The experiences of older adults living with an appearance altering burn injury: An exploratory qualitative study

Jones, Beth; Buchanan, Heather; Harcourt, Diana

doi:10.1177/1359105315603473

Cited by 19 publications

(19 citation statements)

References 30 publications

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“…Additionally, psychological reasons for the increased risk for MH problems can include self-esteem and body image issues. Research reports that burn survivors struggle with unwanted and often distressing social reactions all throughout their life [ 36 – 38 ]. A recent review of the psychological effects of childhood burns estimated that between 25 and 30% of preschool children experienced significant traumatic stress reactions during the first month post-burn [ 36 ].…”

Section: Discussionmentioning

confidence: 99%

“…Research reports that burn survivors struggle with unwanted and often distressing social reactions all throughout their life [ 36 – 38 ]. A recent review of the psychological effects of childhood burns estimated that between 25 and 30% of preschool children experienced significant traumatic stress reactions during the first month post-burn [ 36 ]. For school-aged children, these rates have been reported to be a lot lower within the same time period, with rates reported to be 3–5% 3 months post-burn [ 39 ] and behavioural rates have been reported as normal in other studies [ 40 ].…”

Section: Discussionmentioning

confidence: 99%

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Long-term mental health outcomes after unintentional burns sustained during childhood: a retrospective cohort study

et al. 2018

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BackgroundBurns are a devastating injury that can cause physical and psychological issues. Limited data exist on long-term mental health (MH) after unintentional burns sustained during childhood. This study assessed long-term MH admissions after paediatric burns.MethodsThis retrospective cohort study included all children (< 18 years) hospitalised for a first burn (n = 11,967) in Western Australia, 1980–2012, and a frequency matched uninjured comparison cohort (n = 46,548). Linked hospital, MH and death data were examined. Multivariable negative binomial regression modelling was used to generate incidence rate ratios (IRR) and 95% confidence intervals (CI).ResultsThe burn cohort had a significantly higher adjusted rate of post-burn MH admissions compared to the uninjured cohort (IRR, 95% CI: 2.55, 2.07–3.15). Post-burn MH admission rates were twice as high for those younger than 5 years at index burn (IRR, 95% CI 2.06, 1.54–2.74), three times higher for those 5–9 years and 15–18 years (IRR, 95% CI: 3.21, 1.92–5.37 and 3.37, 2.13–5.33, respectively) and almost five times higher for those aged 10–14 (IRR, 95% CI: 4.90, 3.10–7.76), when compared with respective ages of uninjured children. The burn cohort had higher admission rates for mood and anxiety disorders (IRR, 95% CI: 2.79, 2.20–3.53), psychotic disorders (IRR, 95% CI: 2.82, 1.97–4.03) and mental and behavioural conditions relating to drug and alcohol abuse (IRR, 95% CI: 4.25, 3.39–5.32).ConclusionsOngoing MH support is indicated for paediatric burn patients for a prolonged period after discharge to potentially prevent psychiatric morbidity and associated academic, social and psychological issues.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Long-term mental health outcomes after unintentional burns sustained during childhood: a retrospective cohort study

et al. 2018

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“…8–11 Most follow-up investigations are on burn patients, which also suffer from an altered physical appearance. 12–15 The purpose of our study is to report about the midterm outcomes of patients who survived NF using two standardized outcome scores.…”

Section: Introductionmentioning

confidence: 99%

Necrotizing fasciitis and the midterm outcomes after survival

et al. 2019

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Background and Aims: Radical surgical intervention is necessary to save patients’ lives in cases of necrotizing fasciitis. This leads to persistent disabilities and most likely to a deteriorated quality of life. The purpose of this study was to evaluate the midterm outcomes after survival of necrotizing fasciitis. Materials and Methods: A retrospective analysis of 69 patients, treated for necrotizing fasciitis between 2003 and 2012. The patients were identified using the International Classification of Diseases (10th Revision) code M 72.6. Of the 50 survivors, 22 patients completed the Short Form 36 and Short Musculoskeletal Function Assessment questionnaires as a postal survey. The follow-up averaged 59 months (range: 6–128 months). Results: The average age at the time of necrotizing fasciitis was 60.0 years. The body mass index average was 29.7. The patients had a significantly decreased physical component summary score of 33.3 compared to a normative group (p < 0.001) (Short Form 36). They further showed a significantly decreased dysfunction and bother indices (Short Musculoskeletal Function Assessment) (p < 0.001). An increased age (⩾70 years) was associated with an inferior role emotional (p = 0.048) and physical functioning (p = 0.011) as well as social functioning (p = 0.038) (Short Form 36). The majority of patients (16, 72.7%) complained of pain at the final follow-up and 50% of patients required an assistive device on a regular basis. Conclusion: Patients who survived necrotizing fasciitis suffer from functional impairment and changed body appearance. Assistive devices or pain medication are often required, and the patients present with significantly decreased physical, social, and emotional functioning at the midterm follow-up. The patient’s age is a critical factor regarding functional or mental outcome parameters. Further research on the post-hospital course and long-term multidisciplinary care is required to improve the outcomes of these patients.

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“…Adjusting to burns can be challenging ( Jones et al, 2017 ). The few qualitative studies that have been conducted showed that children report changes on the emotional, behavioral, and social level.…”

Section: Introductionmentioning

confidence: 99%

The aftermath of burn injury from the child’s perspective: A qualitative study

et al. 2018

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A burn injury event and subsequent hospitalization are potentially distressing for children. To elucidate the child's experience of pediatric burn injury, children's reflections on the burn event and its aftermath were examined. Semi-structured interviews were conducted with eight children (12-17 years old). Using thematic analysis, interview transcripts were coded and codes were combined into overarching categories. Three categories were identified: vivid memories; the importance of parental support; psychosocial impact and coping. Implications for care are discussed in terms of assessing children's appraisals, paying attention to the parent's role, and preparing families for potential psychological barriers after discharge.

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The experiences of older adults living with an appearance altering burn injury: An exploratory qualitative study

Cited by 19 publications

References 30 publications

Long-term mental health outcomes after unintentional burns sustained during childhood: a retrospective cohort study

Long-term mental health outcomes after unintentional burns sustained during childhood: a retrospective cohort study

Necrotizing fasciitis and the midterm outcomes after survival

The aftermath of burn injury from the child’s perspective: A qualitative study

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