Sveen Josefin, Andersson Gerhard, Buhrman Bo, Sjöberg Folke, Willebrand Mimmie
Department of Neuroscience, Psychiatry, Uppsala University, Uppsala, Sweden.
Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden; Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden.
Burns. 2017 May;43(3):583-591. doi: 10.1016/j.burns.2016.08.039. Epub 2016 Dec 28.
The aim of the study was to evaluate the feasibility and effects of an internet-based information and self-help program with therapist contact for parents of children and adolescents with burns. The program aimed to reduce parents' symptoms of general and posttraumatic stress.
Participants were parents of children treated for burns between 2009-2013 at either of the two specialized Swedish Burn centers. Sixty-two parents were included in a two-armed, randomized controlled trial with a six-week intervention group and a wait-list control group, including a pre and post-assessment, as well as a 3 and 12-month follow-up. The intervention contained psychoeducation, exercises and homework assignments, and the intervention group received weekly written feedback from a therapist. The main outcome was stress (post-traumatic stress, general stress and parental stress).
The program had a beneficial effect on posttraumatic stress in the short term, but did not affect general stress or parental stress. The parents rated the program as being informative and meaningful, but some of them thought it was time-consuming.
The program has the potential to support parents of children with burns. The intervention is easily accessible, cost-effective and could be implemented in burn care rehabilitation.
本研究旨在评估一项基于互联网的信息与自助项目对烧伤儿童及青少年家长的可行性和效果，该项目设有治疗师联络环节。该项目旨在减轻家长的一般应激症状和创伤后应激症状。
参与者为2009年至2013年期间在瑞典两家专业烧伤中心之一接受烧伤治疗的儿童的家长。62名家长被纳入一项双臂随机对照试验，分为为期六周的干预组和等待名单对照组，包括干预前后评估以及3个月和12个月的随访。干预内容包括心理教育、练习和家庭作业，干预组每周收到治疗师的书面反馈。主要结局指标为应激（创伤后应激、一般应激和父母应激）。
该项目在短期内对创伤后应激有有益影响，但未影响一般应激或父母应激。家长对该项目的评价是信息丰富且有意义，但其中一些人认为该项目耗时。
该项目有潜力为烧伤儿童的家长提供支持。该干预易于实施、成本效益高，可在烧伤护理康复中实施。
