Posttraumatic growth among burn patient family caregivers in China

IF 3.2 3区 医学 Q2 CRITICAL CARE MEDICINE Burns Pub Date : 2024-10-18 DOI:10.1016/j.burns.2024.107292
SiNing Zhao , Yongpei Yu , Katherine P. Frey , Stephen T. Wegener , Renan C. Castillo
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Abstract

Background

Burns carries a high risk of severe physical damage, prolonged recovery, and mental health implications for both patients and their caregivers. While distress among caregivers of burn patients has been studied, less attention has been given to potential positive psychological changes. This study focuses on the prevalence, temporal dynamics, and predictors of posttraumatic growth (PTG) among caregivers.

Methods

A cross-sectional survey was conducted with 161 family caregivers from two Chinese burn units in 2016–2017. Participants completed a general information questionnaire and four measures: Posttraumatic Growth Inventory, Posttraumatic Stress Disorder Checklist, Depression, Anxiety, and Stress Scale-21, and Multidimensional Scale of Perceived Social Support.

Results

The PTG scores for caregivers, with an average of 59.8 (± 13.9), exhibited a curvilinear pattern over a period of 36 months, initially decreasing and then increasing. Multiple linear and quadratic regression analyses affirmed that heightened anxiety (p < 0.001), male gender (p < 0.05), college education (p < 0.05), and increased social support (p < 0.05) positively predicted family caregiver PTG.

Conclusions

This is the first study of burn injury caregiver PTG. The study indicates caregivers of burn patients may undergo positive psychological transformation. Variations in predictive factors necessitate validation through longitudinal research. The dynamic interplay of psychological outcomes between patients and caregivers requires further exploration.
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中国烧伤患者家庭护理人员的创伤后成长。
背景:烧伤极有可能造成严重的身体损伤、延长康复时间,并对患者及其护理人员的心理健康造成影响。虽然对烧伤患者护理人员的痛苦已有研究,但对潜在的积极心理变化却关注较少。本研究的重点是创伤后成长(PTG)在护理人员中的流行程度、时间动态和预测因素:2016-2017年,我们对来自中国两家烧伤科医院的161名家庭照护者进行了横断面调查。参与者完成了一份一般信息问卷和四项测量:创伤后成长量表、创伤后应激障碍核对表、抑郁、焦虑和压力量表-21、感知社会支持多维量表:护理人员的 PTG 分数平均为 59.8(± 13.9)分,在 36 个月的时间里呈现出曲线模式,最初为下降,然后上升。多重线性和二次回归分析证实了焦虑的加剧(p 结论):这是第一项关于烧伤护理人员 PTG 的研究。研究表明,烧伤患者的护理人员可能会经历积极的心理转变。预测因素的变化需要通过纵向研究来验证。患者和护理人员之间心理结果的动态相互作用需要进一步探讨。
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来源期刊
Burns
Burns 医学-皮肤病学
CiteScore
4.50
自引率
18.50%
发文量
304
审稿时长
72 days
期刊介绍: Burns aims to foster the exchange of information among all engaged in preventing and treating the effects of burns. The journal focuses on clinical, scientific and social aspects of these injuries and covers the prevention of the injury, the epidemiology of such injuries and all aspects of treatment including development of new techniques and technologies and verification of existing ones. Regular features include clinical and scientific papers, state of the art reviews and descriptions of burn-care in practice. Topics covered by Burns include: the effects of smoke on man and animals, their tissues and cells; the responses to and treatment of patients and animals with chemical injuries to the skin; the biological and clinical effects of cold injuries; surgical techniques which are, or may be relevant to the treatment of burned patients during the acute or reconstructive phase following injury; well controlled laboratory studies of the effectiveness of anti-microbial agents on infection and new materials on scarring and healing; inflammatory responses to injury, effectiveness of related agents and other compounds used to modify the physiological and cellular responses to the injury; experimental studies of burns and the outcome of burn wound healing; regenerative medicine concerning the skin.
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