Sun Y, Wang Y, Jiang Y J, Sun Y, Zhang J
Medical School of Nursing, Naval Military Medical University, Shanghai 200003, China (is working at the Department of Burns, the 71st Group Army Hospital of PLA Army, Affiliated Huaihai Hospital of Xuzhou Medical University, Xuzhou 221004, China).
Department of Orthopaedics, the 71st Group Army Hospital of PLA Army, Affiliated Huaihai Hospital of Xuzhou Medical University, Xuzhou 221004, China.
Zhonghua Shao Shang Za Zhi. 2019 May 20;35(5):371-378. doi: 10.3760/cma.j.issn.1009-2587.2019.05.009.
To summarize the physical and psychosocial problems of burned children aged 0 to 5 years so as to explore their demands of care after discharge. Databases including Embase, PubMed, PsycARTICLES, and CINAHL Complete were searched using key words " child(,) infant(,) toddler, preschool, kid, baby, junior, burn, scald, empyrosis, nursing, care" , and Chinese Journals Full-text Database, China Biology Medicine disc, and VIP Database were searched using key words in Chinese version ",,,,,,,," to obtain the articles about physical and psychosocial health-related problems of burned children aged 0 to 5 years after discharge from the establishment of each database to February 2018. After screening of extracted articles, the physical and psychosocial problems of burned children aged 0 to 5 years after discharge and psychosocial problems of their caregivers were summarized. (1) A total of 3 880 articles were obtained, after screening layer by layer, 9 English articles were finally included, including 4 prospective observational studies, 3 cross-sectional studies, 1 cohort study, and 1 case-control study, with 1 high-quality literature and 8 medium-quality literatures. (2) After discharge, burned children aged 0 to 5 years mainly had physical problems such as pain, itching, fine motor developmental disorders, and gross motor developmental disorders. They had psychosocial problems such as negative emotional behavior, delayed language development, affected game interaction, post-traumatic stress disorder (PTSD), and disrupted family life. The caregivers had psychosocial problems such as worrying about the appearance and the future of children, dissatisfaction with the current status of children, anxiety and depression, pain, and PTSD. The influencing factors of the above health problems were post-discharge time, post-injury time, total burn area, and burn site, etc. There were 12 kinds of measuring tools used in this group to evaluate the health problems of burned children and psychosocial problems of their caregivers. Only the burn outcomes questionnaire for children aged 0 to 5 years was developed for burned children aged 0 to 5 years. After discharge, burned children aged 0 to 5 years still face many physical and psychosocial problems, which are influenced by factors such as post-discharge time, post-injury time, total burn area and burn site, which suggests that there are certain care needs for them. Appropriate tools for evaluating the health problems of burned children aged 0 to 5 years should be developed.
总结0至5岁烧伤儿童的生理和心理社会问题，以探讨其出院后的护理需求。使用关键词“child(,) infant(,) toddler, preschool, kid, baby, junior, burn, scald, empyrosis, nursing, care”检索Embase、PubMed、PsycARTICLES和CINAHL Complete等数据库，并使用中文关键词“,,,,,,,,”检索中国期刊全文数据库、中国生物医学文献数据库和维普数据库，以获取自各数据库建库至2018年2月期间关于0至5岁烧伤儿童出院后生理和心理社会健康相关问题的文章。对提取的文章进行筛选后，总结0至5岁烧伤儿童出院后的生理和心理社会问题以及其照顾者的心理社会问题。（1）共获得3880篇文章，经逐层筛选，最终纳入9篇英文文章，其中前瞻性观察性研究4篇、横断面研究3篇、队列研究1篇、病例对照研究1篇，高质量文献1篇，中等质量文献8篇。（2）出院后，0至5岁烧伤儿童主要存在疼痛、瘙痒、精细运动发育障碍和大运动发育障碍等生理问题。他们还存在负面情绪行为、语言发育迟缓、游戏互动受影响、创伤后应激障碍（PTSD）以及家庭生活受干扰等心理社会问题。照顾者存在担心孩子容貌和未来、对孩子现状不满意、焦虑抑郁、疼痛以及PTSD等心理社会问题。上述健康问题的影响因素包括出院时间、受伤时间、烧伤总面积和烧伤部位等。该组共使用了12种测量工具来评估烧伤儿童的健康问题及其照顾者的心理社会问题。仅为0至5岁烧伤儿童开发了0至5岁儿童烧伤结局问卷。出院后，0至5岁烧伤儿童仍面临许多生理和心理社会问题，这些问题受出院时间、受伤时间、烧伤总面积和烧伤部位等因素影响，这表明对他们有一定的护理需求。应开发合适的工具来评估0至5岁烧伤儿童的健康问题。
