Research Article
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Pediatrik yanık yaralanmalarında aile yükünü etkileyen faktörlerin incelenmesi

Year 2021, Volume: 8 Issue: 3, 229 - 237, 31.12.2021
https://doi.org/10.15437/jetr.885686

Abstract

Amaç: Pediatrik yanıklarda, uzayan tedavi süreçleri bakım veren rolünü üstlenen anneler için psikososyal açıdan zorlayıcı
olabilmektedir. Bu çalışmanın amacı pediatrik yanık yaralanmalarında aile yükünü etkileyen faktörleri araştırmaktı.

Yöntem: Bu çalışmaya 32 (18K/14E) yanık yaralanması olan çocuk ve anneleri dahil edildi. Çocukların ve annelerin demografik
bilgileri ve yanık yaralanmasına ilişkin veriler kaydedildi. Çocuğun aileye olan yükü Aile Etki Ölçeği ile, annelerin kaygı düzeyleri
Durumluk Sürekli Kaygı Ölçeği ile, çocukların yaralanma bölgesinde oluşan hipertrofik skar kalitesi Hasta ve Gözlemci Skar
Değerlendirme Ölçeği ile, eklemlerin hareket açıklığı ise gonyometre ile değerlendirildi.

Bulgular: Çoklu doğrusal regresyon analiz sonuçlarına göre, annenin kaygı düzeyinin, hipertrofik skarın kalitesinin, bası giysisi
varlığının, yaralanma sonrası geçen sürenin, toplam yanık yüzey alanının (TYYA), herhangi bir eklemin/üst ekstremite ekleminin
eklem hareket açıklığında limitasyon olmasının ve cerrahi sayısının Aile Etki Ölçeği için anlamlı belirleyicileri olduğu bulundu
(p˂0,05).

Sonuç: Annenin yüksek kaygı düzeyine sahip olması, kötüleşmiş hipertrofik skar kalitesi, tedavide bası giysisi kullanımı,
eklemlerde limitasyon varlığı ve yanık sonrası geçen süredeki, cerrahi sayısındaki ve TYYA’ndaki artış çocuğun aileye olan
yükünü artırmaktadır. Yanık tedavi uygulamalarında, çocuk ve aile bütüncül değerlendirilerek yanık öyküsünün aileye olan
yükünü azaltacak yaklaşımlar seçilmesi önerilir.

