The Impact of Remodeling Psychological Status on Prognosis of Major Burns Patients

Document Type : Original Article

Authors

1 The Department of Plastic, Reconstructive & Burn Surgery, Faculty of Medicine, Menoufia University

2 Psychiatry Department, Faculty of Medicine, Fayoum University

Abstract

Background: Psychological distress among people who
have severe burns is common. The time taken for burn wounds
to heal cannot be fully explained by physical factors, such as
wound size and depth. A growing body of evidence indicates
that psychological factors impact the wound healing process.
Patients and Methods: Hospital based cross sectional
survey at burn unit, Menoufia University Hospital, Egypt and
Astoon general hospital, Alkhobar, Kingdom of Saudi Arabia
within the period of 2 years (2015-2017). The study included
45 patients of four different nationalities (Egyptian, Saudi,
Philippine's and Indian patients). Psychological distress as
depression and anxiety were assessed using the Hospital
Anxiety and Depression Scale in these patients to show if
patient has psychological distress or not.
Results: Psychological distress was common in burn
patients. It was observed that before psychological intervention,
females complained of psychological disorders than males.
But after psychological intervention, the response improvement
in psychological status in females was better than males.
Psychological disorders were high in all age groups. While,
after psychological intervention, the response and improvement
in the psychological status was better in the young and middle
ages than in old ages. Also, it was found that after psychological
interventions, burn patients with low psychological distress
stayed for a shorter duration at hospital with less surgical
intervention than those with psychological distress.
Conclusion: Psychological intervention to severe burn
patients during inpatient hospitalization has good impact on
psychological state of these patients and decrease the duration
of hospital stay and wound healing.

Keywords

Main Subjects

References

1- Broadbent E. and Koschwanez H.E.: The psychology of
wound healing. Curr. Opin. Psychiatry, 25 (2): 135-140,
2012.
2- Wisley J.A. and Tarrier N.A.: A survey examining the
need for psychological input in a follow up service for
burn injured patients. Burns, 27 (8): 801-7, 2001.
3- Zigmond A.S. and Snaith R.P.: The hospital anxiety and
depression scale. Acta. Psychiatr. Scand, 67 (6): 361-370,
1983.
4- Terkawi A.S., Tsang S., AlKahtani G.J., Al-Mousa S.H.,
Al Musaed S., AlZoraigi U.S., Alasfar E.M., Doais K.S.,
Abdulrahman A. and Altirkawi K.A.: Development and
validation of Arabic version of the Hospital Anxiety and
Depression Scale. Saudi J. Anaesth., 11 (Suppl 1): S11-
S18, 2017.
5- Blakeney P., Rosenberg L., Rosenberg M. and Faber A.W.:
Psychosocial care of persons with burn injuries. Worldburn.
org Documents, 2001.
6- Watkins P.N., Cook E.L., May S.R. and Ehleben C.M.:
Psychological Stages in Adaptation Following Burn Injury:
A Method for Facilitating Psychological Recovery of
Burn Victims. J. Burn Care Rehabil, 9 (4): 376-84, 1988.
7- Haynes B.W., Jr. and Bright R.: Burn Coma: A Syndrome
Associated With Severe Burn Wound Infection. J. Trauma,
7 (3): 464-75, 1967.
8- Walburn J., Vedhara K., Hankins M., et al.: Psychological
stress and wound healing in humans: A systematic review
and meta-analysis. J. Psychosom, 67: 253-71, 2009.
9- Tarrier N., Gregg L., Edwards J. and Dunn K.: The influence
of pre existing psychiatric illness on recovery in
burn injury patients: The impact of psychosis and depression.
Burns, 31 (1): 171-80, 2005.
10- Wisely J.A., Wilson E., Duncan R.T. and Tarrier N.: Preexisting
psychiatric disorders, psychological reactions to
stress and recovery of burn survivors. Burns, 36 (2): 183-
91, 2010.
Egypt, J. Plast. Reconstr. Surg., April 2020 317
11- Fauerbach J.A., Lezotto D. and Hills R.A.: Burden of
burn: A non-based inquiry into the influence of burn size
and distresson recovery of physical and psychosocial
function. J. Burn Care Rehabilition, 26: 21-32, 2005.
12- Glaser R. and Kiecolt-Glaser J.K.: Stress-induced immune
dysfunction: Implication of health. Nat. Rev. Immun., 5
(3): 243-251, 2005.
13- Bosch A.J., Engeland C.G., Cacioppo J.T. and Marucha
P.T.: Depressive symptoms predict mucosal wound healing,
Psycosom Med., 69 (7): 597-605, 2007.
14- Gouin J.P., Carter C.S. and Pournajafi-Nazarloo H.: Martial
Behavior, oxytocin, vasopressin and wound healing.
Psychoneuroendocrinology, 35 (7): 1082-90, 2010.
15- Orr D.A., Reznikoff M. and Smith G.M.: Body image,
self-esteem, and depression in burn-injured adolescents
and young adults, Journal of Burn Care and Rehabilitation,
Vol. 10 (pg. 454-461), 1989.
16- Landolt M. A., Grubenmann S. and Meuli M.: Family
impact greatest: Predictors of quality of life and psychological
adjustment in pediatric burn survivors, Journal of
trauma injury, infection, and Critical Care, Vol. 53 (pg.
1146-1151), 2002.
17- Sawyer M.G., Minde K. and Zuker R.: The burned child
scarred for life?: A study of the psychosocial impact of
a burn injury at different developmental stages. Burns.
Jan., 1; 9 (3): 205-13, 1983.
18- Tyack Z.F. and Ziviani J.: What influences the functional
outcome of children at 6 months post-burn? , Burns. Aug.,
1; 29 (5): 433-44, 2003.
19- Abdullah A., Blakeney P., Hunt R., Broemeling L., Phillips
L., Herndon D.N. and Robson M.C.: Visible scars and
self-esteem in pediatric patients with burns. The Journal
of burn care & rehabilitation. Mar., 1; 15 (2): 164-8, 1994.
20- Campbell J.L., La Clave L.J. and Brack G.: Clinical
depression in pediatric burn patients, Burns, Vol. 13 (pg.
213-217), 1987.
21- Padgett D.A. and Glaser R.: How stress influences immune
response. Trends Immunol., 24 (8): 444-8, 2003.
The Egyptian Journal of Plastic and Reconstructive Surgery
Volume 44, Issue 2
April 2020
Pages 311-317

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