Telethon Kids Institute, Perth Children's Hospital, 15 Hospital Avenue, Nedlands, Australia.
The University of Western Australia, Perth, Australia.
BMC Public Health. 2021 Dec 14;21(1):2281. doi: 10.1186/s12889-021-12296-1.
To review and synthesise qualitative literature regarding the psychological outcomes following paediatric burn injuries, and to determine if children and adolescents who experience a burn injury have elevated risk of psychopathology following the injury.
Systematic review of quantitative and qualitative studies.
Informit health, Medline, Embase, and PsycINFO were searched from January 2010 to December 2020.
Two reviewers screened articles, and one reviewer extracted data (with cross-checking from another reviewer) from the included studies and assessed quality using an established tool. Narrative synthesis was used to synthesise the findings from the quantitative studies, and thematic synthesis was used to synthesise the findings of included qualitative studies.
Searches yielded 1240 unique titles, with 130 retained for full-text screening. Forty-five studies from 17 countries were included. The psychological outcomes included in the studies were mental health diagnoses, medication for mental illness, depression, anxiety, stress, fear, post-traumatic stress, post-traumatic growth, emotional issues, self-harm, self-esteem, self-concept, stigmatisation, quality of life, level of disability, resilience, coping, and suicidality.
Our findings highlight paediatric burn patients as a particularly vulnerable population following a burn injury. Studies suggest elevated anxiety and traumatic stress symptoms, and higher rates of psychopathology in the long-term. Further research is recommended to determine the psychological outcomes in the other mental health domains highlighted in this review, as findings were mixed. Clinical care teams responsible for the aftercare of burn patients should involve psychological support for the children and families to improve outcomes.
回顾和综合有关儿科烧伤后心理结果的定性文献，并确定经历烧伤的儿童和青少年在受伤后是否有患精神病理学的风险升高。
对定量和定性研究进行系统评价。
从 2010 年 1 月至 2020 年 12 月，在 Informit 健康、Medline、Embase 和 PsycINFO 上进行了检索。
两名评审员筛选文章，一名评审员从纳入研究中提取数据（另一名评审员交叉核对），并使用既定工具评估质量。使用叙述性综合对定量研究的结果进行综合，使用主题综合对纳入的定性研究的结果进行综合。
检索产生了 1240 个独特的标题，其中 130 个保留进行全文筛选。来自 17 个国家的 45 项研究被纳入。研究中包括的心理结果包括心理健康诊断、精神疾病药物治疗、抑郁、焦虑、压力、恐惧、创伤后应激、创伤后成长、情绪问题、自残、自尊、自我概念、污名化、生活质量、残疾程度、韧性、应对和自杀倾向。
我们的研究结果突出了儿科烧伤患者在烧伤后是一个特别脆弱的群体。研究表明，长期来看，焦虑和创伤后应激症状升高，精神病理学发病率更高。建议进一步研究以确定本综述中强调的其他心理健康领域的心理结果，因为研究结果不一。负责烧伤患者后续护理的临床护理团队应为儿童和家庭提供心理支持，以改善结果。
