Sleep after burn injuries: A systematic review and meta-analysis

Lerman, Sheera F.; Owens, Michael A.; Liu, Tony; Puthumana, Joseph S.; Hultman, C. Scott; Caffrey, Julie; Smith, Michael T.

doi:10.1016/j.smrv.2022.101662

Cited by 14 publications

(8 citation statements)

References 67 publications

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“…These local and systemic effects corroborate a previous study among NSTI survivors [ 19 ]. Additionally, our study revealed that ‘fatigue and sleeping problems’ and ‘cognitive changes’, were long-term problems affecting HRQoL, problems also present after burns, which adds to the understanding of the impact of NSTI on patients’ lives [ 36 , 37 ].…”

Section: Discussionmentioning

confidence: 95%

The impact of necrotizing soft tissue infections on the lives of survivors: a qualitative study

et al. 2023

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Purpose Necrotizing soft tissue infections (NSTI) are potentially lethal infections marked by local tissue destruction and systemic sepsis, which require aggressive treatment. Survivors often face a long recovery trajectory. This study was initiated to increase understanding of the long-term impact of NSTI on health related quality of life (HRQoL), and how care may be improved. Methods Thematic analysis was applied to qualitative data from 25 NSTI-survivors obtained through two focus groups (n = 14) and semi-structured interviews (n = 11). Results The median age of the participants was 49 years, 14 were female. The median time since diagnosis was 5 years. Initial misdiagnosis was common, causing delay to treatment. Survivors experienced long-term physical consequences (scarring, cognitive impairment, fatigue, sleeping problems, recurrent infections), psychological consequences (traumatic stress symptoms, fear of relapse, adjusting to an altered appearance, sexual issues) and social and relational consequences (changes in social contacts, a lack of understanding). The disease also had a major psychological impact on family members, as well as major financial impact in some. There was a strong desire to reflect on ‘mistakes’ in case of initial misdiagnosis. To improve care, patient and family centered care, smooth transitions after discharge, and the availability of understandable information were deemed important. Conclusion This study reveals that NSTI have a large impact on physical and psychosocial wellbeing of survivors and their relatives. Except for a few differences (misdiagnosis, fear for re-infection and actual re-infection), the patient experience of patients with NSTI is largely similar to those of burn survivors. Thus, questionnaires to assess HRQoL in burn survivors may be used in future NSTI studies.

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Section: Discussionmentioning

confidence: 95%

The impact of necrotizing soft tissue infections on the lives of survivors: a qualitative study

et al. 2023

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“…Sleep disturbance is a common consequence of burn injury which occurs at the different stages of the whole recovery process and always persist years postburn 28 . While the mechanism of how the burn injury interfering with sleep disorders is still unclear, multiple specific factors of burn have been identified as contributors to disrupted sleep, for example, pain, itch and psychological distress 29 . Hence, postburn patients with poorer sleep quality had poorer PROs.…”

Section: Discussionmentioning

confidence: 99%

“… 28 While the mechanism of how the burn injury interfering with sleep disorders is still unclear, multiple specific factors of burn have been identified as contributors to disrupted sleep, for example, pain, itch and psychological distress. 29 Hence, postburn patients with poorer sleep quality had poorer PROs.…”

Section: Discussionmentioning

confidence: 99%

Patient‐reported outcomes and their predictors 2 years after burn injury: A cross‐sectional study

Wang,

Wu,

Chen

et al. 2023

International Wound Journal

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This study aimed to describe patient‐reported outcomes 2 years after burn injury and to comprehensively elucidate predictors that may influence these outcomes. This cross‐sectional, prospective study included 352 patients who were admitted to the Department of Burn Surgery at a tertiary teaching hospital between January 2017 and December 2020. We collected demographic and disease‐related data and instructed participants to complete the Readiness for Hospital Discharge Scale (RHDS) and the Burn Specific Health Scale‐Brief (BSHS‐B) questionnaire. The overall score of patient‐reported outcomes 2 years after burn injury was 126.55 ± 33.32 points, and the dimensions with the lowest scores were “hand function” (13.96 ± 5.75), “heat sensitivity” (14.84 ± 4.90), “treatment regimens” (13.41 ± 6.77) and “work” (11.30 ± 4.97). Multiple linear regression analysis revealed that less postburn pruritus, better readiness for hospital discharge, less total body surface area (TBSA), better social participation, white‐collar jobs, older age, better sleep quality and burns not caused by electricity were associated with better outcomes. Patients experienced poor patient‐reported outcomes 2 years after burn injury. Integrated rehabilitative care is necessary to address patients' unique needs and improve long‐term patient‐reported outcomes.

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“…A burn injury can be a traumatic and painful experience. Unsurprisingly, psychological problems, such as posttraumatic stress symptoms, anxiety, and depressive symptoms, can interfere with recovery, increasing pain and itch, disrupting sleep patterns, and affecting interpersonal relationships [1][2][3][4]. Several studies show that psychological and social challenges may persist for years after the injury [5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Feasibility of Mindfulness for Burn Survivors and Parents of Children with Burns

Papamikrouli

Kool

Schie

et al. 2023

EBJ

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Burn survivors, spouses, and parents of children with burns may experience psychological distress for a prolonged period. Mindfulness-Based Stress Reduction (MBSR) is an intervention that can improve psychological well-being. This study aimed to examine the effectiveness of an MBSR group intervention in a convenience sample. An MBSR group intervention was conducted for burn survivors (n = 8) and parents of children with burns (n = 9), each comprising eight sessions. The participants completed the Beck Depression Inventory-II-NL, PTSS Checklist DSM-5, Five Facet Mindfulness Questionnaire-Short Form, Self-Compassion Scale-Short form, and evaluation questions at baseline, immediately after, and three months post-intervention. All participants completed the intervention. The intervention was rated very useful (M = 8.8), and the participants were very satisfied (M = 8.8). The highest effect was observed in the parents’ group on mindfulness skills and self-compassion. For both groups, there was an increase in personal goal scores immediately after the intervention. Qualitative data show that the participants in both groups experienced more inner peace, more awareness of thoughts and emotions, and more self-compassion. This exploratory study suggests that a mindfulness intervention is feasible and can be effective in improving mindfulness skills and self-compassion, particularly in parents of children with burns.

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Sleep after burn injuries: A systematic review and meta-analysis

Cited by 14 publications

References 67 publications

The impact of necrotizing soft tissue infections on the lives of survivors: a qualitative study

The impact of necrotizing soft tissue infections on the lives of survivors: a qualitative study

Patient‐reported outcomes and their predictors 2 years after burn injury: A cross‐sectional study

Feasibility of Mindfulness for Burn Survivors and Parents of Children with Burns

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