Jasper Stefanie, Rennekampff Hans-Oliver, de Zwaan Martina
Klinik für Psychosomatik und Psychotherapie, Medizinische Hochschule Hannover.
Psychother Psychosom Med Psychol. 2013 Nov;63(11):423-8. doi: 10.1055/s-0033-1343463. Epub 2013 May 24.
Due to progress in burn treatment, more patients even with severe burn injuries survive. Despite this positive development, however, there are still negative somatic and mental consequences. These include the life-long care of scars and pain. In addition, posttraumatic-stress disorder and depression are common consequences. Also distress due to disfigurement and body image problems have to be considered, since this is likely to result in social withdrawal, low self-esteem, and reduction of quality of life. Overall, the impact of mental strain on burn victims is quite high. Therefore, psychotherapeutic treatment approaches should be integrated into the care of patients with burns. This might be helpful for both coping and compliance with long-term treatment. This paper provides a review of the mental co-morbidity of burn victims and of psychotherapeutic treatment approaches focusing on changes in body image and the respective social consequences.
由于烧伤治疗的进展，更多的患者即使遭受严重烧伤也能存活下来。然而，尽管有这一积极进展，但仍存在负面的身体和心理后果。这些后果包括对疤痕和疼痛的终身护理。此外，创伤后应激障碍和抑郁症是常见的后果。还必须考虑因毁容和身体形象问题而产生的困扰，因为这可能导致社交退缩、自尊心低落和生活质量下降。总体而言，精神压力对烧伤受害者的影响相当大。因此，心理治疗方法应纳入烧伤患者的护理中。这可能有助于应对和坚持长期治疗。本文综述了烧伤受害者的精神共病情况以及关注身体形象变化和相应社会后果的心理治疗方法。
