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Huo T, Zou R, Liu Y, Li Q, Tang W, Ruan J, Xi M, Jiang M, Wang S, Xu C, Xie W, Xu X, Liu S. The association of stress perception on anxiety, depression and sleep quality in parents of children with burns: The moderating effect of social support. Burns 2024; 50:1652-1661. [PMID: 38641500 DOI: 10.1016/j.burns.2024.02.032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2023] [Revised: 02/21/2024] [Accepted: 02/27/2024] [Indexed: 04/21/2024]
Abstract
OBJECTIVE Few studies have explored the mental health status of parents of children with burns and the moderating effect of social support on them. METHODS A survey was performed with parents of 112 burn-injured children at a burn center in China. Their perceived stress, anxiety, depression, sleep quality, and social support were measured by the Chinese Perceived Stress Scale, Hospital Anxiety and Depression Scale, Pittsburgh Sleep Quality Index, and Perceived Social Support Scale. RESULTS ➀ The prevalence of anxiety (46.43%), depression (52.67%) and poor sleep quality (43.75%) of parents indicated that they experienced emotional and sleep disorders;➁ The perceived stress was positively correlated with sleep quality, anxiety and depression(P<0.01), and negatively correlated with perceived social support (p<0.05); ➂ Social support had a significant moderating effect on their perceived stress and anxiety, depression, but not on their sleep quality. With high social support, parental perceived stress had a significant positive association on anxiety and depression, while with low perceived social support, parental perceived stress had no significant association on anxiety and depression. CONCLUSION Parents of burned children had increased stress, obvious symptoms of anxiety and depression, and poor sleep quality. Social support had a significant buffering effect on them under low pressure, and high pressure will hinder the buffering effect of social support on stress. Therefore, the ideal services to improve mental health should be provided for them to face different levels of stress.
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Affiliation(s)
- Ting Huo
- Department of Burns, Tongren Hospital of Wuhan University, Wuhan Third Hospital, Wuhan 430060 China
| | - Rong Zou
- College of Sports Medicine, Wuhan Sports University, Wuhan 430079 China; Hubei Key Laboratory of Sport Training and Monitoring, Wuhan Sports University, Wuhan 430079 China
| | - Yangzhuoxin Liu
- College of Sports Medicine, Wuhan Sports University, Wuhan 430079 China
| | - Qingping Li
- College of Sports Medicine, Wuhan Sports University, Wuhan 430079 China
| | - Wenqian Tang
- College of Sports Medicine, Wuhan Sports University, Wuhan 430079 China
| | - Jingjing Ruan
- Department of Burns, Tongren Hospital of Wuhan University, Wuhan Third Hospital, Wuhan 430060 China
| | - Maomao Xi
- Department of Burns, Tongren Hospital of Wuhan University, Wuhan Third Hospital, Wuhan 430060 China
| | - Meijun Jiang
- Department of Burns, Tongren Hospital of Wuhan University, Wuhan Third Hospital, Wuhan 430060 China
| | - Song Wang
- College of Sports Medicine, Wuhan Sports University, Wuhan 430079 China
| | - Chengqi Xu
- Key Laboratory of Molecular Biophysics of the Ministry of Education, Cardio-X Institute, College of Life Science and Technology and Center for Human Genome Research, Huazhong University of Science and Technology, Wuhan 430070, China
| | - Weiguo Xie
- Department of Burns, Tongren Hospital of Wuhan University, Wuhan Third Hospital, Wuhan 430060 China
| | - Xiangyang Xu
- Liyuan Hospital of Tongji medical college of Huazhong University of Science and Technology, Wuhan 430077, China.
| | - Shuhua Liu
- Department of Burns, Tongren Hospital of Wuhan University, Wuhan Third Hospital, Wuhan 430060 China.
