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小儿烧伤的心理学方面(临床综述)

Psychological aspects of paediatric burns (a clinical review).

作者信息

De Sousa A

机构信息

Masina Hospital, Mumbai, India.

出版信息

Ann Burns Fire Disasters. 2010 Sep 30;23(3):155-9.

Abstract

Burn injuries in childhood can be traumatic with lasting effects until adulthood. This article reviews the various psychological issues one confronts when treating paediatric patients with burn injuries. A wide range of factors influence recovery and rehabilitation from paediatric burns. The role of family members, family dynamics, parental reactions, parental psychiatric illness, and pre-morbid psychiatric illness in the child are important factors. The entire family and the burned child have to show good coping skills if recovery from paediatric burn injuries is to be possible. It is very important that paediatric burn units realize the need for a child psychiatrist and psychotherapist in their rehabilitation team. Good psychotherapy along with burns-related treatment will go a long way to enhance the quality of life of these patients.

摘要

儿童烧伤可能具有创伤性,其影响会持续至成年期。本文回顾了在治疗烧伤患儿时所面临的各种心理问题。多种因素会影响小儿烧伤的恢复和康复。家庭成员的角色、家庭动态、父母的反应、父母的精神疾病以及患儿病前的精神疾病都是重要因素。如果要从小儿烧伤中恢复,整个家庭和烧伤患儿都必须展现出良好的应对技巧。小儿烧伤病房认识到康复团队中需要儿童精神科医生和心理治疗师,这一点非常重要。良好的心理治疗与烧伤相关治疗相结合,将大大提高这些患者的生活质量。

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本文引用的文献

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The role of body image in pediatric illness: therapeutic challenges and opportunities.
Am J Psychother. 2009;63(4):363-76. doi: 10.1176/appi.psychotherapy.2009.63.4.363.
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Advances in the care of children with burns.儿童烧伤护理的进展。
Adv Pediatr. 2009;56:219-48. doi: 10.1016/j.yapd.2009.08.020.
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Positive change after severe burn injuries.严重烧伤后的积极变化。
J Burn Care Res. 2008 Jul-Aug;29(4):638-43. doi: 10.1097/BCR.0b013e31817de275.
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Psychosocial care of persons with severe burns.严重烧伤患者的心理社会护理。
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