, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Seyed Reza Mazlom
- Instructor of Nursing, Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
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Mohseni Moallem Kolaei N, Ayatollahi H, Elyasi F. Delirium in Burn Patients: Developing a Mobile Application for Assessment and Diagnosis. J Burn Care Res 2021; 42:87-92. [PMID: 32761052 DOI: 10.1093/jbcr/iraa122] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Delirium is a neuropsychiatric syndrome which is highly prevalent among hospitalized burn patients. Among screening tools, the Intensive Care Delirium Screening Checklist (ICDSC) is a reliable tool. This study aimed to develop a mobile-based application for assessing and diagnosing delirium in burn patients by using ICDSC. This research consisted of three phases. Initially, a questionnaire was designed and users' requirements were identified. The participants were 10 psychiatrists and 51 nurses. Then, a mobile application was designed based on the results derived from the first phase of the study and the usability of the application was evaluated by using a standard questionnaire. Finally, the rate of agreement between the nurses' and physiatrists' diagnoses made by using or not using the application was calculated. The application included educational content about delirium for nurses, patient data, and some functions. The results of the usability evaluation showed that the application was at a "good" level from the users' perspectives and the rate of agreement between the nurses' and physiatrists' diagnoses made by using the application was higher than not using it. The application designed in the current study can help us to improve the knowledge of nurses, in particular younger nurses regarding delirium. Moreover, making diagnosis based on the results of a delirium assessment tool is more accurate than relying on nursing experience. Finally, timely diagnosis of delirium can help us to improve patient management and quality of care, reduce the duration of hospitalization, and decrease the mortality rate and costs.
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Affiliation(s)
- Najibeh Mohseni Moallem Kolaei
- Psychiatry and Behavioural Sciences Research Centre, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran
| | - Haleh Ayatollahi
- Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran.,Department of Health Information Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
| | - Forouzan Elyasi
- Addiction Institute, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
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Zheng H, Wu K, Zhou Y, Fu L, Zhang D, Liu Z. Prevalence and associated factors of post-traumatic stress disorder in burned patients and their family members. Burns 2020; 47:1102-1109. [PMID: 33303262 DOI: 10.1016/j.burns.2020.10.019] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2020] [Revised: 10/14/2020] [Accepted: 10/19/2020] [Indexed: 11/15/2022]
Abstract
BACKGROUND Post-traumatic stress disorder (PTSD) is common among burn patients and their family members. The objective of this study was to document the prevalence of PTSD and explore the sociodemographic and burn-specific associated factors of PTSD among Chinese burn survivors and their family members. METHODS A total of 131 adult patients with unintentional burns and 194 family members of burn patients were recruited from two burn units. All participants completed a general information form and the PTSD Checklist for the DSM-5 (PCL-5). RESULTS Fifty-five (42.0%) burn victims and ninety-nine (51.0%) family members of burn victims met the criteria for PTSD; the average score of the sample was 31.21 ± 21.56 and 33.16 ± 19.30. Logistic regression analysis revealed that middle age (45-55 years), poor economic status, greater total body surface area (TBSA) and longer time since the burn incident positively predicted the PTSD of patients and that female family members had a higher risk of PTSD. CONCLUSIONS Burn patients and their family members are susceptible to PTSD. Suitable and long-term psychological intervention programmes should be executed for burn patients and their family members.
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Affiliation(s)
- Hao Zheng
- CAS Key Laboratory of Mental Health, Institute of Psychology, Beijing, China; Department of Psychology, University of Chinese Academy of Sciences, Beijing, China
| | - Kankan Wu
- CAS Key Laboratory of Mental Health, Institute of Psychology, Beijing, China; Department of Psychology, University of Chinese Academy of Sciences, Beijing, China
| | - Yueyue Zhou
- CAS Key Laboratory of Mental Health, Institute of Psychology, Beijing, China; Department of Psychology, University of Chinese Academy of Sciences, Beijing, China
| | - Lin Fu
- CAS Key Laboratory of Mental Health, Institute of Psychology, Beijing, China; Department of Psychology, University of Chinese Academy of Sciences, Beijing, China
| | - Daiyu Zhang
- Aiwuhen Burn Rehabilitation and Care Center, Beijing, China
| | - Zhengkui Liu
- CAS Key Laboratory of Mental Health, Institute of Psychology, Beijing, China.
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Bayuo J, Wong FKY, Agyei FB. "On the Recovery Journey:" An Integrative Review of the Needs of Burn Patients From Immediate Pre-Discharge to Post-Discharge Period Using the Omaha System. J Nurs Scholarsh 2020; 52:360-368. [PMID: 32445507 DOI: 10.1111/jnu.12563] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/06/2020] [Indexed: 11/28/2022]
Abstract
BACKGROUND To establish a conceptual understanding of the needs of burn patients, the specific research question asked is: "What are the needs of burn patients from 1-week pre-discharge to the post-discharge period?" METHODS Whittemore and Knafl's integrative review approach was used to answer the review question. The databases searched were the Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, Embase, and Scopus. Thirty-two primary studies were retained at the end of the screening process. Directed content analysis was undertaken, with the Omaha system as an organizing framework. RESULTS Recovery after burns is not a linear process, but an intricate one filled with varied needs in the physiological (pain, skin, neuro-musculo-skeletal, and infection), psychosocial (social contact, role changes, spirituality, grief, mental health, and sexuality), health-related behavior (nutrition, sleep and rest patterns, and physical activity), and environmental (income) domains of the Omaha system. The nature and intensity of these needs change over time, suggesting that recovery for the burn patient is an ongoing process. CONCLUSIONS Several needs exist from 1 week before discharge to the post-discharge period. The mutual relationship and evolving nature of these needs create an avenue for a flexible, regular, holistic transitional program, similar to the support offered to persons living with chronic conditions. CLINICAL RELEVANCE Hospital discharge does not imply an end to the recovery of burn patients, and burn survivors still require holistic care even after discharge. The review shows the applicability of the Omaha system in exploring and classifying the needs of burn survivors and situates nursing at the core of such a program. It is possible that a nurse-led program of care needs to be considered.
