Scars, burns & healing最新文献

{"title":"A mixed methods evaluation of medical tattooing for people who have experienced a burn injury.","authors":"Rebecca Yeates, Ezinna Rospigliosi, Andrew R Thompson","doi":"10.1177/2059513118784721","DOIUrl":"10.1177/2059513118784721","url":null,"abstract":"Introduction: There are no existing studies examining the psychological merits of using facial medical tattooing (MT) following burn injury. This study evaluated an MT service supported by The Katie Piper Foundation. It examined accessibility, satisfaction and whether there were improvements in quality of life (QoL). Methods: Thirty-five service-users were invited to participate in a cross-sectional online survey. Twenty-five (71%) responded (24 women; age range = 21–64 years), and of these five (4 women; age range = 26–59 years) also participated in telephone interviews, which were analysed using descriptive thematic analysis. Findings: The service was largely considered easy to access (22/25) and convenient (25/25). Most service-users (22/25) were satisfied with the results of MT. Some areas of dissatisfaction were described, by a minority of service-users, including: the procedure being painful (1/25); the tattoo being below expectation or fading over time (3/25). The majority reported that MT had improved confidence (22/25); mood (19/25); and ability to socialise (19/25). The procedure improved some service-users’ ability to carry out essential activities (14/25) and enjoyable activities (16/25). The qualitative responses provided during interview, indicated that all respondents found the procedure useful to their adjustment, although a minority (3/5) found it painful and also commented on fading (1/5). All described MT as contributing to a sense of increased normality. Conclusions: MT had the largest impact on emotional wellbeing and interpersonal domains of QoL. MT services should now improve awareness of the procedure, lobby for further support to provide wider access to the procedure, and routinely use measures assessing psychosocial outcomes. Lay summary As part of their support ’for’ individuals who have experienced burn injuries, The Katie Piper Foundation has offered to support medical tattooing (MT), a procedure which can enhance and restore the appearance of individuals’ eyebrows, eyes and lips following a burn injury. There are no known studies examining the psychological impact of MT for individuals with burn injuries. This evaluation asked its service-users (35 people) about their levels of satisfaction with the referral and assessment procedures, the procedure itself and its results, and whether medical tattooing had led to perceived improvements in quality of life. Twenty-five people agreed to complete a survey and five people agreed to be interviewed by telephone. Almost all respondents considered the service easy to access and convenient. Staff were perceived to be warm and friendly. Most respondents were satisfied with the results. Some areas of dissatisfaction were described, by a minority of respondents, including: the procedure being painful; the tattoo being contrary to expectation or fading over time. Large proportions of respondents reported that MT had improved their confidence, mood and ability to socialise. A small ","PeriodicalId":21495,"journal":{"name":"Scars, burns & healing","volume":"4 ","pages":"2059513118784721"},"PeriodicalIF":0.0,"publicationDate":"2018-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2059513118784721","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36342951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Commentary on: Audit of healthcare professionals' attitudes towards patients who self-harm and adherence to national guidance in a UK burns and plastic surgery department.","authors":"Peter Dziewulski","doi":"10.1177/2059513118767994","DOIUrl":"10.1177/2059513118767994","url":null,"abstract":"","PeriodicalId":21495,"journal":{"name":"Scars, burns & healing","volume":"4 ","pages":"2059513118767994"},"PeriodicalIF":0.0,"publicationDate":"2018-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/22/d7/10.1177_2059513118767994.PMC5987091.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36197364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk factors for peri-traumatic distress and appearance concerns in burn-injured inpatients identified by a screening tool.","authors":"Ecaterina Oaie, Emma Piepenstock, Lisa Williams","doi":"10.1177/2059513118765294","DOIUrl":"10.1177/2059513118765294","url":null,"abstract":"<p><strong>Introduction: </strong>Psychosocial screening of burn-injured patients is a National Burn Care Guideline and is increasingly used to identify individuals most in need of support. It can also generate data that can inform our understanding of patient reported concerns following a burn injury.</p><p><strong>Method: </strong>As part of routine care, 461 patients admitted to a burns unit were screened soon after admission using a psychosocial screen designed by the service. The questionnaire included items on pre-existing social support, coping, emotional and psychological difficulties, as well as current trauma symptoms and current level of concern about changed appearance following the burn.</p><p><strong>Results: </strong>Overall, patients reported low levels of appearance concerns (mean 3.7/10) and trauma symptoms (18% reporting flashbacks) in the initial days following a burn injury. In those who did report concerns, there were some significant associations with demographic and other variables. Patients who experienced flashbacks were younger and had a larger total body surface area (TBSA) burn. Higher levels of appearance concern were associated with younger women, larger TBSA and facial burns. However, the relationships found were weak and frequently confounded by other factors.