Blakeney P, Meyer W, Moore P, Murphy L, Broemeling L, Robson M, Herndon D
Shriners Burns Institute, Galveston, TX 77550.
J Burn Care Rehabil. 1993 Nov-Dec;14(6):684-9. doi: 10.1097/00004630-199311000-00015.
Important questions for pediatric burn care specialists relate to the quality of life for those children who survive the most severe burn injuries. This study examines the psychological adjustment of 25 children who survived injuries > or = 80% total body surface area and the impact of such injury on the families. Data were analyzed from the most recent assessment, with the Child Behavior Checklist, Teacher Report Form, Piers-Harris Children's Self-Concept Scale, Parenting Stress Index, and a parental questionnaire designed by the authors. As a group, the children's behavioral problems as reported by both parents and teachers were within normal limits. Measures of parental stress, however, clearly differentiated the burn population. These parents attributed more stress to characteristics of their children. Children with > or = 80% TBSA burns develop positive feelings about themselves and appear no more troubled than a comparable group of nonburned children. The impact on the families is significant, however, and must be considered of consequence in the rehabilitation of the burned child.
小儿烧伤护理专家面临的重要问题涉及那些在最严重烧伤中幸存下来的儿童的生活质量。本研究调查了25名烧伤面积达到或超过全身表面积80%的幸存儿童的心理调适情况，以及此类损伤对其家庭的影响。数据来自最近一次评估，使用了儿童行为量表、教师报告表、皮尔斯 - 哈里斯儿童自我概念量表、养育压力指数以及作者设计的一份家长调查问卷。总体而言，家长和教师报告的儿童行为问题均在正常范围内。然而，家长压力的测量结果明显区分了烧伤群体。这些家长将更多压力归因于孩子的性格特点。烧伤面积达到或超过全身表面积80%的儿童对自己有积极的感觉，看起来并不比一组未烧伤的同龄儿童更困扰。然而，对家庭的影响是巨大的，在烧伤儿童的康复过程中必须将其视为重要因素加以考虑。