Supporting Institution

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Project Number

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Thanks

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References

  • 1. Sveen J, Sjöberg F, Öster C. Health-related quality of life in Swedish pediatric burn patients and associations with burn and family characteristics. Burns. 2014;40:987-994.
  • 2. McGarry S, Girdler S, McDonald A, et al. Paediatric medical trauma: The impact on parents of burn survivors. Burns. 2013;39:1114-1121.
  • 3. Andrews N, Jones LL, Moiemen N, et al. Below the surface: Parents' views on the factors that influence treatment adherence in paediatric burn scar management - A qualitative study. Burns. 2018;44:626-635.
  • 4. Brown EA, De Young A, Kimble R, et al. Impact of Parental Acute Psychological Distress on Young Child Pain-Related Behavior Through Differences in Parenting Behavior During Pediatric Burn Wound Care. J Clin Psychol Med Settings. 2019;26:516-529.
  • 5. Egberts MR, Engelhard IM, Schoot RV, et al. Mothers' emotions after pediatric burn injury: Longitudinal associations with posttraumatic stress and depressive symptoms 18 months postburn. J Affect Disord. 2020;263:463-471.
  • 6. Johnson RM, Richard R. Partial-thickness burns: identification and management. Adv Skin Wound Care. 2003;16:178-187.
  • 7. Seyyah M, Yurdalan SU. Cultural adaptation and validation of patient and observer scar assessment scale for Turkish use. Burns. 2018;44:1352-1356.
  • 8. Draaijers LJ, Tempelman FR, Botman YA, et al. The patient and observer scar assessment scale: a reliable and feasible tool for scar evaluation. Plast Reconstr Surg. 2004;113:1960-1967.
  • 9. Norkin CC, White DJ. Measurement of Joint Motion: A Guide to Goniometry. Philadelphia: F.A. Davis Company; 2003.
  • 10. Özkal Ö, Seyyah M, Topuz S, et al. Lower limb functional status and its determinants in moderate/major burns 3-6 months following injury: A two-center observational study. Burns. 47:676-683.
  • 11. Lensing J, Wibbenmeyer L, Liao J, et al. Demographic and Burn Injury-Specific Variables Associated with Limited Joint Mobility at Discharge in a Multicenter Study. Burn Care Res. 2020;41:363-370.
  • 12. Stein RE, Jessop DJ. The impact on family scale revisited: further psychometric data. J Dev Behav Pediatr. 2003;24:9-16.
  • 13. Bek N, Simsek IE, Erel S, et al. Turkish version of impact on family scale: a study of reliability and validity. Health Qual Life Outcomes. 2009;7:4-7.
  • 14. Öner N, Le Compte A. Durumluk-sürekli kaygı envanteri el kitabı. Boğaziçi Üniversitesi Yayınları, İstanbul; 1985.
  • 15. Spielberger CD, Gorsuch RL, Lushene R, Vagg PR, Jacobs GA. Manual for the State-Trait Anxiety Inventory. Palo Alto/CA: Consulting Psychologists Press; 1983.
  • 16. Çankaya Ö, Kerem-Günel M. Okul çağı serebral palsili çocuklarda kişisel faktörler, günlük aktivite performansı ve aileye olan etkinin karşılaştırılması. J Exerc Ther Rehabil. 2020;7:213-220.
  • 17. Fırat T, Oskay D, Akel BS, et al. Impact of obstetrical brachial plexus injury on parents. Pediatr Int. 2012;54:881-884.
  • 18. Yılmaz O, Yıldırım SA, Öksüz Ç, et al. Mothers’ depression and health-related quality of life in neuromuscular diseases: role of functional independence level of the children. Pediatr. Int. 2010;52:648-652.
  • 19. Vardar-Yağlı N, Sağlam M, İnal-İnce D, et al. Hospitalization of children with cystic fibrosis adversely affects mothers’ physical activity, sleep quality, and psychological status. J Child Fam Stud. 2017:26;800-809.
  • 20. Kidd LR, Nguyen DQ, Lyons SC, et al. Following up the follow up - long-term complications in paediatric burns. Burns. 2013;39:55-60.
  • 21. van der Wal MB, Vloemans JF, Tuinebreijer WE, et al. Outcome after burns: an observational study on burn scar maturation and predictors for severe scarring. Wound Repair Regen. 2012;20:676-687.
  • 22. Spanholtz TA, Theodorou P, Amini P, et al. Severe burn injuries: acute and long-term treatment. Dtsch Arztebl Int. 2009;106:607-613.
  • 23. Krishnamoorthy V, Ramaiah R, Bhananker SM. Pediatric burn injuries. Int J Crit Illn Inj Sci. 2012;2:128-134.
  • 24. Shah AR, Liao LF. Pediatric Burn Care: Unique Considerations in Management. Clin Plast Surg. 2017;44:603-610.
  • 25. Young AW, Dewey WS, King BT. Rehabilitation of Burn Injuries: An Update. Phys Med Rehabil Clin N Am. 2019;30:111-132.
  • 26. Lozano E, Potterton J. The use of xbox kinectTM in a pediatric burns unit. South Afr J Physiother. 2018;74:1-7.

Investigation of the factors affecting family burden in pediatric burn injuries

Year 2021, Volume: 8 Issue: 3, 229 - 237, 31.12.2021
https://doi.org/10.15437/jetr.885686

Abstract

Purpose: In pediatric burns, prolonged treatment processes can be psychosocially challenging for mothers who take the role of
caregivers. The aim of this study was to investigate the factors affecting family burden in pediatric burn injuries.

Methods: Thirty-two (18F/14M) children with burn injuries and their mothers were included in this study. The demographic data
of the children and mothers and the data regarding burn injury were recorded. The burden of the child on family, anxiety levels
of the mothers, hypertrophic scar quality and the range of motion (ROM) at the joints were evaluated with the Family Impact
Scale (FIS), State Trait Anxiety Scale, Patient and Observer Scar Assessment Scale and a goniometer, respectively.

Results: According to multiple linear regression analysis results, mothers ‘anxiety level, quality of hypertrophic scar, presence
of pressure garment, time since injury, total burn surface area (TBSA), limitation in any of the joint/upper limb joint ROMs and
number of operations were found to be significant determinants for FIS (p˂0.05).

Conclusion: The mother's high anxiety level, poor hypertrophic scar quality, the use of compression garments in the treatment,
presence of limitation in the joints and increase in the time since injury, number of surgeries, and the TBSA increase the burden
of the child on family. In burn treatment practices, it is recommended to choose approaches that will reduce the burden of the
burn history on the family by evaluating the child and family as a holistic approach.

