Spray on skin improves psychosocial functioning in pediatric burns patients: A randomized controlled trial (original) (raw)
Related papers
Disfiguring burn scars and adolescent self-esteem
Burns, 1999
Although children with burn scars are reported to have positive self-concepts, social and sexual maturation can be expected to stimulate anxiety, depression and diminished self-esteem in adolescents with disfiguring scars. This study examines complex self-regard of adolescents with burn scars. The following were hypothesized: (1) adolescents with disfiguring burn scars would view themselves as less competent than unburned normative samples; (2) subjects' perceived competence would be incongruent with the importance ascribed to the domains of physical appearance and athletic competence and (3) depression/anxiety would correlate negatively with perceived competence. Subjects were 14 adolescents: 6 male and 8 female, 13–20 years old, at least 2 years post-burn injury (TBSA=39%±23%). All had scars in at least 2 of the following areas: head/face, neck, chest, hands, genitals. Each subject was administered the Harter Self Perception Profile, a standardized measure of self-competence and value in 8 domains plus a general competence measure. The subjects were also assessed for anxiety/depression by the Child Behavioral Checklist. Overall, adolescents in this sample exhibited a similar or higher degree of self-worth as compared to their peers. However, the athletic competence and physical appearance sub-domains of self-worth for the burn survivors were significantly lower as compared to the normative group. Half of the participants rated the importance of physical appearance to be higher than their level of personal competence in this area, making for distressing emotions. Mood was similar to the normative group and mood correlated significantly with self-worth.
Two-year follow-up of outcomes related to scarring and distress in children with severe burns
Disability and Rehabilitation, 2016
Purpose-We assessed the perception of scarring and distress by pediatric burn survivors with burns covering more than one-third of total body surface area (TBSA) for up to 2 years post-burn. Methods-Children with severe burns were admitted to our hospital between 2004 and 2012, and consented to this IRB-approved-study. Subjects completed at least one Scars Problems and/or Distress questionnaire between discharge and 24 months post burn. Outcomes were modeled with generalized estimating equations or using mixed linear models. Significance was accepted at p<0.01. Results-Responses of 167 children with a mean age of 7±5 years and burns covering an average 54±14% of TBSA were analyzed. Significant improvements over the 2-year period were seen in reduction of pain, itching, sleeping disturbance, tightness, range of motion, and strength (p<0.01). There was a significantly increased persistent desire to hide the scarred body areas over time (p<0.01). The perception of mouth scarring, inability to portray accurate facial expressions, and skin coloration did not improve over the follow-up period.
The Effect of Educational Intervention on Improving Quality of Life for Children with Burn Scars
2018
Burn injury is a leading cause of disability and disfigurement which limits their functional ability, resulting in social stigma and restriction of participation in society. Viewed globally, it is one of the major causes of trauma, death and one of thirty principal causes worldwide of loss of life years due to premature mortality and years lived with disability. Children and adolescents affected by burns often live with life-long social, educational, physical and psychological consequences. The children are vulnerable because of their physical, psychosocial development and maturity. Aim of the study: The aim of the study was to evaluate the effect of educational intervention on improving quality of life for children with burn scars. Design: A quasi-experimental research design was used to conduct the study. Setting: This study was conducted at the burn unit in Benha Teaching Hospital (Ministry of health). Sample: A convenient sample consisted of (50) children who were admitted to th...
Annals of agricultural and environmental medicine : AAEM, 2014
The aim of the research was an assessment of the differences in the self-evaluation of health-related quality of life during the treatment of post-burn scars on the upper limbs of pre-school and school children. a group of 120 children were examined--66 boys and 54 girls, divided into a pre-school group of 60 children (average age 4.3±1.7) and a primary school group of 60 children (average age 10.4±1.2). The structured interview and an adopted Visual Analog Anxiety Scale and Visual Analog Unpleasant Events Tolerance Scale were used to evaluate the level of plaster tolerance, and anxiety caused by the removal of dressings during treatment. In the first test, In both groups, a low tolerance was noted to the pressure plaster, with the pre-school aged children obtaining worse results (x=18.9±SD 10.16) than those of school age (x=33.65±SD 13,21), regardless of gender. Pre-school children were afraid (x=47.5±SD 24.26), while school-aged children were not afraid of having the plaster remov...
Burns, 2016
The aim of this study was to understand the impact of burn scars on health-related quality of life (HRQOL) from the perspective of adults and children with burn scars, and caregivers to inform the development of a conceptual model of burn scar HRQOL. Method: Twenty-one participants (adults and children) with burn scars and nine caregivers participated in semi-structured, face-to-face interviews between 2012 and 2013. During the interviews, participants were asked to describe features about their (or their child's) burn scars and its impact on everyday life. Two coders conducted thematic analysis, with consensus achieved through discussion and review with a third coder. The literature on HRQOL models was then reviewed to further inform the development of a conceptual model of burn scar HRQOL. Results: Five themes emerged from the qualitative data: 'physical and sensory symptoms', 'impact of burn scar interventions', 'impact of burn scar symptoms', 'personal factors' and 'change over time'. Caregivers offered further insights into family functioning after burn, and the impacts of burn scars and burn scar interventions on family life. In the conceptual model, symptoms (sensory and physical) of burn scars are considered proximal to HRQOL, with distal indicators including functioning (physical, emotional, social, cognitive), individual factors and the environment. Overall quality of life was affected by HRQOL. Conclusion: Understanding the impact of burn scars on HRQOL and the development of a conceptual model will inform future burn scar research and clinical practice.