Department of Clinical Psychology and Neuropsychology, Nottingham University Hospitals NHS Trust, Derby Road, Nottingham NG7 2UH, United Kingdom; Department of Psychology, University of Sheffield, ICOSS Building, 219 Portobello, Sheffield S1 4DP, United Kingdom.
Department of Psychology, Durham University, Upper Mountjoy, South Road, Durham DH1 3LE, United Kingdom.
Burns. 2024 Nov;50(8):2103-2113. doi: 10.1016/j.burns.2024.07.038. Epub 2024 Jul 31.
Appearance concerns are common following burns. However, there is a lack of research investigating early psychological interventions for appearance concerns. This qualitative study explored the acceptability of early psychological interventions for appearance concerns after burns.
Fifteen adults (nine female; 18-56 years) with appearance concerns were interviewed within three months post-burn to explore their views about the acceptability of early psychological interventions for these concerns. Interviews were audio-recorded and transcribed. Template analysis informed data collection and analysis.
Three themes represented participants' views about the acceptability of early psychological interventions for appearance concerns: (1) early psychological interventions are absent; (2) early psychological interventions are acceptable within a therapeutic relationship (to manage upsetting emotions and thoughts about appearance, with therapists who are experienced in supporting burns patients); and (3) ambivalence and obstacles exist (e.g., difficulties accepting help, minimising injuries or concerns, and time restrictions following hospital discharge).
Early psychological interventions for appearance concerns following burns are likely to be acceptable for some patients. However, ambivalence and potential barriers remain to be addressed. Embedding early psychological interventions for appearance concerns into routine burn care could increase acceptability through normalisation.
烧伤后常出现外貌担忧。然而，目前缺乏研究调查烧伤后早期针对外貌担忧的心理干预措施。本定性研究旨在探讨烧伤后早期针对外貌担忧的心理干预措施的可接受性。
15 名（9 名女性；18-56 岁）有外貌担忧的成年人在烧伤后三个月内接受访谈，以探讨他们对早期针对这些担忧的心理干预措施的可接受性的看法。访谈进行了录音和转录。模板分析为数据收集和分析提供了信息。
三个主题反映了参与者对烧伤后早期针对外貌担忧的心理干预措施的可接受性的看法：(1) 早期心理干预措施缺失；(2) 在治疗关系中早期心理干预措施是可接受的（用于管理有关外貌的情绪和想法，治疗师要有支持烧伤患者的经验）；以及(3) 存在矛盾和障碍（例如，难以接受帮助、最小化伤害或担忧、以及出院后时间限制）。
烧伤后针对外貌担忧的早期心理干预措施可能对一些患者是可接受的。然而，仍然存在矛盾和潜在的障碍需要解决。将针对外貌担忧的早期心理干预措施纳入常规烧伤护理中，可以通过规范化来提高可接受性。