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Affiliation(s)
- Jonathan Bayuo
- PhD Candidate, School of Nursing, The Hong Kong Polytechnic University, Hong Kong
| | | | - Frank Bediako Agyei
- Lecturer, Department of Nursing, Faculty of Health and Medical Sciences, Presbyterian University College, Agogo, Ghana
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Silva A, Marzo J, García del Castillo J. The adaptation of the Burn Specific Health Scale-Revised (BSHS-R) into the Portuguese context. Burns 2019; 45:1649-1658. [DOI: 10.1016/j.burns.2019.04.024] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2018] [Revised: 03/05/2019] [Accepted: 04/30/2019] [Indexed: 10/26/2022]
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Knol R, Kelly E, Paul E, Cleland H, Wellington-Boyd A, Lambert C, Harms L. The psychosocial complexities of acute burn patients in an Australian trauma hospital. Burns 2019; 46:447-453. [PMID: 31466920 DOI: 10.1016/j.burns.2019.08.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2019] [Revised: 08/01/2019] [Accepted: 08/06/2019] [Indexed: 10/26/2022]
Abstract
INTRODUCTION Psychosocial risk and protective factors specific to acute burn patients have been shown to impact on longer-term health outcomes. Yet the nature and impact of such factors throughout the acute hospital admission phase have not been extensively examined to date. This study analysed the psychosocial pre-admission, hospitalisation and discharge factors for a sample of burn patients at an Australian specialist acute burns unit (The Alfred) and the relationship with their admission length. METHODS A retrospective audit was undertaken of psychosocial factors documented in patient medical records, Victorian Adult Burns Service registry data, and social work files (January-December 2014). RESULTS Two hundred and forty-nine patients were identified, with a mean age of 42.83 years and a preponderance of men (73.9%). The majority (71%) had a low burn severity (<10%), and an average of eight psychosocial factors. Independent of the severity of the burn, two psychosocial domains were strongly predictive of length of stay - coping with treatment and discharge planning - along with pre-existing psychosocial factors and family support. CONCLUSION A diversity of psychosocial factors was identified, highlighting the clinical complexity of this patient group. Given three domains of admission-related psychosocial factors were predictive of the length of patient stay, more targeted psychosocial interventions in these areas may ensure patients and their families are supported more effectively throughout an admission, and length of stay costs may also be reduced.
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Affiliation(s)
- Rose Knol
- Social Work Department, Alfred Health, 55 Commercial Rd, Prahran, Victoria 3181, Australia
| | - Emma Kelly
- Social Work Department, Alfred Health, 55 Commercial Rd, Prahran, Victoria 3181, Australia
| | - Eldho Paul
- Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria 3004, Australia; Clinical Haematology Department, Alfred Hospital, Melbourne, Victoria 3181, Australia
| | - Heather Cleland
- Victorian Adult Burns Service, Alfred Health, 55 Commercial Rd, Prahran, Victoria 3181, Australia
| | - Anna Wellington-Boyd
- Social Work Department, Alfred Health, 55 Commercial Rd, Prahran, Victoria 3181, Australia
| | - Caroline Lambert
- Department of Social Work, The University of Melbourne, Victoria 3010, Australia
| | - Louise Harms
- Department of Social Work, The University of Melbourne, Victoria 3010, Australia.
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Elrod J, Schiestl CM, Mohr C, Landolt MA. Incidence, severity and pattern of burns in children and adolescents: An epidemiological study among immigrant and Swiss patients in Switzerland. Burns 2019; 45:1231-1241. [PMID: 31097353 DOI: 10.1016/j.burns.2019.02.009] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2018] [Revised: 01/11/2019] [Accepted: 02/07/2019] [Indexed: 10/26/2022]
Abstract
BACKGROUND Despite advances in surgical management and critical care for burn surgery, morbidity and mortality of patients with severe burns remains high. Especially in the pediatric population, burns often lead to devastating consequences such as the necessity of corrective surgery until adulthood. Worldwide, 80%-90% of all severe burns occur in low to middle income countries. But also in high income countries, burns are distributed inequitably. Risk factors include age, sex, socioeconomic status, and ethnicity. AIM The objective of this study was to determine the typical demographics and injury-related data of pediatric burn patients in order to contribute to preventive measures. Special interest was paid to the question of whether the incidence of severe burns is higher among patients with an immigration background. PATIENTS AND METHODS Patient records of the 4373 patients admitted to the Pediatric Burn Unit of the University Children's Hospital of Zurich from 2006 to 2018 were analyzed. Demographic data and injury patterns are presented descriptively. Temporal trends concerning duration of hospitalization and setting (inpatient versus outpatient), differences in relative incidence and in burn mechanism in distinct cohorts (by nation and Human Development Index (HDI)) and seasonal trends were analyzed. Furthermore, risk factors for large burns and for (prolonged) inpatient treatment were examined using a multivariate approach. RESULTS Temporal resolution shows considerable variation between inpatient and outpatient treatment (p>0.001) and with shorter hospital stays (p=0.004). Swiss citizens and patients with an immigration background from very highly developed countries sustain a significantly lower incidence of heat-related injuries than all others (p<0.001). The most common burn causes among all children, independent of their country of citizenship, are related to kitchen items or hot tea and coffee (35.57%±4.01% resp. 32.39%±5.95%). Logistic regression revealed that migration background from a low HDI country is significantly associated with larger burns (>5% TBSA) and with a need for inpatient treatment. CONCLUSION The study emphasizes the need for highly specific measures of burn prevention and indicates the necessity of focusing on certain target groups who are especially vulnerable to burns, such as immigrants from less developed countries.
