Krstic Bojana, Krstic Milos, Selakovic Dragica, Jovicic Nemanja, Rosic Gvozden
Department of Physiology, Faculty of Medical Sciences, University of Kragujevac, Kragujevac 34000, Serbia.
Department of Histology and Embryology, Faculty of Medical Sciences, University of Kragujevac, Kragujevac 34000, Serbia.
World J Psychiatry. 2024 Feb 19;14(2):199-203. doi: 10.5498/wjp.v14.i2.199.
In this editorial, we discuss the status of a therapeutic approach to emotional reactions accompanying thermal skin injuries. Burns are considered a major health problem, as well as an economic and social problem, with potentially devastating and life-changing consequences. They affect a wide range of patients with different damage mechanisms, varied depths, and localizations of the burns. The most common are thermal burns, with more than 11 million occurrences annually according to the World Health Organization data. Thermal skin injuries are among the most tragic and catastrophic injuries, almost unsurpassed in terms of severity, morbidity, and mortality, as well as functional, aesthetic, social, economic, and psychological consequences. Burn survivors face stress, anxiety, depression, low self-esteem, body deformity, social isolation, unemployment, financial burden, and family problems. The advances in acute burn care have allowed researchers and physicians to pay more attention to other effects of burns, focusing on psychological consequences in particular. Apart from the significant improvements in routine protocols, it seems useful to take care of psychological disturbances that occur simultaneously but may emerge as the most lasting outcome of those injuries. In that sense, various standards and additional approaches may be involved to achieve overall recovery.
在这篇社论中，我们讨论了针对伴有皮肤热损伤的情绪反应的治疗方法的现状。烧伤被视为一个重大的健康问题，同时也是一个经济和社会问题，可能会带来毁灭性的、改变人生的后果。烧伤会影响各种不同损伤机制、烧伤深度和部位的患者。最常见的是热烧伤，根据世界卫生组织的数据，每年发生超过1100万例。皮肤热损伤是最悲惨和灾难性的损伤之一，在严重程度、发病率和死亡率以及功能、美学、社会、经济和心理后果方面几乎无与伦比。烧伤幸存者面临压力、焦虑、抑郁、自卑、身体畸形、社会隔离、失业、经济负担和家庭问题。急性烧伤护理的进展使研究人员和医生能够更加关注烧伤的其他影响，尤其关注心理后果。除了常规方案有显著改进外，处理同时发生但可能成为这些损伤最持久后果的心理障碍似乎很有必要。从这个意义上说，可能需要采用各种标准和额外的方法来实现全面康复。
