小儿烧烫伤后父母创伤后应激
Parent Traumatic Stress After Minor Pediatric Burn Injury.
机构信息
Center for Translational Research, Children's National Hospital, Washington, DC 20010, USA.
The Chicago School of Professional Psychology, Washington, DC 20005, USA.
出版信息
J Burn Care Res. 2023 Mar 2;44(2):329-334. doi: 10.1093/jbcr/irac055.
Parents are at increased risk for psychological sequelae following their child's burn injury which has demonstrated negative impacts on the child. The current study sought to address gaps in the literature on risk factors for parental distress by examining the relationships among demographic variables, burn characteristics, and child functioning after burn injury, with parent post-traumatic stress symptoms (PTSS). Participants included parents of 660 pediatric burn patients from a regional burn clinic. Parents completed measures during their initial visit to the burn clinic. Additional demographic and burn data were retrospectively collected by medical chart review. Fifteen percent of parents reported at-risk levels of parent PTSS. Parent PTSS was independently associated with child burn characteristics of total body surface area (TBSA) affected by the burn, required hospitalization, number of nights hospitalized, and number of ambulatory burn appointments attended. Minority race was associated with higher parent PTSS than non-minority race status, with Asian parents endorsing the highest scores. Furthermore, when considered simultaneously, impaired child quality of life (QOL), a higher number of ambulatory burn appointments attended, and racial minority status were associated with higher parent PTSS. These findings highlight the need for routine parent trauma screening in pediatric burn clinics, while additionally identifying a feasible screening measure.
父母在孩子烧伤后面临着心理后遗症的风险增加,这对孩子产生了负面影响。本研究旨在通过检查人口统计学变量、烧伤特征和烧伤后儿童的功能与父母创伤后应激症状(PTSS)之间的关系,来解决父母痛苦的风险因素文献中的空白。参与者包括来自地区烧伤诊所的 660 名儿科烧伤患者的父母。父母在烧伤诊所的初次就诊时完成了测量。通过病历回顾,还收集了额外的人口统计学和烧伤数据。15%的父母报告有父母创伤后应激症状(PTSS)的风险水平。父母的创伤后应激症状(PTSS)与儿童烧伤特征独立相关,这些特征包括烧伤总面积(TBSA)、住院需求、住院天数和门诊烧伤预约次数。与非少数族裔相比,少数族裔父母的创伤后应激症状(PTSS)更高,其中亚洲父母的得分最高。此外,当同时考虑时,儿童生活质量受损、门诊烧伤预约次数增加以及少数族裔地位与父母创伤后应激症状(PTSS)增加相关。这些发现强调了在儿科烧伤诊所中进行常规父母创伤筛查的必要性,同时还确定了一种可行的筛查措施。