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Affiliation(s)
- Julia Elrod
- Pediatric Burn Center, Division of Plastic and Reconstructive Surgery, University Children's Hospital Zurich, Steinwiesstrasse 75 8032, Zurich, Switzerland.
| | - Clemens M Schiestl
- Pediatric Burn Center, Division of Plastic and Reconstructive Surgery, University Children's Hospital Zurich, Steinwiesstrasse 75 8032, Zurich, Switzerland
| | - Christoph Mohr
- Pediatric Burn Center, Division of Plastic and Reconstructive Surgery, University Children's Hospital Zurich, Steinwiesstrasse 75 8032, Zurich, Switzerland
| | - Markus A Landolt
- Department of Psychosomatics and Psychiatry, University Children's Hospital Zurich, Steinwiesstrasse, 75 8032, Zurich, Switzerland; Division of Child and Adolescence Health Psychology, Department of Psychology, University of Zurich, Steinwiesstrasse, 75 8032, Zurich, Switzerland
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Bäckström J, Willebrand PM, Öster C. Identifying the Needs of Family Members in Burn Care—Nurses’ Different Approaches. J Burn Care Res 2019; 40:336-340. [DOI: 10.1093/jbcr/irz018] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- Josefin Bäckström
- Department of Neuroscience, Psychiatry, Uppsala University, Sweden
- Department of Public Health and Caring Sciences, Uppsala University, Sweden
- Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden
| | | | - Caisa Öster
- Department of Neuroscience, Psychiatry, Uppsala University, Sweden
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Bäckström J, Willebrand M, Sjöberg F, Haglund K. Being a family member of a burn survivor – Experiences and needs. BURNS OPEN 2018. [DOI: 10.1016/j.burnso.2018.07.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
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Aazami Y, Sohrabi F, Borjali A, Farrokhi NA, Farokh Forghani S. Effectiveness of psychosocial treatment on emotion regulation in people with posttraumatic stress disorder after burn injuries. THE JOURNAL OF QAZVIN UNIVERSITY OF MEDICAL SCIENCES 2018. [DOI: 10.29252/qums.22.4.51] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
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Guest E, Griffiths C, Harcourt D. A qualitative exploration of psychosocial specialists' experiences of providing support in UK burn care services. Scars Burn Heal 2018; 4:2059513118764881. [PMID: 29873339 PMCID: PMC5987094 DOI: 10.1177/2059513118764881] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
INTRODUCTION A burn can have a significant and long-lasting psychosocial impact on a patient and their family. The National Burn Care Standards (2013) recommend psychosocial support should be available in all UK burn services; however, little is known about how it is provided. The current study aimed to explore experiences of psychosocial specialists working in UK burn care, with a focus on the challenges they experience in their role. METHODS Semi-structured telephone interviews with eight psychosocial specialists (two psychotherapists and six clinical psychologists) who worked within UK burn care explored their experiences of providing support to patients and their families. RESULTS AND DISCUSSION Thematic analysis revealed two main themes: burn service-related experiences and challenges reflected health professionals having little time and resources to support all patients; reduced patient attendance due to them living large distances from service; psychosocial appointments being prioritised below wound-related treatments; and difficulties detecting patient needs with current outcome measures. Therapy-related experiences and challenges outlined the sociocultural and familial factors affecting engagement with support, difficulties treating patients with pre-existing mental health conditions within the burn service and individual differences in the stage at which patients are amenable to support. CONCLUSION Findings provide an insight into the experiences of psychosocial specialists working in UK burn care and suggest a number of ways in which psychosocial provision in the NHS burn service could be developed.
