School of Nursing & Midwifery, Faculty of Health Sciences, Flinders University, Adelaide, South Australia.
J Adv Nurs. 2009 Nov;65(11):2274-92. doi: 10.1111/j.1365-2648.2009.05138.x.
Psychological adjustments made by postburn injury patients: an integrative literature review.
This paper is a report of a review examining the variables that predispose individuals to significant psychological maladjustment following burn injury.
The psychological sequelae of burn injury are well documented; however, the variables that influence individuals' adjustment following burn injury lack consideration.
MEDLINE, Cumulative Index of Nursing and Allied Health, and Psychological Abstracts were searched using the keywords burn injury, psychological, psychosocial, rehabilitation, premorbid psychopathology, adjustment, reintegration, body image, post-traumatic stress disorder, depression, coping. Other sources were found from a manual search of nursing, medical and psychological literature and references of identified and related papers. The search strategy was limited to English-language research published between 1997 and 2008.
An integrative review of the studies was conducted over a 6-month time period during 2007-2008.
Burn patients are a heterogeneous group and typically have comorbidities. While preburn personality and coping strategies can influence long-term psychological adjustment, the relationship between postburn adjustment and burn size and severity, and gender are poorly understood. Much of the literature focuses on the prevalence of psychological maladjustment rather than on identifying variables that influence psychological adjustment.
The diversity and complexity that characterize burn patients lead to unique adjustment difficulties. Recognizing these difficulties is the first step to offering appropriate intervention and treatment for this unique patient group.
烧伤后患者的心理调整：综合文献回顾
本文报告了一项审查，旨在检查哪些变量会导致个体在烧伤后出现明显的心理失调。
烧伤后的心理后果已有充分记录；然而，影响个体烧伤后调整的变量缺乏考虑。
使用关键词烧伤、心理、心理社会、康复、病前精神病理学、调整、再融入、身体意象、创伤后应激障碍、抑郁、应对，在 MEDLINE、护理和联合健康累积索引以及心理文摘中进行了搜索。其他来源是通过对护理、医学和心理学文献的手动搜索以及已确定和相关论文的参考文献找到的。搜索策略限于 1997 年至 2008 年期间以英文发表的研究。
在 2007-2008 年的 6 个月期间，对研究进行了综合回顾。
烧伤患者是一个异质群体，通常有合并症。虽然烧伤前的个性和应对策略会影响长期的心理调整，但与烧伤大小和严重程度以及性别相关的烧伤后调整之间的关系了解甚少。大部分文献都集中在心理失调的普遍性上，而不是确定影响心理调整的变量。
烧伤患者的多样性和复杂性导致了独特的调整困难。认识到这些困难是为这一独特患者群体提供适当干预和治疗的第一步。