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Karahan S, Ay Kaatsiz MA, Erbas A, Kaya Y. A Qualitative Analysis on the Experiences of Mothers of Children in Burn Intensive Care Unit: "She burned on the outside, me inside...". J Burn Care Res 2024; 45:120-129. [PMID: 37625120 DOI: 10.1093/jbcr/irad129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2023] [Indexed: 08/27/2023]
Abstract
Mothers closely follow the complex process due to the burning of their children. Caring for and supporting the child can pose various challenges for mothers. With the phenomenological method, this study was conducted to investigate mothers' experiences staying with their children in the pediatric burn intensive care unit. Twelve mothers participated in the study. The semistructured face-to-face interviews obtained data. After each interview, the research team transcribed the interviews verbatim. Interpretive Phenomenological Analysis was used to analyze the data. The experiences of the mothers were classified in four contexts as a result of the interpretative phenomenological analysis; "first reactions to burn trauma" related to the awareness that the child has been burned, "being a mother in the burn intensive care unit" related to caring for the child as a companion in the burn intensive care unit, "coping" related to how they cope with the problems throughout the whole process, and "requirements" regarding the subjects it needs in the process. It was determined that mothers went through a physically and emotionally challenging process from the beginning of the burn trauma and throughout the intensive care unit. During this challenging process, it was observed that mothers could not use effective coping methods and did not receive the necessary professional support. In line with these results, it is recommended that psychological support programs be applied to the mothers and that care focused on the needs of the mothers should be provided.
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Affiliation(s)
- Sabri Karahan
- Surgical Nursing Department, Harran University Faculty of Health Science, 63100 Sanliurfa, Turkey
| | - Melike Ayça Ay Kaatsiz
- Psychiatric Nursing Department, Hacettepe University Faculty of Nursing, 06100 Ankara, Turkey
| | - Atiye Erbas
- Surgical Nursing Department, Duzce University Faculty of Health Science, 81000 Duzce, Turkey
| | - Yunus Kaya
- Department of Child Development, Faculty of Health Science, Aksaray University, 68000 Aksaray, Turkey
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Wang Y, Wong FKY, Bayuo J, Chung LYF, Zhang L, Wang T. Challenges of nurses and family members of burn patients: Integrative review. Nurs Open 2023; 10:3547-3560. [PMID: 36840702 PMCID: PMC10170885 DOI: 10.1002/nop2.1651] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2022] [Revised: 11/28/2022] [Accepted: 02/05/2023] [Indexed: 02/26/2023] Open
Abstract
AIMS To identify the challenges facing burn care nurses and burn patients' family members and to explore the relationship between the above challenges. DESIGN Whittemore and Knafl's integrative review. METHODS Databases used for this review included Cochrane Library, Web of Science, PubMed and Embase. The original research published from January 2010 to November 2021 was selected. Studies reporting the challenges of family members or nurses of burn patients identified through extensive database search were considered for inclusion. The Mixed-Method Appraisal-Tool was applied for the evaluation of the quality of the literature. The analysis approach used was content analysis. RESULTS Of the 2746 identified studies, 17 studies were included. Key findings related to the challenges facing nurses and family members of burn patients were extracted. The themes relating to burn care nurses included ethical and religious issues, clinical issues, work-life imbalance and limited support. The themes relating to family members included family's different views on prognosis and treatment, work-life imbalance, psychological issues and lack of multifaceted support. The challenges for the formal and informal caregivers are similar and there is existence of some shared concerns. If the above challenges are not resolved, support for the burn patients may be adversely affected. Corresponding measures should be taken to overcome such challenges.
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Affiliation(s)
- Yi Wang
- School of Nursing, Lanzhou University, Lanzhou, China
| | | | - Jonathan Bayuo
- School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China
| | | | - Li Zhang
- Department of Burns, Gansu Provincial People's Hospital, Lanzhou, China
| | - Taotao Wang
- Department of Burns, Gansu Provincial People's Hospital, Lanzhou, China
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Support needs of parents of hospitalised children with a burn injury: An integrative review. Burns 2020; 46:771-781. [DOI: 10.1016/j.burns.2019.04.021] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2018] [Revised: 02/11/2019] [Accepted: 04/17/2019] [Indexed: 11/18/2022]
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Bayuo J, Wong FKY. Issues and concerns of family members of burn patients: A scoping review. Burns 2020; 47:503-524. [PMID: 32534893 DOI: 10.1016/j.burns.2020.04.023] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2019] [Revised: 02/24/2020] [Accepted: 04/23/2020] [Indexed: 10/24/2022]
Abstract
INTRODUCTION The issues and concerns that emerge in the families of burn patients have received minimal attention. OBJECTIVE To map out what is known about the challenges facing the family members of burn patients. METHODS The review followed the PRISMA Extension guidelines for scoping reviews and the review approach by Arksey and O'Malley to synthesize the available evidence. Twenty-six (26) papers from various database searches were identified and included in the review. The citation retrieval and retention methods are reported in a PRISMA statement. RESULTS Although most of the studies included parents (n=21), the evidence suggests that the shared concerns of family members include taking on new roles, and psychosocial and financial issues. Uniquely, parents had to endure blame, shame and guilt; partners/spouses were faced with difficulties in re-establishing an emotional connection with the patient; siblings simultaneously expressed jealousy and feelings of being outsiders; and children with a burn parent had to deal with feelings of exclusion from the care delivery process. Aside from these individuals, friends, neighbours and in-laws may also assume a caregiving role, with grandparents playing a supporting role. Family members are unprepared for their roles, as they are forced into them suddenly. Although distress may occur among family members, its determinants, severity, pattern and recovery process remain unclear. CONCLUSION A burn is a family injury that creates the need for family-centred care. Future studies need to explore the nature of psychological distress, family members' recovery pathways, and how family members can prepare for their roles in the period after discharge.
