Zhonghua Shao Shang Za Zhi. 2020 Nov 20;36(11):987-992. doi: 10.3760/cma.j.cn501120-20200623-00321.
The incidence of psychological stress and disorder in children after burns is high, and the mental health status highly affects the lifesaving, wound repair, and functional and psychological rehabilitation of the children. At present, the psychological disorder of burn children has not attracted enough attention and the relevant rehabilitation treatment measures also need to be standardized urgently. The Burn and Trauma Branch of Chinese Geriatrics Society organized the related national experts to provide recommendations for the diagnosis and treatment of psychological disorders in burn children, and the consensus is formulated. This article introduced the manifestations, common assessment scales, and key points of psychological rehabilitation therapies at different stages for the psychological stress and disorder of burn children. Effective interventions and treatments include psychological interventions, behavioral therapy, cognitive therapy, cognitive behavioral therapy, play therapy, music therapy, and medication. Peer support and summer camps for burn children are also beneficial for their psychological rehabilitation and re-entering to society. In the psychological intervention and treatment for the children, the mental development level of children in different ages must be taken into consideration, and the close participation and cooperation of the parents are needed. In addition, the parents of burn children often suffer from stress response and psychological disorders. Recommended treatments for the parents are also provided in this consensus.
儿童烧伤后心理应激及障碍的发生率较高,其心理健康状况对患儿的救治、创面修复以及功能和心理康复均有高度影响。目前,烧伤儿童的心理障碍尚未引起足够重视,相关康复治疗措施也亟待规范。中国老年医学学会烧创伤分会组织国内相关专家针对烧伤儿童心理障碍的诊治提出建议并形成共识。本文介绍了烧伤儿童心理应激及障碍在不同阶段的表现、常用评估量表以及心理康复治疗要点。有效的干预和治疗包括心理干预、行为疗法、认知疗法、认知行为疗法、游戏疗法、音乐疗法及药物治疗。烧伤儿童的同伴支持及夏令营活动对其心理康复及重返社会也有益处。在对患儿进行心理干预和治疗时,必须考虑不同年龄段儿童的心理发育水平,且需要家长密切参与和配合。此外,烧伤儿童的家长常出现应激反应及心理障碍,本共识也为家长推荐了相应治疗方法。