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EFFECTIVENESS OF PSYCHOSOCIAL INTERVENTIONS IN CHILDREN WITH BURNS AND CAREGIVERS A SYSTEMATIC REVIEW

Foteini-Christina Konstantinopoulou, Afroditi Zartaloudi, Evangelos Dousis, Michael Kourakos, Maria Polikandrioti, Georgios Vasilopoulos, Ioannis Koutelekos


Sunday, October 1, 2023

Publication year:

2023

Authors:

Keywords index:

Pages: 355-368

DOI: 10.5281/zenodo.13208435

Abstract:

Introduction: Paediatric burns are very painful and traumatic injuries. The pain management of children with burns is very poor, with the result that both children and their caregivers have increased stress and distress. Non-pharmacological psychosocial interventions have been suggested to be effective in reducing pain and psychological illness.The aim of this study was to evaluate the effectiveness of each psychosocial intervention in reducing pain and psychological trauma, distress and / or stress in children with burns and their caregivers.Methodology: It is a systematic review of the literature. The literature review was done through the Pubmed database and Google Scholar. Keywords used: Paediatric burns, Psychosocial interventions, Pain, Anxiety, Distress, Psychological trauma. Included were studies that were published in the last decade, were written in English or Greek, were performed on minor patients with burns of any degree and in any anatomical area, and were randomized and non-randomized controlled clinical trials.Results: Of the 122 references found in the literature, 10 were included. These include distraction-based techniques, hypnosis / familiar images, therapeutic approaches, and patient preparation for the procedure. Distraction techniques that incorporate preparation for the procedure reduced pain, while increased "patient control" reduced patient and caregiver stress. Online Cognitive Behavioral Therapy reduced the symptoms of post-traumatic stress disorder in the short term but not in the long term.Conclusions: The effects of psychosocial interventions on children with burns should be further investigated in other areas of health care settings.

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