Parental Stress and Child Quality of Life after Pediatric Burn

IF 1 Q4 CRITICAL CARE MEDICINE European burn journal Pub Date : 2024-03-27 DOI:10.3390/ebj5020007
Dinithi Atapattu, Victoria M. Shoesmith, Fiona M. Wood, Lisa Martin
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Abstract

Parents’ emotions after their child’s burn might be influenced by the injury circumstances or demographic characteristics of the patient and family. Parents’ post-traumatic stress symptoms and their child’s distress may interact and affect emotional states. The psychosocial outcomes of parents were measured using the Impact of Event Scale-Revised, the CARe Burn Scale, and the Post-traumatic Growth Inventory-Brief. The psychosocial quality of life outcomes of the pediatric burn patients were measured using the Pediatric Quality of Life Inventory (PedsQL). Regression analysis was used to assess the relationship between patient psychosocial quality of life and the related parent scores. A total of 48 patients and parents participated, with 36 giving full data at 12 months. Parental post-traumatic stress symptoms were initially high, settling by six months, although outliers remained. Parents reported higher IESR scores if their child was female, if they felt helpless at the time of the incident, and if a language other than English was spoken in the home. Parents’ scores of their child’s psychosocial function were similar to their child’s self-scores. Parents who perceived poorer emotional functioning in their child reported higher IESR scores.
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小儿烧伤后父母的压力与儿童的生活质量
父母在孩子烧伤后的情绪可能会受到伤情或患者及家庭人口特征的影响。父母的创伤后应激症状和孩子的痛苦可能会相互作用,影响他们的情绪状态。我们使用事件影响量表(修订版)、CARe 烧伤量表和创伤后成长量表(简易版)测量了家长的社会心理状况。儿科烧伤患者的社会心理生活质量采用儿科生活质量量表(PedsQL)进行测量。回归分析用于评估患者社会心理生活质量与家长相关评分之间的关系。共有 48 名患者和家长参加了调查,其中 36 人提供了 12 个月的完整数据。家长的创伤后应激症状最初较高,但在六个月后有所缓解,不过仍有异常值存在。如果孩子是女性,如果他们在事件发生时感到无助,如果家中使用的语言不是英语,则家长的 IESR 分数较高。家长对孩子社会心理功能的评分与孩子的自我评分相似。认为孩子情绪功能较差的家长的 IESR 分数较高。
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