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Affiliation(s)
- Ella Guest
- University of the West of England Bristol, Bristol, UK
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Development of the life impact burn recovery evaluation (LIBRE) profile: assessing burn survivors’ social participation. Qual Life Res 2017; 26:2851-2866. [PMID: 28493205 PMCID: PMC10064494 DOI: 10.1007/s11136-017-1588-3] [Citation(s) in RCA: 30] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/03/2017] [Indexed: 11/27/2022]
Abstract
PURPOSE Measuring the impact burn injuries have on social participation is integral to understanding and improving survivors' quality of life, yet there are no existing instruments that comprehensively measure the social participation of burn survivors. This project aimed to develop the Life Impact Burn Recovery Evaluation Profile (LIBRE), a patient-reported multidimensional assessment for understanding the social participation after burn injuries. METHODS 192 questions representing multiple social participation areas were administered to a convenience sample of 601 burn survivors. Exploratory factor analysis and confirmatory factor analysis (CFA) were used to identify the underlying structure of the data. Using item response theory methods, a Graded Response Model was applied for each identified sub-domain. The resultant multidimensional LIBRE Profile can be administered via Computerized Adaptive Testing (CAT) or fixed short forms. RESULTS The study sample included 54.7% women with a mean age of 44.6 (SD 15.9) years. The average time since burn injury was 15.4 years (0-74 years) and the average total body surface area burned was 40% (1-97%). The CFA indicated acceptable fit statistics (CFI range 0.913-0.977, TLI range 0.904-0.974, RMSEA range 0.06-0.096). The six unidimensional scales were named: relationships with family and friends, social interactions, social activities, work and employment, romantic relationships, and sexual relationships. The marginal reliability of the full item bank and CATs ranged from 0.84 to 0.93, with ceiling effects less than 15% for all scales. CONCLUSIONS The LIBRE Profile is a promising new measure of social participation following a burn injury that enables burn survivors and their care providers to measure social participation.
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Pérez Boluda M, Morales Asencio J, Carrera Vela A, García Mayor S, León Campos A, López Leiva I, Rengel Díaz C, Kaknani-Uttumchandani S. The dynamic experience of pain in burn patients: A phenomenological study. Burns 2016; 42:1097-1104. [DOI: 10.1016/j.burns.2016.03.008] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2015] [Revised: 03/14/2016] [Accepted: 03/16/2016] [Indexed: 12/19/2022]
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Lawrence JW, Qadri A, Cadogan J, Harcourt D. A survey of burn professionals regarding the mental health services available to burn survivors in the United States and United Kingdom. Burns 2016; 42:745-53. [DOI: 10.1016/j.burns.2016.01.021] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2015] [Revised: 01/16/2016] [Accepted: 01/19/2016] [Indexed: 10/22/2022]
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Attoe C, Pounds-Cornish E. Psychosocial adjustment following burns: An integrative literature review. Burns 2015; 41:1375-84. [PMID: 26359733 DOI: 10.1016/j.burns.2015.02.020] [Citation(s) in RCA: 41] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2014] [Revised: 12/03/2014] [Accepted: 02/21/2015] [Indexed: 11/30/2022]
Abstract
INTRODUCTION Burn care innovations have vastly reduced mortality rates and improved prognoses, fostering the need for multi-disciplinary input in holistic recovery. Consequently psychological and social considerations post-burn are included in National Burn Care Standards and have featured increasingly in burns literature. AIM To identify the key findings of the rapidly expanding literature base for psychosocial adjustment post-burn, highlighting the most important knowledge and future directions for both practice and research. METHOD MEDLINE, CINAHL, EMBASE, PsycINFO, BNI, HMIC databases were searched from January 2003 to September 2013 using search terms regarding psychosocial adjustment post-burn. After exclusions 24 papers underwent critical appraisal. RESULTS Studies were categorised by the element of adjustment that they examined; psychopathology, quality of life, return to work, interpersonal, post-traumatic growth. Strengths, weaknesses, and significant findings within each category were presented. DISCUSSION Although psychopathology and quality of life were well-researched compared to other categories, all would benefit from methodological improvements such as sample size or dropout rates. Coping strategies, premorbid psychopathology, and personality consistently featured as predictors of adjustment, although research should now move from identifying predictors, to clarifying the concept and parameters of psychosocial adjustment while developing and evaluating interventions to improve outcomes.
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Affiliation(s)
- Chris Attoe
- Burns Unit, Ward 11, Stoke Mandeville Hospital, Mandeville Road, Aylesbury, Buckinghamshire HP21 8AL, UK.
| | - Elizabeth Pounds-Cornish
- Burns Unit and National Spinal Injuries Centre, Department of Clinical Psychology, Stoke Mandeville Hospital, Mandeville Road, Aylesbury, Buckinghamshire HP21 8AL, UK.
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Cabulon EAIC, Cardoso JR, Maciel SM, Martins JT, Robazzi MLDCC, Cardelli AAM. Quality of life of individuals treated in an outpatient burn treatment centre: Application of the BSHS-R. Burns 2015; 41:528-35. [DOI: 10.1016/j.burns.2014.08.017] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2013] [Revised: 08/25/2014] [Accepted: 08/27/2014] [Indexed: 10/24/2022]
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Nicolosi JT, de Carvalho VF, Sabatés AL, Paggiaro AO. Functional independence in teenage patients with burns. BRITISH JOURNAL OF NURSING (MARK ALLEN PUBLISHING) 2014; 23:S20-S26. [PMID: 25075387 DOI: 10.12968/bjon.2014.23.sup12.s20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
The purpose of this study was to assess the functional independence of teenagers undergoing a process of rehabilitation. A cross-sectional study was carried out on a sample of 63 teenagers, aged 12 to 20, who had suffered burns and were going through a process of rehabilitation, with the application of the Functional Independence Measurement (FIM). The data was analysed using descriptive statistics and also a test for comparison of means (Student's t-test), as well as Cronbach's reliability test. There was proof of a high degree of independence in FIM. Analysis of the location of the burn and also the performance of work and/or study activities showed these not to interfere with functional independence. The results indicate the reliability of the instruments applied, making it possible to conduct an assessment of the functional independence of the teenagers during the rehabilitation process.