</p><p><strong>Conclusion: </strong>Overall, the findings indicate that initial trauma symptoms and appearance concerns are not inevitable in this group and there is no substitute for screening in identifying who is most at risk.</p>","PeriodicalId":21495,"journal":{"name":"Scars, burns & healing","volume":"4 ","pages":"2059513118765294"},"PeriodicalIF":0.0,"publicationDate":"2018-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/75/dd/10.1177_2059513118765294.PMC5987088.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36198268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A qualitative study of health professionals' views on using iPads to facilitate distraction during paediatric burn dressing changes.","authors":"Elizabeth Green,&nbsp;Julia Cadogan,&nbsp;Diana Harcourt","doi":"10.1177/2059513118764878","DOIUrl":"10.1177/2059513118764878","url":null,"abstract":"<p><strong>Introduction: </strong>Distraction is a non-pharmacologic pain management technique commonly used to avert a person's attention from procedural pain and distress during stressful procedures such as treatment after a burn injury. In recent years, computer tablets (such as iPads) have been used within paediatric burns services to facilitate distraction by way of apps, games, cartoons and videos during dressing changes. However, we know very little about health professionals' experiences of using them in this context.</p><p><strong>Methods: </strong>The current study explored health professionals' experiences of using iPads to facilitate distraction during paediatric burn dressing changes. Fifteen health professionals from a single paediatric burns unit were interviewed. Thematic analysis revealed two key themes: (1) the iPad is a universal panacea for distraction; and (2) trials and tribulations.</p><p><strong>Discussion: </strong>Participants considered iPads to be potentially useful and effective distraction tools, suitable for use with a wide range of patients with burn injuries including young children, adolescents and young adults. However, issues including health professionals' understandings of one another's roles, the challenge of working in a busy burns service, and lack of experience and confidence were identified as possible barriers to their use within routine burn care. Training for staff on the use of iPads as a means of facilitating distraction, development of guidelines and a review of how they are incorporated into routine burn care are recommended.</p>","PeriodicalId":21495,"journal":{"name":"Scars, burns & healing","volume":"4 ","pages":"2059513118764878"},"PeriodicalIF":0.0,"publicationDate":"2018-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2059513118764878","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36851174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Audit of healthcare professionals' attitudes towards patients who self-harm and adherence to national guidance in a UK burns and plastic surgery department.","authors":"Jessica Heyward-Chaplin, Laura Shepherd, Reza Arya, Ciaran P O'Boyle","doi":"10.1177/2059513118764100","DOIUrl":"10.1177/2059513118764100","url":null,"abstract":"<p><strong>Background: </strong>Rates of self-harm injuries are considered to be increasing. The attitudes of healthcare staff towards patients who self-harm may be negative and a small amount of research specifically investigating burns and plastic surgery healthcare professionals has recently been conducted exploring this issue. This study aimed to determine attitudes towards and adherence to national guidance by healthcare professionals in a UK burns and plastic surgery department with respect to patients who self-harm.</p><p><strong>Method: </strong>An audit questionnaire, completed in a designated Burns Unit and plastic surgery department, within a UK hospital with a major trauma centre.</p><p><strong>Results: </strong>Data were obtained from 59 healthcare professionals. The majority of responders held positive attitudes towards those who had self-harmed. However, a significant minority held negative attitudes, stating that they found it difficult to be compassionate (10%; n = 6) and believing that patients usually self-harm to get attention (9%; n = 5). One-fifth (n = 12) agreed that, on a departmental level, conservative management (as opposed to surgery) was offered more frequently for self-harm injuries compared with accidental injuries, contrary to national guidance. Awareness of national guidance in relation to self-harm injuries was markedly lacking, in only 12% (n = 7/59) and the frequency of completing relevant training was low (34%, n = 20/59).</p><p><strong>Conclusion: </strong>Education among healthcare professionals is important, to ensure adherence to best practice. The findings of this study strongly suggest that many healthcare professionals do not know the current best practice. As a result, these highly vulnerable patients may be receiving sub-optimal care, with consequentially poor outcomes.</p>","PeriodicalId":21495,"journal":{"name":"Scars, burns & healing","volume":"4 ","pages":"2059513118764100"},"PeriodicalIF":0.0,"publicationDate":"2018-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c0/93/10.1177_2059513118764100.PMC5987087.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36197359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parent-perceived isolation and barriers to psychosocial support: a qualitative study to investigate how peer support might help parents of burn-injured children.","authors":"Jennifer Heath, Heidi Williamson, Lisa Williams, Diana Harcourt","doi":"10.1177/2059513118763801","DOIUrl":"10.1177/2059513118763801","url":null,"abstract":"<p><strong>Introduction: </strong>Burn injuries can be traumatic and distressing for the affected child and family, with a prolonged period of recovery. This research explores parents' experiences of support following their child's injury and their thoughts on peer support specifically.