The psychological impact of paediatric burn injuries: a systematic review

BMC Public Health

Fiona M. Wood¹  Lisa Martin²  Matthew McQueen³  Nicole T. M. Hill³  Indijah Bullman³  Alix Woolard⁴  Ashleigh Lin⁴  Helen Milroy⁵ 

[1] Fiona Wood Foundation, Perth, Australia;Fiona Wood Foundation, Perth, Australia; Child and Adolescent Health Service, Perth Children’s Hospital, University of Western Australia, Perth, Western Australia, Australia;Telethon Kids Institute, Perth Children’s Hospital, 15 Hospital Avenue, Nedlands, Australia;Telethon Kids Institute, Perth Children’s Hospital, 15 Hospital Avenue, Nedlands, Australia;The University of Western Australia, Perth, Australia;The University of Western Australia, Perth, Australia;

关键词: Burn;    Pediatric;    Psychological outcomes;    Psychopathology;   

DOI  :  10.1186/s12889-021-12296-1

来源: Springer

【 摘 要 】

ObjectiveTo review and synthesise qualitative literature regarding the psychological outcomes following paediatric burn injuries, and to determine if children and adolescents who experience a burn injury have elevated risk of psychopathology following the injury.DesignSystematic review of quantitative and qualitative studies.Data sourcesInformit health, Medline, Embase, and PsycINFO were searched from January 2010 to December 2020.Data extraction and synthesisTwo reviewers screened articles, and one reviewer extracted data (with cross-checking from another reviewer) from the included studies and assessed quality using an established tool. Narrative synthesis was used to synthesise the findings from the quantitative studies, and thematic synthesis was used to synthesise the findings of included qualitative studies.ResultsSearches yielded 1240 unique titles, with 130 retained for full-text screening. Forty-five studies from 17 countries were included. The psychological outcomes included in the studies were mental health diagnoses, medication for mental illness, depression, anxiety, stress, fear, post-traumatic stress, post-traumatic growth, emotional issues, self-harm, self-esteem, self-concept, stigmatisation, quality of life, level of disability, resilience, coping, and suicidality.ConclusionsOur findings highlight paediatric burn patients as a particularly vulnerable population following a burn injury. Studies suggest elevated anxiety and traumatic stress symptoms, and higher rates of psychopathology in the long-term. Further research is recommended to determine the psychological outcomes in the other mental health domains highlighted in this review, as findings were mixed.Clinical care teams responsible for the aftercare of burn patients should involve psychological support for the children and families to improve outcomes.

【 授权许可】

CC BY