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Sadeghi-Bazargani H, Azami-Aghdash S, Arshi S, Mohammad Hosseini M, Samadirad B, Nadir Mohammadi M, Daemi A, Mohammadi R. Exploring possible causes of fatal burns in 2007 using Haddon's Matrix: a qualitative study. J Inj Violence Res 2014; 7:1-6. [PMID: 24879079 PMCID: PMC4288289 DOI: 10.5249/jivr.v7i1.501] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2013] [Accepted: 02/21/2014] [Indexed: 11/09/2022] Open
Abstract
Background: Burns are a major factor in injury mortality. The aim of this study was to explore the possible causes of fatal burns using Haddon’s Matrix. Methods: This is a qualitative study using a phenomenological approach. We collected elicitation interview data using nine corroborators who were the most knowledgeable about the index burn event. Immediately after recording, the data was verbatim. Each event was analyzed using Haddon’s Matrix. Results: Interviewees provided detailed information about 11 burn cases. Overall, 202 burn-related factors were extracted. Using Haddon’s Matrix, 43 risk factors were identified. The most common included the lack of basic knowledge of burn care, the use of unsafe appliances including kerosene heaters and stoves in hazardous environments such kitchens and bathrooms, poor burn care delivery system in hospitals, poor and unsafe living conditions, financial issues, and other factors detailed in the article. Conclusions: Our findings suggest burn related prevention efforts should focus on improving human living conditions, promoting the use of safe heating appliances, providing public burn-safety precautions education, and improving the quality of care in burn centers and hospitals. The use of Haddon’s Matrix in future injury research is discussed.
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Hodder K, Chur-Hansen A, Parker A. A Thematic Study of the Role of Social Support in the Body Image of Burn Survivors. Health Psychol Res 2014; 2:1196. [PMID: 26973929 PMCID: PMC4768557 DOI: 10.4081/hpr.2014.1196] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2013] [Revised: 03/17/2013] [Accepted: 03/17/2013] [Indexed: 11/23/2022] Open
Abstract
There is evidence that social support is important for the development and maintenance of body image satisfaction for people who have sustained burn injuries. This qualitative study explored the specific mechanisms by which social support impacts the body image satisfaction of burn survivors, drawing on nine participants’ in depth accounts. Participants were recruited through a burns unit at a public hospital in South Australia. Interviews were conducted with nine female burn survivors aged between 24 and 65 (mean age 44.6). Participants described their perceptions about their appearance post burn and their social support experiences. Four themes were identified: acceptance, social comparison, talking about appearance concerns, and the gaze of others. Results indicate that for these participants, social support was an important factor in coming to terms with changes in appearance, specifically support that helps to minimise feelings of difference. Unhelpful aspects of social support were also identified included feeling that suffering was being dismissed and resenting the perceived expectation from supports to be positive. Social supports are important to consider in relation to body image for those working with people who have survived burn injuries.
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Affiliation(s)
- Kellie Hodder
- School of Psychology and School of Medicine, Discipline of Psychiatry, University of Adelaide , Australia
| | | | - Andrea Parker
- Burns Unit, The Royal Adelaide Hospital , Adelaide, Australia
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Moi AL, Gjengedal E. The lived experience of relationships after major burn injury. J Clin Nurs 2014; 23:2323-31. [PMID: 24393409 DOI: 10.1111/jocn.12514] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/18/2013] [Indexed: 11/29/2022]
Abstract
AIMS AND OBJECTIVES To explore and describe the meaning of relationships after major burn injury. BACKGROUND A major burn injury may represent a threat to preburn appearance and level of functioning. Social resources and interaction are considered important for minimising the negative impacts on life after burn through all phases of care and rehabilitation. Yet, the subjective experiences of relating to others after burns have not been extensively explored. DESIGN The study was performed by using a phenomenological approach. METHODS A purposive sample (n = 14) of patients who had experienced major burns were interviewed in average 14 (5-35) months postinjury. The interviews were analysed by the phenomenological method of Giorgi. RESULTS The essence of the experience of relationships was constituted by other people re-anchoring the burn-injured persons to preburn life, being confirming of the new self, as well as being sensitive, competent and safeguarding with respect to actual and potential problems and harms. New bodily limitations demanded assistive others. Moreover, a worry about the overall burden on close family was typical. The supportive actions from others were mostly described as positive, but could also be experienced as challenging, and sometimes even unwanted and interfering with the struggle for regained freedom. CONCLUSIONS Across variation, an increased awareness of the meaning of mutual interdependence was typical. Supportive relationships with family, friends and health professionals were important for the return to society, preburn activities and a meaningful life. RELEVANCE TO CLINICAL PRACTICE A perspective that values the significance of social support from family, friends, health professionals and others who are important for the burn-injured person, and that does not underestimate challenges that may be involved, is recommended during all phases of burn care. Health professionals should also acknowledge the importance of relationships when developing structured educational programmes and organising peer support.
