Willebrand M, Sveen J
Department of Neuroscience (Psychiatry), Uppsala University, 751 85 Uppsala, Sweden.
Gen Hosp Psychiatry. 2016 Jan-Feb;38:105-8. doi: 10.1016/j.genhosppsych.2015.10.004. Epub 2015 Oct 23.
Children sustaining burns that require treatment in a burn center have a need for multiprofessional aftercare services over a prolonged time. So far, there is little research into satisfaction with care and support after pediatric burns. The aim was to investigate parents' perception of support after pediatric burn and associations with parent, child and injury characteristics.
Parents (n=101) of children aged 0.4-17.8 years completed questionnaires on support, parent's psychological symptoms and health of the child. Time since injury was 0.1-9.0 years.
Perceived lack of psychosocial, medical, societal or family support was reported by 21% of the parents. Lack of support was not associated with injury or sociodemographic characteristics, but it was significantly associated with parents' symptoms of general anxiety, depression and injury-related fear avoidance, as well as parents' ratings of their child's general health and heat sensitivity.
Perceived support did not differ on account of burn severity or sociodemographic status. However, care providers should be more attentive to and supportive of parents signaling poorer general health in their child and cognitive beliefs that the child is at risk for harm when active and parents who themselves show signs of psychological symptoms.
在烧伤中心接受治疗的烧伤儿童长期需要多专业的后续护理服务。到目前为止，关于小儿烧伤后护理和支持满意度的研究很少。目的是调查家长对小儿烧伤后支持的看法以及与家长、儿童和损伤特征的关联。
年龄在0.4 - 17.8岁儿童的家长（n = 101）完成了关于支持、家长心理症状和儿童健康的问卷。受伤时间为0.1 - 9.0年。
21%的家长报告感觉缺乏心理社会、医疗、社会或家庭支持。支持的缺乏与损伤或社会人口学特征无关，但与家长的一般焦虑、抑郁和损伤相关的恐惧回避症状显著相关，以及与家长对孩子一般健康和热敏感性的评分相关。
感知到的支持不因烧伤严重程度或社会人口学状况而有所不同。然而，护理人员应更加关注并支持那些表示孩子总体健康状况较差、认为孩子在活动时有受伤风险的认知信念的家长，以及那些自身表现出心理症状迹象的家长。
