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Citation |
Sun Y, Wang Y, Jiang YJ, Sun Y, Zhang J. Zhonghua Shao Shang Za Zhi 2019; 35(5): 371-378. |
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Affiliation |
Medical School of Nursing, Naval Military Medical University, Shanghai 200003, China. |
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Copyright |
(Copyright © 2019, Zhonghua yi xue hui) |
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DOI |
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PMID |
31154736 |
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Abstract |
Objective: To summarize the physical and psychosocial problems of burned children aged 0 to 5 years so as to explore their demands of care after discharge. Methods: Databases including Embase, PubMed, PsycARTICLES, and CINAHL Complete were searched using key words " child(*,) infant(*,) toddler, preschool, kid, baby, junior, burn, scald, empyrosis, nursing, care" , and Chinese Journals Full-text Database, China Biology Medicine disc, and VIP Database were searched using key words in Chinese version ",,,,,,,," to obtain the articles about physical and psychosocial health-related problems of burned children aged 0 to 5 years after discharge from the establishment of each database to February 2018. After screening of extracted articles, the physical and psychosocial problems of burned children aged 0 to 5 years after discharge and psychosocial problems of their caregivers were summarized. Results: (1) A total of 3 880 articles were obtained, after screening layer by layer, 9 English articles were finally included, including 4 prospective observational studies, 3 cross-sectional studies, 1 cohort study, and 1 case-control study, with 1 high-quality literature and 8 medium-quality literatures. (2) After discharge, burned children aged 0 to 5 years mainly had physical problems such as pain, itching, fine motor developmental disorders, and gross motor developmental disorders. They had psychosocial problems such as negative emotional behavior, delayed language development, affected game interaction, post-traumatic stress disorder (PTSD), and disrupted family life. The caregivers had psychosocial problems such as worrying about the appearance and the future of children, dissatisfaction with the current status of children, anxiety and depression, pain, and PTSD. The influencing factors of the above health problems were post-discharge time, post-injury time, total burn area, and burn site, etc. There were 12 kinds of measuring tools used in this group to evaluate the health problems of burned children and psychosocial problems of their caregivers. Only the burn outcomes questionnaire for children aged 0 to 5 years was developed for burned children aged 0 to 5 years. Conclusions: After discharge, burned children aged 0 to 5 years still face many physical and psychosocial problems, which are influenced by factors such as post-discharge time, post-injury time, total burn area and burn site, which suggests that there are certain care needs for them. Appropriate tools for evaluating the health problems of burned children aged 0 to 5 years should be developed. Language: zh 目的： 总结0～5岁烧伤儿童出院后存在的躯体、心理社会问题，以探索其出院后的照护需求。 方法： 以"child(*)/infant(*)/toddler/preschool/kid/baby/junior"、"burn/scald/empyrosis"和"nursing/care"为检索词，检索《Embase》《PubMed》《PsycARTICLES》《CINAHL Complete》数据库；以"小儿/儿童/幼儿/学龄前/婴儿/新生儿"、"烧伤/烫伤"和"照护"为检索词，检索《中国期刊全文数据库》《中国生物医学文献数据库》《维普科技期刊数据库》；检索自数据库建库至2018年2月发表的有关0～5岁烧伤儿童出院后存在的躯体及心理社会等相关健康问题的文献。筛选提取文献资料后，总结0～5岁烧伤儿童出院后的躯体、心理社会问题，照护者的心理社会问题。 结果： (1)共检索获得文献3 880篇，经逐层筛选后，最终纳入9篇英文文献。其中前瞻性观察性研究4篇、横断面研究3篇、队列研究和病例对照研究各1篇，高质量文献1篇、中等质量文献8篇。(2)0～5岁烧伤儿童出院后躯体方面主要存在疼痛、瘙痒、精细动作发育障碍、粗大动作发育障碍等问题，患儿出院后存在的心理社会问题为负性情绪行为、语言发育延迟、游戏互动受影响、创伤后应激障碍(PTSD)及扰乱家庭生活；照护者的心理社会问题为忧虑患儿外观、担心患儿未来、不满患儿现状、焦虑抑郁、痛苦及PTSD。以上健康问题的影响因素为患儿出院后时间、伤后时间、烧伤总面积以及烧伤部位等。本组文献中用于评估烧伤儿童健康问题及其照护者社会心理问题的测量工具共12种，仅有0～5岁儿童烧伤结局问卷针对0～5岁烧伤儿童研制。 结论： 0～5岁烧伤儿童出院后仍存在较多的躯体、心理社会等方面的问题，受出院后时间、伤后时间、烧伤总面积和烧伤部位等因素影响，提示存在一定的照护需求；应开发适用于0～5岁烧伤儿童健康问题的测评工具。. Language: zh |
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Keywords |
Burns; Care; Child; Physical problem; Psychology, social |