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Affiliation(s)
- Asgjerd L Moi
- Department of Nursing, Faculty of Health and Social Sciences, Bergen University College, Bergen, Norway
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Nicolosi JT, de Carvalho VF, Sabatés AL, Paggiaro AO. Assessment of health status of adolescent burn victims undergoing rehabilitation: a cross-sectional field study. Plast Surg Nurs 2013; 33:185-191. [PMID: 24297081 DOI: 10.1097/psn.0000000000000013] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
Teenagers may experience physiological and psychological changes when they suffer from a severe burn. The aim of this study was to assess the state of health of teenagers who were undergoing a rehabilitation process following a severe burn. A cross-sectional field study was carried out with 63 teenagers and young adults who had suffered burns. The tests applied were social, demographic, and clinical instruments. The specific tests included the Burn Specific Health Scale-Revised, Beck Depression Inventory, Rosenberg's Self-Esteem Scale, and Functional Independence Measurement. The results were analyzed by using descriptive statistics, multivariate analysis of variance, variance analysis, and Cronbach's reliability analysis. The social and demographic analysis of the population has shown a prevalence of female (60.3%), single subjects (93.7%), and ages between 12 and 20 years (mean age of 15.95 years). The mean total body surface area burn was 23.84%, with accidents as the main causative factor (92.10%). More than half (52.4%) reported functional and aesthetic effects after the burn, with 81% concerned about the visible scar. Cronbach's reliability analysis has shown statistically confident results for all the instruments as applied. The multivariate analysis showed a correlation between the work domain and marital status, whereas there was no evidence to show a correlation between sex, age, physical or aesthetic sequelae or visibility of burns, and depression, self-esteem, functional independence, or current state of health. The results obtained prove the reliability of the instruments applied, making it possible to assess the state of teenagers and young adults health during the rehabilitation process.
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Affiliation(s)
- Júlia Teixeira Nicolosi
- Júlia Teixeira Nicolosi, RN, MSM, is master in nursing from the University Guarulhos, has degree in nursing from the School of Nursing of the Hospital Israelita Albert Einstein, and is Professor, Department of Health, University Nove de Julho. She is also specialist, neonatal nursing program by improving the Hospital of the Faculty of Medicine, University of São Paulo, São Paulo, Brazil. Viviane Fernandes de Carvalho, RN, CWOCN, PhD, is technical assistant of the Executive Board of the Health Institute Central Clinical Hospital of the Faculty of Medicine, University of São Paulo, voluntary teacher at the Faculty of Medicine, University of São Paulo, and permanent faculty of the Masters Program in Nursing at the University Guarulhos (UnG). She graduated from the University of São Paulo (2002), with postgraduate Sense Stomatherapy Lato in the School of Nursing, University of São Paulo (2003), and Strict Sense - PhD from the Faculty of Medicine, University of São Paulo (2008). She is currently pursuing Post doctorate at the Faculty of Medicine, University of São Paulo, São Paulo, SP, Brazil. Ana Llonch Sabatés, MD, PhD, is full professor at the University Guarulhos, São Paulo, Brazil. She master in pediatric nursing, University of São Paulo (1983) and doctorate in nursing, Federal University of São Paulo (1995). Thematic search: nursing the child in the disease process, promoting the health of children with emphasis on monitoring the growth and development, and therapeutic play in child care and family. André Oliveira Paggiaro, MD, PhD, is currently assistant physician at the Hospital das Clínicas, Medical Tissue Bank of the ICHC, medical outpatient wound of Plastic Surgery ICHC, researcher - LIM 4 - Microsurgery Laboratory and USP Plastic Surgery. He graduated in Medicine at Hospital das Clínicas (2001), specialist in General Surgery (ICHC-2003), specialist in Plastic Surgery (ICHC-2005), and PhD (USP-2011)
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Sareen J, Erickson J, Medved MI, Asmundson GJG, Enns MW, Stein M, Leslie W, Doupe M, Logsetty S. Risk factors for post-injury mental health problems. Depress Anxiety 2013; 30:321-7. [PMID: 23408506 DOI: 10.1002/da.22077] [Citation(s) in RCA: 96] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/02/2012] [Revised: 01/04/2013] [Accepted: 01/18/2013] [Indexed: 11/09/2022] Open
Abstract
Serious nonfatal physical injuries and burns are common occurrences that can have substantial implications for personal, social, and occupational functioning. Such injuries are frequently associated with significant mental health issues, and compromised quality of life and well-being. The purpose of this review is to summarize the current literature on physical, psychological, and social risk factors for mental health issues post-injury and to contextualize findings using Engel's biopsychosocial framework. We distinguish between pre-injury, injury-related, and post-injury risk factors for mental health problems. Female sex, history of mental health problems or trauma, type of injury, and level of pain are among the strong risk factors for mental health problems post-injury. We highlight inconsistent findings in the literature, identify directions for future research, and explore the implications of the risk factors identified for treatment and prevention.
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Affiliation(s)
- Jitender Sareen
- Departments of Psychiatry, Psychology and Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.