Project Number

Yok

References

  • 1. Sveen J, Sjöberg F, Öster C. Health-related quality of life in Swedish pediatric burn patients and associations with burn and family characteristics. Burns. 2014;40:987-994.
  • 2. McGarry S, Girdler S, McDonald A, et al. Paediatric medical trauma: The impact on parents of burn survivors. Burns. 2013;39:1114-1121.
  • 3. Andrews N, Jones LL, Moiemen N, et al. Below the surface: Parents' views on the factors that influence treatment adherence in paediatric burn scar management - A qualitative study. Burns. 2018;44:626-635.
  • 4. Brown EA, De Young A, Kimble R, et al. Impact of Parental Acute Psychological Distress on Young Child Pain-Related Behavior Through Differences in Parenting Behavior During Pediatric Burn Wound Care. J Clin Psychol Med Settings. 2019;26:516-529.
  • 5. Egberts MR, Engelhard IM, Schoot RV, et al. Mothers' emotions after pediatric burn injury: Longitudinal associations with posttraumatic stress and depressive symptoms 18 months postburn. J Affect Disord. 2020;263:463-471.
  • 6. Johnson RM, Richard R. Partial-thickness burns: identification and management. Adv Skin Wound Care. 2003;16:178-187.
  • 7. Seyyah M, Yurdalan SU. Cultural adaptation and validation of patient and observer scar assessment scale for Turkish use. Burns. 2018;44:1352-1356.
  • 8. Draaijers LJ, Tempelman FR, Botman YA, et al. The patient and observer scar assessment scale: a reliable and feasible tool for scar evaluation. Plast Reconstr Surg. 2004;113:1960-1967.
  • 9. Norkin CC, White DJ. Measurement of Joint Motion: A Guide to Goniometry. Philadelphia: F.A. Davis Company; 2003.
  • 10. Özkal Ö, Seyyah M, Topuz S, et al. Lower limb functional status and its determinants in moderate/major burns 3-6 months following injury: A two-center observational study. Burns. 47:676-683.
  • 11. Lensing J, Wibbenmeyer L, Liao J, et al. Demographic and Burn Injury-Specific Variables Associated with Limited Joint Mobility at Discharge in a Multicenter Study. Burn Care Res. 2020;41:363-370.
  • 12. Stein RE, Jessop DJ. The impact on family scale revisited: further psychometric data. J Dev Behav Pediatr. 2003;24:9-16.
  • 13. Bek N, Simsek IE, Erel S, et al. Turkish version of impact on family scale: a study of reliability and validity. Health Qual Life Outcomes. 2009;7:4-7.
  • 14. Öner N, Le Compte A. Durumluk-sürekli kaygı envanteri el kitabı. Boğaziçi Üniversitesi Yayınları, İstanbul; 1985.
  • 15. Spielberger CD, Gorsuch RL, Lushene R, Vagg PR, Jacobs GA. Manual for the State-Trait Anxiety Inventory. Palo Alto/CA: Consulting Psychologists Press; 1983.
  • 16. Çankaya Ö, Kerem-Günel M. Okul çağı serebral palsili çocuklarda kişisel faktörler, günlük aktivite performansı ve aileye olan etkinin karşılaştırılması. J Exerc Ther Rehabil. 2020;7:213-220.
  • 17. Fırat T, Oskay D, Akel BS, et al. Impact of obstetrical brachial plexus injury on parents. Pediatr Int. 2012;54:881-884.
  • 18. Yılmaz O, Yıldırım SA, Öksüz Ç, et al. Mothers’ depression and health-related quality of life in neuromuscular diseases: role of functional independence level of the children. Pediatr. Int. 2010;52:648-652.
  • 19. Vardar-Yağlı N, Sağlam M, İnal-İnce D, et al. Hospitalization of children with cystic fibrosis adversely affects mothers’ physical activity, sleep quality, and psychological status. J Child Fam Stud. 2017:26;800-809.
  • 20. Kidd LR, Nguyen DQ, Lyons SC, et al. Following up the follow up - long-term complications in paediatric burns. Burns. 2013;39:55-60.
  • 21. van der Wal MB, Vloemans JF, Tuinebreijer WE, et al. Outcome after burns: an observational study on burn scar maturation and predictors for severe scarring. Wound Repair Regen. 2012;20:676-687.
  • 22. Spanholtz TA, Theodorou P, Amini P, et al. Severe burn injuries: acute and long-term treatment. Dtsch Arztebl Int. 2009;106:607-613.
  • 23. Krishnamoorthy V, Ramaiah R, Bhananker SM. Pediatric burn injuries. Int J Crit Illn Inj Sci. 2012;2:128-134.
  • 24. Shah AR, Liao LF. Pediatric Burn Care: Unique Considerations in Management. Clin Plast Surg. 2017;44:603-610.
  • 25. Young AW, Dewey WS, King BT. Rehabilitation of Burn Injuries: An Update. Phys Med Rehabil Clin N Am. 2019;30:111-132.
  • 26. Lozano E, Potterton J. The use of xbox kinectTM in a pediatric burns unit. South Afr J Physiother. 2018;74:1-7.
There are 26 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Articles
Authors

Özden Özkal 0000-0002-8826-9930

Damlagül Aydin Özcan 0000-0001-6026-0144

Güllü Aydın 0000-0003-1658-7697

Semra Topuz 0000-0002-9090-3937

Ali Konan This is me 0000-0001-8470-6534

Project Number Yok
Publication Date December 31, 2021
Submission Date February 24, 2021
Published in Issue Year 2021 Volume: 8 Issue: 3

Cite

Vancouver Özkal Ö, Aydin Özcan D, Aydın G, Topuz S, Konan A. Pediatrik yanık yaralanmalarında aile yükünü etkileyen faktörlerin incelenmesi. JETR. 2021;8(3):229-37.