Parental adjustment after pediatric burn injury

Haddadi

Roshan

et al. 2023

The present study aimed to investigate haemoglobin (Hb) changes before and after packed red blood cell (RBC) transfusion in burn patients. This study was a retrospective cross‐sectional study that was conducted on burn patients in Velayat hospital in Rasht, Iran. The sampling method of this study was consecutive sampling. Data were collected using patient records, including age, gender, body mass index (BMI), total body surface area (TBSA) percentage, length of hospitalisation, Frequency of receiving packed RBCs, and Hb level before each packed RBC transfusion and 4 to 6 hours after transfusion. Paired t tests and analysis of variance (ANOVA) were used to compare the study variables. Pearson's correlation coefficient was used to investigate the relationship between Hb changes after the transfusion of packed RBCs and the study variables. A total of 110 burn patients participated in this study. The average Hb before and after transfusion was 8.07 (SD = 0.97) and 9.16 (SD = 1.01), respectively, which were significantly different (P = .0001). The results showed that there was a significant negative relationship between the variables of age (r = −0.188, P = .0001), BMI (r = −0.110, P = .035), and TBSA percentage (r = −0.122, P = .019) with changes in Hb after transfusion. Also, the duration of hospitalisation had a significant positive relationship with Hb changes after transfusion (r = 0.124, P = .017). In sum, Hb level compensation through packed RBC transfusion in elderly burn patients has more challenges. The number of changes in Hb level after receiving packed RBCs decreased with increasing TBSA, BMI, and age. Also, there was a positive correlation between the duration of hospitalisation and changes in Hb levels.

Section: Introductionmentioning

confidence: 99%

Haemoglobin changes before and after packed red blood cells transfusion in burn patients: A retrospective cross‐sectional study

Haddadi

Roshan

et al. 2023

“…There are various causes for burns, which can be mentioned, drinking coffee and tea directly from a hot pot, cooking food in hot oil, and hot water from a water heater 14 . Primary prevention plays a key role and is the best way to reduce the burden of this health issue in the community 15‐31 . Because providing first aid to injured people has a vital role in burn management, this first aid can help reduce the complications of burns 32,33 .…”

Section: Introductionmentioning

confidence: 99%

Caregivers' knowledge with burned children and related factors towards burn first aid: A systematic review

Farzan

Takasi

et al. 2023

Self Cite

This systematic review aimed to examine the caregivers' knowledge with burned children and related factors towards burn first aid. A comprehensive, systematic search was performed in different international electronic databases, such as Scopus, PubMed, Web of Science, and Persian electronic databases such as Iranmedex, and Scientific Information Database using keywords extracted from Medical Subject Headings such as “Knowledge”, “First aid”, “Caregiver”, “Burn”, and “Child” from the earliest to the December 1, 2022. The quality of the studies included in this systematic review was evaluated by using the appraisal tool for cross‐sectional studies (AXIS tool). A total of 11 763 caregivers of children with burns were enrolled in 14 studies. Of the participants, 78.81% were female and 41.15% had a university education. The mean score of caregivers' knowledge with burned children towards burn first aid was 51.44 out of 100. The knowledge of caregivers of burned children towards burn first aid had a significant positive relationship with the level of education, first aid training, age of caregivers, history of burn, number of children, monthly income, social status, and attitude. In addition, caregivers' knowledge had a significant negative relationship with the number of children. Furthermore, there was a significant relationship between caregivers' knowledge and level of education, monthly income, smoking, and previous knowledge of first aid. The level of caregivers' knowledge with burned children towards burn first aid was moderate. Therefore, health managers and policymakers can improve the knowledge of caregivers of burned children towards burn first aid by creating suitable platforms for face‐to‐face training as well as online training using websites.

“…Burn injuries are one of the leading causes of disability and death in the world 1‐15 . Burn injuries can be accompanied by physical and psychological changes such as post‐traumatic stress symptoms, depression, insomnia, and pain 16‐24 .…”

Section: Introductionmentioning

confidence: 99%

Effects of non‐pharmacological interventions on pain intensity of children with burns: A systematic review and meta‐analysis

Farzan

Haddadi

et al. 2023

Self Cite

Pain is one of the complications associated with burns, which can lead to anxiety and sleeplessness in children. Various studies evaluated the effects of non‐pharmacological interventions on burn wound care. The present study was conducted to determine the effects of non‐pharmacological interventions on pain intensity of children with burns. A comprehensive systematic search was conducted in various international electronic databases, such as Scopus, PubMed, Web of Science, and Persian electronic databases such as Iranmedex, and Scientific Information Database using keywords extracted from Medical Subject Headings such as ‘Non‐pharmacological’, ‘Virtual reality’, ‘Pain’, ‘Burn’, ‘Wound’ and ‘Child’ from the earliest to December 1, 2022. The risk of bias in the final articles was also assessed with the Version 2 of the Cochrane risk‐of‐bias tool for randomised trials (RoB 2). Finally, a total of 1005 burn patients were included in 19 studies. The age range of the patients was from 0.5 to 19 years. Of the participants, 50.05% were in the intervention group. All studies had a randomised clinical trial design. The results found that non‐pharmacological interventions significantly reduced pain intensity in children (ES: −0.73, 95% CI: −1.08 to −0.38, Z = 4.09, I2:79.8, P < .001). Virtual reality (VR) (ES: −0.54, 95% CI: −1.19 to −0.18, Z = 2.90, I2:72.9%, P = .004) and non‐VR (ES: ‐0.86, 95% CI: −1.45 to −0.27, Z = 2.86, I2:91.4%, P = .04) interventions decreased pain intensity significantly in children based sub‐group analysis. Non‐pharmacological interventions significantly reduced the pain intensity of dressing removal (ES: −0.77, 95% CI: −1.34 to −0.20, Z = 66.3, I2:91.8%, P = .008), dressing application (ES: −0.53, 95% CI: −0.97 to −0.09, Z = 2.37, I2:60.8%, P = .02), and physical therapy (ES: −1.18, 95% CI: −2.10 to −0.26, Z = 2.51, I2:88.0%, P = .01). Also, interventions reduced the pain of burn wound care (ES: −0.29, 95% CI: −1.01 to 0.44, Z = 0.78, I2:72.6%, P = .43), but it was statistically insignificant. In sum, the result of the present study indicated that using non‐pharmacological interventions significantly reduced pain intensity in children. The reduction of pain intensity was greater in non‐VR than in VR interventions. Future studies should focus on comparing VR interventions with non‐VR and single versus multi‐modal distraction to clarify the effectiveness of each.