</p><p><strong>Methods: </strong>Thirteen semi-structured interviews were conducted with parents/caregivers, a mean of three years after their child's injury, either face-to-face or remotely. Responses were analysed using thematic analysis.</p><p><strong>Results: </strong>Analysis produced four themes and 11 sub-themes. These described parents' experiences of loss, change, isolation and access to psychosocial support. This paper focuses on themes of isolation and parents' access to psychosocial support.</p><p><strong>Discussion: </strong>Findings indicate that parents access psychosocial support following their child's injury and often find it helpful; however, there is a prevailing sense of isolation. Parents often seek information online and find that this is lacking. Many parents reported that peer support would be valuable to them, particularly the sharing of experiential knowledge.</p><p><strong>Conclusion: </strong>An online resource may be beneficial for parents, but further research is needed to confirm the exploratory data gained to date, ensuring that any resource developed would meet the identified needs of parents.</p>","PeriodicalId":21495,"journal":{"name":"Scars, burns & healing","volume":"4 ","pages":"2059513118763801"},"PeriodicalIF":0.0,"publicationDate":"2018-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ba/b6/10.1177_2059513118763801.PMC5987090.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36197362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A qualitative exploration of psychosocial specialists' experiences of providing support in UK burn care services.","authors":"Ella Guest, Catrin Griffiths, Diana Harcourt","doi":"10.1177/2059513118764881","DOIUrl":"10.1177/2059513118764881","url":null,"abstract":"<p><strong>Introduction: </strong>A burn can have a significant and long-lasting psychosocial impact on a patient and their family. The National Burn Care Standards (2013) recommend psychosocial support should be available in all UK burn services; however, little is known about how it is provided. The current study aimed to explore experiences of psychosocial specialists working in UK burn care, with a focus on the challenges they experience in their role.</p><p><strong>Methods: </strong>Semi-structured telephone interviews with eight psychosocial specialists (two psychotherapists and six clinical psychologists) who worked within UK burn care explored their experiences of providing support to patients and their families.</p><p><strong>Results and discussion: </strong>Thematic analysis revealed two main themes: burn service-related experiences and challenges reflected health professionals having little time and resources to support all patients; reduced patient attendance due to them living large distances from service; psychosocial appointments being prioritised below wound-related treatments; and difficulties detecting patient needs with current outcome measures. Therapy-related experiences and challenges outlined the sociocultural and familial factors affecting engagement with support, difficulties treating patients with pre-existing mental health conditions within the burn service and individual differences in the stage at which patients are amenable to support.</p><p><strong>Conclusion: </strong>Findings provide an insight into the experiences of psychosocial specialists working in UK burn care and suggest a number of ways in which psychosocial provision in the NHS burn service could be developed.</p>","PeriodicalId":21495,"journal":{"name":"Scars, burns & healing","volume":"4 ","pages":"2059513118764881"},"PeriodicalIF":0.0,"publicationDate":"2018-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f7/66/10.1177_2059513118764881.PMC5987094.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36198269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Towards improved psychological outcomes for survivors of burn injuries.","authors":"Jennifer Heath, Laura Shepherd, Diana Harcourt","doi":"10.1177/2059513118765371","DOIUrl":"10.1177/2059513118765371","url":null,"abstract":"","PeriodicalId":21495,"journal":{"name":"Scars, burns & healing","volume":"4 ","pages":"2059513118765371"},"PeriodicalIF":0.0,"publicationDate":"2018-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b7/bd/10.1177_2059513118765371.PMC5987089.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36197360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Re-energising burns research: insights from the largest randomised trial ever undertaken in burn care.","authors":"Baljit Dheansa, Ciaran O'Boyle","doi":"10.1177/2059513118763383","DOIUrl":"10.1177/2059513118763383","url":null,"abstract":"","PeriodicalId":21495,"journal":{"name":"Scars, burns & healing","volume":"4 ","pages":"2059513118763383"},"PeriodicalIF":0.0,"publicationDate":"2018-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fe/27/10.1177_2059513118763383.PMC5987092.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36197363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Formulating a Patient Concerns Inventory specific to adult burns patients: learning from the PCI concept in other specialties.","authors":"John A G Gibson, Sally Spencer, Simon N Rogers, Kayvan Shokrollahi","doi":"10.1177/2059513118763382","DOIUrl":"10.1177/2059513118763382","url":null,"abstract":"","PeriodicalId":21495,"journal":{"name":"Scars, burns & healing","volume":"4 ","pages":"2059513118763382"},"PeriodicalIF":0.0,"publicationDate":"2018-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a4/e1/10.1177_2059513118763382.PMC5987093.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36197365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}