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Affiliation(s)
- Jonathan Bayuo
- School of Nursing, The Hong Kong Polytechnic University, Hong Kong
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Lernevall L, Moi A, Gjengedal E, Dreyer P. Staff Members’ Experience of Providing Parental Support in a National Burn Centre. Open Nurs J 2019. [DOI: 10.2174/1874434601913010211] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Background
Paediatric burn injuries affect not only the child but the whole family, especially the parents. Knowledge of how parents are affected psychologically has increased, but there is an ongoing dearth of literature on parental support while hospitalised. There is also very little documentation of the ways in which burn staff members support parents.
Objectives
To explore staff members’ lived experiences of supporting parents with children hospitalised at a burn centre due to a burn injury.
Methods
Four focus group interviews were conducted in 2017 with a total of 21 staff members at the National Burn Centre in Norway. Seven different burn staff professions participated. Data were analysed using a Ricoeur-inspired method for text analysis and managed using NVivo 12Plus.
Results
Four themes were identified in the treatment trajectory: creating a safe, secure and trusting environment from the moment parents enter the burn centre; helping parents deal with feelings of guilt; helping parents navigate in their daily routines while continuing to be a mother or father; and gradually involving parents in wound treatment as preparation for discharge.
Conclusion
Staff must carefully consider their verbal and non-verbal (body) language and how to approach parents from the very moment they enter the burn ward. Most parents are affected by feelings of guilt and these feelings must be addressed and processed. During the treatment trajectory, parents are guided to participate in the daily care of their child and are gradually assisted in taking over the wound treatment prior to discharge.
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‘It's turned our world upside down’: Support needs of parents of critically injured children during Emergency Department admission – A qualitative inquiry. Australas Emerg Care 2018; 21:137-142. [DOI: 10.1016/j.auec.2018.09.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2018] [Revised: 09/24/2018] [Accepted: 09/25/2018] [Indexed: 11/23/2022]
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Kornhaber R, Childs C, Cleary M. Experiences of guilt, shame and blame in those affected by burns: A qualitative systematic review. Burns 2018; 44:1026-1039. [DOI: 10.1016/j.burns.2017.11.012] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2017] [Revised: 07/17/2017] [Accepted: 11/20/2017] [Indexed: 11/28/2022]
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Parents' perceived quality of pediatric burn care. J Crit Care 2018; 43:256-259. [DOI: 10.1016/j.jcrc.2017.08.037] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2017] [Accepted: 08/26/2017] [Indexed: 11/22/2022]
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van der Heijden MJ, de Jong A, Rode H, Martinez R, van Dijk M. Assessing and addressing the problem of pain and distress during wound care procedures in paediatric patients with burns. Burns 2018; 44:175-182. [DOI: 10.1016/j.burns.2017.07.004] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2016] [Revised: 07/04/2017] [Accepted: 07/06/2017] [Indexed: 11/29/2022]
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Coffey NT, Cassese J, Cai X, Garfinkel S, Patel D, Jones R, Shaewitz D, Weinstein AA. Identifying and Understanding the Health Information Experiences and Preferences of Caregivers of Individuals With Either Traumatic Brain Injury, Spinal Cord Injury, or Burn Injury: A Qualitative Investigation. J Med Internet Res 2017; 19:e159. [PMID: 28490418 PMCID: PMC5443912 DOI: 10.2196/jmir.7027] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2016] [Revised: 02/20/2017] [Accepted: 03/08/2017] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND In order to meet the challenges of caring for an injured person, caregivers need access to health information. However, caregivers often feel that they lack adequate information. Previous studies of caregivers have primarily focused on either their time and emotional burdens or their health outcomes, but the information needs of caregivers have not been thoroughly investigated. OBJECTIVE The purpose of this investigation was to identify the preferred sources of health information for caregivers supporting individuals