Department of Orthopedics, Imam Khomeini Hospital, Urmia University of Medical Sciences, Urmia, Iran.
Department of General Surgery, Shahid Motahari Burns Hospital, Iran University of Medical Sciences, Tehran, Iran.
Int Wound J. 2024 Oct;21(10):e70066. doi: 10.1111/iwj.70066.
A few studies have examined post-traumatic growth (PTG) after burns, a relatively new area of research. To understand how to promote PTG in burn survivors, we need to know how PTG and coping are presented, how they change over time, and the components that influence development. Based on the criteria of the PRISMA statement, we conducted our initial search on 1 February 2023. This study systematically reviewed relevant studies in five PubMed, Web of Science, Google Scholar, Scopus and Science Direct search databases. The search used the following keywords: Post-traumatic Growth, Psychological Growth, Post-traumatic Growth, Psychological, PTG, Burns and Burn. The two researchers evaluated the quality of the included studies using a 20-item tool called the appraisal tool for cross-sectional studies (AXIS tool). A total of 1396 burn patients participated in 12 studies. Among the studies included in this systematic review, seven were cross-sectional, and five were cohort. The average age of the patients in this study was 35.77 (SD = 10.19). Among the participants, 52.4% were men. The total body surface area (TBSA) percentage in these patients was 32.77 (SD = 16.42). The mean of PTG inventory (PTGI) was 54.08 (SD = 20.46) out of 105, which is a moderate level. Factors such as coping strategies, perceived social support, TBSA, religion/spirituality and severity of burn are positive factors for PTG in burn survivors. Also, factors such as depression, post-traumatic stress disorder and physical and mental recovery are negative factors for PTG in burn survivors. These factors can be improved through targeted intervention strategies, including overall function, quality of life, social support, optimism, hope and new opportunities. There is a need for further research in several areas related to growth, intervention and measurement.
一些研究已经考察了烧伤后的创伤后成长（PTG），这是一个相对较新的研究领域。为了了解如何促进烧伤幸存者的创伤后成长，我们需要知道 PTG 和应对方式是如何表现的，它们如何随时间变化，以及影响发展的因素。根据 PRISMA 声明的标准，我们于 2023 年 2 月 1 日进行了初步搜索。这项研究系统地回顾了五个 PubMed、Web of Science、Google Scholar、Scopus 和 Science Direct 搜索数据库中的相关研究。搜索使用了以下关键词：创伤后成长、心理成长、创伤后成长、心理、PTG、烧伤和烧伤。两位研究人员使用一种名为横断面研究评估工具（AXIS 工具）的 20 项工具评估纳入研究的质量。共有 1396 名烧伤患者参与了 12 项研究。在这项系统综述中纳入的研究中，有 7 项是横断面研究，5 项是队列研究。这项研究中患者的平均年龄为 35.77（SD=10.19）。参与者中，52.4%为男性。这些患者的总体表烧伤面积（TBSA）百分比为 32.77（SD=16.42）。PTG 量表（PTGI）的平均值为 54.08（SD=20.46），满分 105 分，属于中等水平。应对策略、感知社会支持、TBSA、宗教/精神信仰和烧伤严重程度等因素是烧伤幸存者 PTG 的积极因素。此外，抑郁、创伤后应激障碍以及身体和精神恢复等因素是烧伤幸存者 PTG 的消极因素。这些因素可以通过有针对性的干预策略来改善，包括整体功能、生活质量、社会支持、乐观、希望和新机会。在与成长、干预和测量相关的几个领域还需要进一步研究。
