摘要
儿童烧伤后常伴有心理障碍,笔者按照烧伤治疗过程分3个阶段对烧伤患儿常见心理障碍类型、患病率及治疗方法进行综述,为烧伤患儿心理康复的研究及治疗提供参考。综述显示,在入院及重症监护阶段,常见儿童医疗创伤应激、急性应激障碍,推荐以预防及监测为主,包括为烧伤患儿及其父母提供医疗相关信息,鼓励父母陪伴烧伤患儿,并及时筛查这些急性应激障碍;在创面修复阶段,常见儿童医疗创伤应激、急性应激障碍症状持续进展,推荐创伤聚焦的认知行为疗法;在康复及重返社会阶段,常见创伤后应激障碍及焦虑,推荐营地活动、运动等方式。此外,患儿父母也常伴有心理障碍,应关心患儿父母的心理健康状况;同时父母在患儿心理干预中起关键作用,应在父母的参与及帮助下对患儿进行心理干预。
Pediatric burn patients are often accompanied by psychological disorders.The authors reviewed the types,prevalence,and treatment methods of common psychological disorders among pediatric burn patients in three stages according to the burn treatment process,in order to provide reference for study and treatment of pediatric burn patients′psychological rehabilitation.The review showed that during the admission and intensive care stage,pediatric medical traumatic stress and acute stress disorder were common,and it was recommended to focus on prevention and monitoring,including providing medical-related information for pediatric burn patients and their parents,encouraging parents to accompany pediatric burn patients,and screening these acute stress disorders in time.In the stage of wound healing,symptoms of pediatric medical traumatic stress and acute stress disorder continued to progress,and the trauma-focused cognitive behavioral therapy was recommended.In the rehabilitation and reintegration stage,post-traumatic stress disorder and anxiety were common,and camp activities and sports were recommended.In addition,the parents of burned children were often accompanied by psychological disorders too,therefore,the mental health of the burned children′s parents should be concerned about.At the same time,the parents play a key role in the psychological intervention of the burned children.The psychological intervention of burned children should be done with the participation and help of their parents.
作者
席毛毛
雷芳
谢卫国
Xi Maomao;Lei Fang;Xie Weiguo(Institute of Burns,Tongren Hospital of Wuhan University&Wuhan Third Hospital,Wuhan 430060,China)
出处
《中华烧伤杂志》
CAS
CSCD
北大核心
2020年第6期519-522,共4页
Chinese Journal of Burns
基金
重大疾病防治科技行动计划创伤修复专项(2018ZX-01S-001)
湖北省卫生健康委员会科研项目(WJ2019M003)
武汉市卫生和计划生育委员会科研项目(WG18Q10)。
关键词
烧伤
儿童
心理康复
Burns
Child
Psychological rehabilitation