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Bishop SM, Walker MD, Spivak IM. Family Presence in the Adult Burn Intensive Care Unit During Dressing Changes. Crit Care Nurse 2013; 33:14-24. [DOI: 10.4037/ccn2013116] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
ObjectivesTo improve communication, discharge readiness, and satisfaction of burn patients and their families.MethodsIn March 2009, the burn intensive care unit at University of Louisville Hospital, Louisville, Kentucky, incorporated family presence during dressing changes. Adverse family events during observation, measures of patient- and family-centered care according to a standardized patient satisfaction survey, infection rates, and staff members’ response to the intervention were tracked.ResultsThrough December 2011, no adverse family events occurred, patients’ satisfaction scores increased, and infection rates did not increase. Staff members responded positively to the project.ConclusionsAllowing family presence during dressing changes provides an opportunity to educate and include patients’ family members in care delivery.
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Affiliation(s)
- Sarah M. Bishop
- Sarah M. Bishop is the clinical manager of the burn intensive care unit, University of Louisville Hospital, Louisville, Kentucky. She has been employed in the burn unit the past 10 years in various roles. She is currently pursuing her MSN, clinical nurse specialist, at Vanderbilt University, Nashville, Tennessee
| | - Mandi D. Walker
- Mandi D. Walker is a critical care advanced practice educator, Nursing Education and Research Department, University of Louisville Hospital. Her clinical background includes surgical, trauma, and medical critical care
| | - I. Mark Spivak
- I. Mark Spivak is an emergency department advanced practice educator, Nursing Education and Research Department, University of Louisville Hospital. He has a background in both behavioral health and emergency nursing
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Chen J, Li-Tsang CWP, Yan H, Liang G, Tan J, Yang S, Wu J. A survey on the current status of burn rehabilitation services in China. Burns 2012; 39:269-78. [PMID: 22981799 DOI: 10.1016/j.burns.2012.06.016] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2012] [Revised: 05/29/2012] [Accepted: 06/29/2012] [Indexed: 12/14/2022]
Abstract
BACKGROUND In China, there is a very long history of burn wound treatment, but the specialised burn care units were set up only from 1958. With more than 50 years of practice, great achievements have been made in burn wound care and operations in the country. However, in terms of burn rehabilitation, the development appears to be slow. In order to determine the current status of burn rehabilitation services in China, a survey was conducted to various burn centres in China. METHODS A comprehensive survey was conducted as well as to collect data related to (1) the admissions and staffing of the burn centres; (2) availability of rehabilitation services, number and educational background of specialised personnel dedicated in burn rehabilitation therapy; and (3) the difficulties leading to the lag of the burn rehabilitation services. The survey was sent to the chiefs of 87 burn centres via e-mail and they were requested to fill out the survey questionnaire and to send it back. For those who did not respond within 1 month, a reminder was sent. RESULTS There are totally 39 (44.8%) burn centres responding to our survey. These centres were geographically distributed in nearly 70% of the administrative provinces in China; hence, the results could well represent the current burn care system. Most centres have recognised the importance of rehabilitation therapy and remarkable improvements of outcome in burn patients have been achieved. There are a very huge number of burn patients that need rehabilitation therapy, but most centres face the problems of shortage of rehabilitation therapists, which apparently could lead to the difficulties in delivering a quality rehabilitation programme for patients. Although the time of rehabilitation therapy is instituted far earlier than before, it is still not widely accepted in the acute burn care stage. There are more specialists joining the burn centre and becoming members of the professional burn team. However, professional education and training in the burn specialty appear to be sparse. There is room for improvement. Problems that impede the progress of rehabilitation therapy are: lack of rehabilitation knowledge in medical staff as well as the public, the shortage of specialised personnel and relatively low educational background of this team, lack of standard guidelines for rehabilitation treatment instructions and lack of funding from the government. CONCLUSION After 20 years of clinical practice, rehabilitation concepts are well accepted and many forms of rehabilitation techniques are carried out in most burn centres that responded to the survey. Yet, the results also indicate that there is a short history of rehabilitation practice among the burn centres. There is a burning need to enhance the development of rehabilitation services so as to meet the demands of management of severely burned patients in China. Some suggestions are made to improve the current burn rehabilitation services which would include: (1) provide rehabilitation education programmes for burn surgeons, therapists, nurses, as well as patients, families and the public; (2) set up standard guidelines for clinical instruction of rehabilitation therapy; (3) build an interdisciplinary burn team; (4) more investigation and research on the physical and psychological outcomes of burn patients; and (5) implement administrative measures in terms of staffing, funding and offering insurance to burn survivors.
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Affiliation(s)
- Jian Chen
- Institute of Burn Research, State Key Laboratory of Trauma, Burn and Combined Injury, Chongqing Key Lab for Disease Proteomics, Southwest Hospital, Third Military Medical University, Chongqing 400038, China.
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Bäckström J, Ekselius L, Gerdin B, Willebrand M. Prediction of psychological symptoms in family members of patients with burns 1 year after injury. J Adv Nurs 2012; 69:384-93. [DOI: 10.1111/j.1365-2648.2012.06017.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Psychiatric diagnoses after hospitalization with work-related burn injuries in Washington State. J Burn Care Res 2011; 32:369-78. [PMID: 21552064 DOI: 10.1097/bcr.0b013e318217f83a] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
This study aims to describe workers who were hospitalized with work-related burn injuries and their psychiatric sequelae in Washington State. Psychiatric sequelae of interest were depression, posttraumatic stress disorder, and other anxiety disorders. Workers' compensation claims meeting a definition for a hospitalized burn patient from Washington State from January 2001 through April 2008 were analyzed. The resulting claims were searched for the presence of certain psychiatric diagnoses or treatment codes, and descriptive analyses performed. In Washington State during the time period, the prevalence of claims with psychiatric diagnoses after hospitalization with burn injury was 19%. Claims with psychiatric diagnoses had higher medical costs and more days of time loss than those without these diagnoses. Workers with electrical burns in the construction industry and in construction and extraction occupations had a higher proportion of psychiatric sequelae. Burns are devastating yet preventable injuries. Workers who were hospitalized with work-related burn injuries, particularly those in certain industries and occupations and those with electrical burns, are at high risk for developing serious psychiatric sequelae with major costs to both the individual and the society.
