Biopsychosocial factors that interfere in the rehabilitation of burn victims: integrative literature review

Abstract

were searched in databases Scielo, Pubmed and Lilacs, resulting in 982 articles, of which 45 were selected, after the analysis and categorization processes. Most studies were descriptive and qualitative. The most frequently associated factors to the rehabilitation process were: mental health state before the accident, coping strategies and family support, besides the severity of the burn and the total body surface area burned. The quality of the selected studies, most classified as evidence level VI, shows the scarce production of strong evidences in this knowledge area, which needs more investment, considering the important implications of the sequelae of burns in the social reintegration of these people. Factores biopsicosociales que interfieren en la rehabilitación de víctimas de quemaduras: revisión integradora de la literaturaEste estudio tuvo como objetivo identificar los factores biopsicosociales que influyen en la rehabilitación de víctimas de quemaduras, por medio de una revisión integradora de la literatura, en el período de enero de 1.987 a enero de 2.007. A partir de la búsqueda de los artículos en las bases de datos Scielo, Pubmed y Lilacs, se obtuvieron 982 artículos, de los cuales 45 fueron seleccionados. La mayor parte de los estudios era del tipo descriptivo y cualitativo. Los factores más frecuentemente asociados al proceso de rehabilitación fueron: estado de salud mental previo al accidente, estrategias de enfrentamiento y apoyo de la familia, además de la gravedad de la quemadura y de la superficie corporal quemada. La calidad de los estudios, en la mayoría clasificados con nivel de evidencia VI, llaman la atención para la escasa producción de evidencias fuertes en esta área del conocimiento, que necesita mayores inversiones, considerando las importantes implicaciones de las secuelas de la quemadura en la reintegración social de esas personas.

Recovery of lost face of burn patients, perceived changes, and coping strategies in the rehabilitation stage

“…The severity of the burn has been identified as a primary indicator of poor adjustment and quality of life [18,29]. Burn survivors (N = 15) at 1-70 months (average 13 months) from the burn incident, with an average of 36.9% (4-75%) total body surface area (TBSA), were enrolled in this study.…”

Acquired Facial Disfigurement: A Brief Narrative Review

“…Estes indivíduos são submetidos a repetidas agressões visuais e verbais, intrusão/invasão da sua privacidade, pena, desgosto, podendo gerar vergonha, impotência, raiva, humilhação, ansiedade, depressão, comportamento regressivo (Alvi, Assad, Aurangzed & Malik, 2009;Castana et al 2008;Gonçalves, Echevarria-Guanilo, De Carvalho, Miasso & Rossi, 2011;Tagkalakis & Demiri, 2009), perturbações do sono, medo, dor, fobias (Shan, Hafeez & Mehmood, 2010;Smith, et al, 2006) e podem desenvolver perturbações psiquiátricas (Alvi, Assad, Aurangzed & Malik, 2009).…”

“…O ajustamento às queimaduras são um processo complexo e multifacetado que ocorre ao longo do tempo, envolvendo uma combinação de fatores sociais, características intrínsecas ao indivíduo (personalidade, resiliência e otimismo), localização da queimadura, tipo de intervenção cirúrgica e a perceção que o indivíduo tem do grau de severidade perante os outros (Rumsey & Hardcourt, 2005;Gonçalves et al 2011;Thombs, et al 2008), tornando as necessidades do doente queimado difíceis de compreender (Smith, Smith & Rainey, 2006). O impacto biopsicossocial no indivíduo com queimadura grave inicia-se no momento da lesão e estende-se ao longo de toda a vida (Alvi, Assad, Aurangzed & Malik, 2009;Shan, Hafeez & Mehmood, 2010).…”

The Effect of Music Therapy on Perceived Pain, Mental Health, Vital Signs, and Medication Usage of Burn Patients Hospitalized in the Intensive Care Unit: A Randomized Controlled Feasibility Study Protocol

“…The International Association for the Study of Pain (IASP) defines pain as "an unpleasant sensory or emotional experience associated with actual or potential tissue damage, or described in terms of such damage" and concludes that "pain is always subjective" (10). Consequently, biopsychosocial models in treating pain in burn patients have been put forward (11,12). Additionally, there are also psychological challenges that burn patients must face, such as elevated levels of anxiety, stress, depression, insomnia, and changes in body identity (13).…”

“…The International Association for the Study of Pain (IASP) defines pain as “an unpleasant sensory or emotional experience associated with actual or potential tissue damage, or described in terms of such damage” and concludes that "pain is always subjective” ( 10 ). Consequently, biopsychosocial models in treating pain in burn patients have been put forward ( 11 , 12 ).…”