反弹:以社区为基础的运动项目对非严重烧伤儿童的社会心理益处。

IF 1.2 Q4 CRITICAL CARE MEDICINE
Dinithi Atapattu, Victoria M Shoesmith, Eva Kierath, Mark W Fear, Fiona M Wood, Lisa J Martin
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引用次数: 0

摘要

烧伤严重影响儿童的身体和心理康复,即使在非严重伤害的情况下也是如此,导致长期的健康和精神健康风险。本研究探讨了以社区为基础的运动项目对烧伤康复儿童的心理社会益处,解决了诸如焦虑、体力活动减少和社会挑战等问题。一项前测后测设计评估了为期8周的社区蹦床运动干预对儿童及其照顾者心理社会结局的影响。尽管蹦床表现有显著改善,但在MET评分、握力、BMI百分位数或心率恢复等指标上没有观察到显著或有临床意义的身体改善(p < 0.0001)。心理社会结果显示,父母报告的儿童情绪功能得到改善(PedsQL, p = 0.024),尽管儿童自我报告的情绪功能和儿童创伤后应激障碍症状量表(CPSS)得分保持不变。随着时间的推移,父母报告的孩子的优势和困难得分保持稳定,但高于多动症和情绪困难的人口标准。随着时间的推移,父母创伤后应激症状显著减少(p = 0.050),逃避(p = 0.009)、过度警惕(p = 0.007)和入侵得分(p = 0.026)也有所减少。孩子们在蹦床上的表现显著提高,而家长们则报告说他们的孩子的情绪功能得到了增强。然而,孩子们的自我报告并没有反映出这些情绪上的改善。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Bouncing Back: The Psychosocial Benefits of a Community-Based Exercise Program for Children with Non-Severe Burns.

Bouncing Back: The Psychosocial Benefits of a Community-Based Exercise Program for Children with Non-Severe Burns.

Bouncing Back: The Psychosocial Benefits of a Community-Based Exercise Program for Children with Non-Severe Burns.

Burns significantly impact children's physical and psychosocial recovery, even in cases of non-severe injuries, leading to long-term health and mental health risks. This study explores the psychosocial benefits of a community-based exercise program for children recovering from burn injuries, addressing concerns such as anxiety, reduced physical activity, and social challenges. A pre-test-post-test design assessed the effects of an 8-week community-based trampoline exercise intervention on psychosocial outcomes in children and their caregivers. No significant or clinically meaningful physical improvements were observed across measures such as MET score, grip strength, BMI percentile, or heart-rate recovery despite a significant improvement in trampolining performance (p < 0.0001). Psychosocial outcomes showed improved child emotional function (PedsQL, p = 0.024) as reported by parents, though children's self-reported emotional function and Child PTSD Symptom Scale (CPSS) scores remained unchanged. Parent-reported strengths and difficulty scores for the child remained stable over time but were higher than population norms for hyperactivity and emotional difficulty. Parental post-traumatic stress symptoms decreased significantly over time (p = 0.050), with reductions in avoidance (p = 0.009), hypervigilance (p = 0.007), and intrusion scores (p = 0.026). Children significantly improved their trampolining performance, while parents reported enhanced emotional function for their child. However, children's self-reports did not reflect these emotional improvements.

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