with injuries and to explore how access to this information could be improved. METHODS A total of 32 caregivers participated in semistructured interviews, which were used in order to develop a more in-depth understanding of these caregivers' information needs. Digital audio recordings of the interviews were used for analysis purposes. These audio recordings were analyzed using a thematic analysis or qualitative content analysis. All of participant's interviews were then coded using the qualitative analysis program, Nvivo 10 for Mac (QSR International). RESULTS The caregivers endorsed similar behaviors and preferences when seeking and accessing health information. Medical professionals were the preferred source of information, while ease of access made the Internet the most common avenue to obtain information. The challenges faced by participants were frequently a result of limited support. In describing an ideal health system, participants expressed interest in a comprehensive care website offering support network resources, instructive services about the injury and caregiving, and injury-specific materials. CONCLUSIONS According to the participants, an ideal health information system would include a comprehensive care website that offered supportive network resources, instructive services about the injury and caregiving, and materials specific to the type of patient injury.
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Affiliation(s)
- Nathan T Coffey
- Center for the Study of Chronic Illness and Disability, George Mason University, Fairfax, VA, United States
| | - James Cassese
- Center for the Study of Chronic Illness and Disability, George Mason University, Fairfax, VA, United States
| | - Xinsheng Cai
- American Institutes for Research, Washington, DC, United States
| | | | - Drasti Patel
- Center for the Study of Chronic Illness and Disability, George Mason University, Fairfax, VA, United States
| | - Rebecca Jones
- American Institutes for Research, Washington, DC, United States
| | - Dahlia Shaewitz
- American Institutes for Research, Washington, DC, United States
| | - Ali A Weinstein
- Center for the Study of Chronic Illness and Disability, George Mason University, Fairfax, VA, United States
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Sveen J, Andersson G, Buhrman B, Sjöberg F, Willebrand M. Internet-based information and support program for parents of children with burns: A randomized controlled trial. Burns 2016; 43:583-591. [PMID: 28040368 DOI: 10.1016/j.burns.2016.08.039] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2016] [Revised: 08/30/2016] [Accepted: 08/31/2016] [Indexed: 11/25/2022]
Abstract
BACKGROUND The aim of the study was to evaluate the feasibility and effects of an internet-based information and self-help program with therapist contact for parents of children and adolescents with burns. The program aimed to reduce parents' symptoms of general and posttraumatic stress. METHODS Participants were parents of children treated for burns between 2009-2013 at either of the two specialized Swedish Burn centers. Sixty-two parents were included in a two-armed, randomized controlled trial with a six-week intervention group and a wait-list control group, including a pre and post-assessment, as well as a 3 and 12-month follow-up. The intervention contained psychoeducation, exercises and homework assignments, and the intervention group received weekly written feedback from a therapist. The main outcome was stress (post-traumatic stress, general stress and parental stress). RESULTS The program had a beneficial effect on posttraumatic stress in the short term, but did not affect general stress or parental stress. The parents rated the program as being informative and meaningful, but some of them thought it was time-consuming. CONCLUSION The program has the potential to support parents of children with burns. The intervention is easily accessible, cost-effective and could be implemented in burn care rehabilitation.
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Affiliation(s)
- Josefin Sveen
- Department of Neuroscience, Psychiatry, Uppsala University, Uppsala, Sweden.
| | - Gerhard Andersson
- Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden; Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden
| | - Bo Buhrman
- Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden
| | - Folke Sjöberg
- Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden
| | - Mimmie Willebrand
- Department of Neuroscience, Psychiatry, Uppsala University, Uppsala, Sweden
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