{"title":"Building resilience: A promising approach to reduce anxiety in mothers and hospitalized children with burn injuries","authors":"Maryam Shaygan , Zobeydeh Dehghan Manshadi , Fahimeh Alsadat Hosseini , Maryam Shaygan","doi":"10.1016/j.burns.2025.107374","DOIUrl":null,"url":null,"abstract":"<div><div>The psychological impact of pediatric burn injuries is profound, often resulting in elevated levels of anxiety for both children and their mothers. This quasi-experimental study was conducted to explore the effectiveness of a resilience training program aimed at reducing anxiety among mothers and their hospitalized children with burn injuries at a burn hospital in Shiraz, Iran. Fifty-six eligible mothers were initially selected through purposive sampling and assigned to either the experimental or control group in a 1:1 ratio through random assignment. The experimental group engaged in six sessions of the resilience training program. Anxiety levels were measured using the State Anxiety Inventory (SAI) and State Anxiety Inventory for Children (SAI-C) at multiple time points. Despite some dropouts, fifty mothers and their children were retained for analysis. The impact of the intervention on anxiety improvement was assessed using a Generalized Estimating Equation (GEE) model.. The results indicated that the resilience training program significantly reduced anxiety levels in both mothers and their children over time (p < .001). This reduction in anxiety persisted for five days following the completion of six sessions for mothers and six days for children (p < .05). Resilience training effectively addressed the psychological needs of mothers and their hospitalized children with burn injuries during the acute phase, significantly reducing anxiety levels and sustaining benefits for up to five days for mothers and six days for children post-intervention. While the impact of the training appeared to lessen over time, this underscores its importance in providing immediate support during a critical period. These findings suggest that resilience training is a valuable addition to clinical practice for the acute hospitalization phase, aimed at enhancing mental health and overall well-being in this vulnerable group.</div></div>","PeriodicalId":50717,"journal":{"name":"Burns","volume":"51 2","pages":"Article 107374"},"PeriodicalIF":3.2000,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Burns","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0305417925000038","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CRITICAL CARE MEDICINE","Score":null,"Total":0}
引用次数: 0
Abstract
The psychological impact of pediatric burn injuries is profound, often resulting in elevated levels of anxiety for both children and their mothers. This quasi-experimental study was conducted to explore the effectiveness of a resilience training program aimed at reducing anxiety among mothers and their hospitalized children with burn injuries at a burn hospital in Shiraz, Iran. Fifty-six eligible mothers were initially selected through purposive sampling and assigned to either the experimental or control group in a 1:1 ratio through random assignment. The experimental group engaged in six sessions of the resilience training program. Anxiety levels were measured using the State Anxiety Inventory (SAI) and State Anxiety Inventory for Children (SAI-C) at multiple time points. Despite some dropouts, fifty mothers and their children were retained for analysis. The impact of the intervention on anxiety improvement was assessed using a Generalized Estimating Equation (GEE) model.. The results indicated that the resilience training program significantly reduced anxiety levels in both mothers and their children over time (p < .001). This reduction in anxiety persisted for five days following the completion of six sessions for mothers and six days for children (p < .05). Resilience training effectively addressed the psychological needs of mothers and their hospitalized children with burn injuries during the acute phase, significantly reducing anxiety levels and sustaining benefits for up to five days for mothers and six days for children post-intervention. While the impact of the training appeared to lessen over time, this underscores its importance in providing immediate support during a critical period. These findings suggest that resilience training is a valuable addition to clinical practice for the acute hospitalization phase, aimed at enhancing mental health and overall well-being in this vulnerable group.
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.