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Sadeghi Bazargani H, Arshi S, Ekman R, Mohammadi R. Prevention-oriented epidemiology of burns in Ardabil provincial burn centre, Iran. Burns 2010; 37:521-7. [PMID: 21131133 DOI: 10.1016/j.burns.2010.09.013] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2010] [Revised: 08/13/2010] [Accepted: 09/30/2010] [Indexed: 10/18/2022]
Abstract
In preventing burns, it is essential to know how they occur and which population groups, environments and heating appliances can be targeted for prevention work. The aim of this study was to determine the epidemiological characteristics of burns leading to hospitalisation in the northwest of Iran with a focus on the pre-event phase of injury. Between 2007 and 2008, 237 burn victims hospitalised in Ardabil provincial burn centre were enrolled into a descriptive study. A questionnaire was filled in during hospital stay for all patients, with a focus on obtaining information necessary for prevention purposes. Males constituted 56% of victims. Mean age was 22 years. The most severe burns occurred between the ages of 18 and 32 years, and were mainly flame related. Both in case of flame and non-flame burns, women suffered more severe burns and mortality than men. However, with respect to non-flame burns of which most were scalds, the majority of the severe cases involved children under the age of 5 years. More than 80% of burns occurred at home. The kitchen was the main place of injury in 47% of cases, followed by living rooms in 28%. Nearly 45% of burns were scalds and 47% were flame burns. The main container was the samovar in 37%, followed by kettles in 32% and pots in 22%. The overturning of a container was the major mechanism of contact with hot liquids in 86%. Bumping into a container was the main scenario of a scald injury, constituting nearly 70% of the cases. The difference between flame and non-flame burns in the distribution of burns in extremities was not statistically significant, but head and neck burns were 3.7 times more likely to be caused by flame. The two most important injury patterns, more common among women, were getting burned while using a camping gas stove or while refilling the chamber of kerosene-burning appliances without first extinguishing them. Domestic burns among children and young women are a priority in injury-prevention programmes. Camping gas stoves, valors (traditional dual-purpose heating and cooking appliances) and samovars can be considered as target appliances for burn-specific home-safety-promotion efforts in this area or in similar settings.
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The impact of personality and coping on the development of depressive symptoms in adult burns survivors. Burns 2010; 36:29-37. [DOI: 10.1016/j.burns.2009.06.202] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2008] [Revised: 06/02/2009] [Accepted: 06/24/2009] [Indexed: 11/19/2022]
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Dissanaike S, Rahimi M. Epidemiology of burn injuries: highlighting cultural and socio-demographic aspects. Int Rev Psychiatry 2009; 21:505-11. [PMID: 19919203 DOI: 10.3109/09540260903340865] [Citation(s) in RCA: 96] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
Burns are devastating injuries that disproportionately affect people in developing countries, including children. In addition to a high mortality rate, survivors are burdened with life-long physical and emotional scars. The etiology and nature of burn injuries varies significantly by country, and this chapter explores the predominant causes and patterns of burn injury in both the developing and industrialized worlds. Gender differences play a significant role in the risk of burn injuries, across a spectrum with a predominance of women injured in fires from cooking and heating fuels in the developing world and industrial accidents primarily affecting men in developed nations. Children are particularly vulnerable to burn injuries, accounting for almost 50% of all burn patients in some studies. A majority of pediatric burns are scald injuries usually affecting very young children below the age of 5 years, and we discuss the behavioral patterns underlying this finding. Finally, the elderly form a rapidly increasing proportion of the population in many countries, and are often burdened with comorbidities that are likely to pose significant challenges in burn care.
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Affiliation(s)
- Sharmila Dissanaike
- Division of Trauma and Burn Care, Department of Surgery, and Texas Tech University Health Sciences Center, Lubbock, Texas 79430, USA.
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Klinge K, Chamberlain DJ, Redden M, King L. Psychological adjustments made by postburn injury patients: an integrative literature review. J Adv Nurs 2009; 65:2274-92. [DOI: 10.1111/j.1365-2648.2009.05138.x] [Citation(s) in RCA: 50] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Rahzani K, Taleghani F, Nasrabadi AN. Disfiguring burns and the experienced reactions in Iran: Consequences and strategies—A qualitative study. Burns 2009; 35:875-81. [DOI: 10.1016/j.burns.2008.11.003] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2008] [Accepted: 11/10/2008] [Indexed: 11/26/2022]
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Accident proneness and impulsiveness in an Italian group of burn patients. Burns 2009; 35:247-55. [DOI: 10.1016/j.burns.2008.07.002] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2008] [Accepted: 07/07/2008] [Indexed: 11/21/2022]
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