A cross-sectional survey and analysis of influencing factors on the occurrence of post-burn psychological stress disorder in preschool children

Lu Xuelan; Liu Yingping; Liu Yiwei; Diao Jielin; Wang Feng; Zhong Fangyu; He Jiale; Chen Lang

doi:10.3760/cma.j.cn501225-20230731-00028

Volume 40 Issue 4

Apr. 2024

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Article Navigation > CHINESE JOURNAL OF BURNS AND WOUNDS > 2024 > 40(4): 373-379

Zhang W,Shao JM,Yang M,et al.Research advance on the effects of surface interface topographies and physicochemical properties of biomaterial on macrophages and their application in wound healing[J].Chin J Burns Wounds,2024,40(9):891-896.DOI: 10.3760/cma.j.cn501225-20231110-00190.

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Lu XL,Liu YP,Liu YW,et al.A cross-sectional survey and analysis of influencing factors on the occurrence of post-burn psychological stress disorder in preschool children[J].Chin J Burns Wounds,2024,40(4):373-379.DOI: 10.3760/cma.j.cn501225-20230731-00028.

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A cross-sectional survey and analysis of influencing factors on the occurrence of post-burn psychological stress disorder in preschool children

doi: 10.3760/cma.j.cn501225-20230731-00028

1.
Department of Plastic Surgery and Burn Surgery, Affiliated Hospital of North Sichuan Medical College, Nanchong 637002, China
2.
Department of Burns and Plastic Surgery, Suining Central Hospital, Suining 629099, China
3.
Department of Burn, Plastic and Cosmetic Surgery, Nanchong Central Hospital, Nanchong 637003, China

Funds:

The Primary Health Development Research Center of Sichuan Province Program SWFZ22-Z-06

Special Scientific Research Project on Wound Diseases (Taige) of Sichuan Medical Association 2023TG02

Nanchong City Social Science Research "14th Five-Year Plan" 2023 Project NC23B199

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Corresponding author: Chen Lang, Email: langchen@nsmc.edu.cn
Received Date: 2023-07-31

Abstract

Abstract

Objective To explore the occurrence and influencing factors of post-burn psychological stress disorder in preschool children. Methods This study was a multi-center cross-sectional survey. From January 2022 to February 2023, 85 preschool children (aged 1 to 6 years) with burns admitted to the Affiliated Hospital of North Sichuan Medical College, Nanchong Central Hospital, Suining Central Hospital, Guang'an People's Hospital, and Guangyuan Central Hospital who met the inclusion criteria were selected as respondents. A self-made general information questionnaire was used to investigate the children's general data including gender, age group, residential area, main caregiver and their education level, and family type, as well as the injury condition including cause of injury and burn severity. The Child Stress Disorders Checklist was used to investigate the occurrence of psychological stress disorder in children at 3 days to 1 month after injury, and the incidence rate was calculated. The children were classified according to their general data and injury condition, and the occurrence of psychological stress disorder in children at 3 days to 1 month after injury was recorded, and the influencing factors for post-burn psychological stress disorder in preschool children were screened. Results A total of 85 questionnaires were distributed and 85 valid questionnaires were recovered, with an effective recovery rate of 100%. Among the children, there were 45 boys and 40 girls, with most children aged 1 to 3 years. There were slightly more children in rural areas than in cities. About half of the children were mainly cared for by their parents and grandparents, respectively, and the education level of the main caregivers was mainly high school/technical secondary school. The family type was mainly core family and extended family. The main cause of injury was hydrothermal scald, and the severity of burns was mainly moderate. The incidence rate of psychological stress disorder in this group of children at 3 days to 1 month after injury was 34.12% (29/85). There were statistically significant differences in the occurrence of psychological stress disorder in children with different age groups, causes of injuries, and burn severity at 3 days to 1 month after injury (with χ ² valuesof 9.18, 7.80, and 25.47, respectively, P<0.05); there were no statistically significant differences in the occurrence of psychological stress disorder in children with different genders, residential area, main caregivers, main caregivers' education levels, or family types at 3 days to 1 month after injury ( P>0.05). Multivariate logistic regression analysis showed that age group and burn severity were independent influencing factors for the occurrence of psychological stress disorder in preschool children after burns (with odds ratios of 8.21 and 33.99, respectively, and 95% confidence intervals of 1.57-43.04 and 5.55-207.93, respectively, P<0.05), the older the child and the more severe the burn, the higher the possibility of the occurrence of psychological stress disorder. Conclusions The incidence rate of psychological stress disorder is high in preschool children after burns. Age group and burn severity are independent influencing factors for the occurrence of post-burn psychological stress disorder in this type of children.
- Burns,
- Child, preschool,
- Stress disorders, post-traumatic,
- Root cause analysis,
- Psychological stress disorder,
- Acute stress disorder

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References(28)

References

[1]	World Health Organization Burns 2023-10-13 2024-03-09 https://www.who.int/en/news-room/fact-sheets/detail/burns World Health Organization.Burns[EB/OL].(2023-10-13)[2024-03-09]. https://www.who.int/en/news-room/fact-sheets/detail/burns.
[2]	蒋薇,孟承颖,蒋智永,等.2013-2017年安徽某医院1737例小儿烧伤的预后及影响因素分析[J].中华疾病控制杂志,2020,24(1):114-117.DOI: 10.16462/j.cnki.zhjbkz.2020.01.023.
[3]	ChesterSJ,StocktonK,De YoungA,et al.Effectiveness of medical hypnosis for pain reduction and faster wound healing in pediatric acute burn injury: study protocol for a randomized controlled trial[J].Trials,2016,17(1):223.DOI: 10.1186/s13063-016-1346-9.
[4]	中国老年医学学会烧创伤分会.烧伤儿童心理康复治疗全国专家共识(2020版)[J].中华烧伤杂志,2020,36(11):987-992.DOI: 10.3760/cma.j.cn501120-20200623-00321.
[5]	KornhaberR,ChildsC,ClearyM.Experiences of guilt, shame and blame in those affected by burns: a qualitative systematic review[J].Burns,2018,44(5):1026-1039.DOI: 10.1016/j.burns.2017.11.012.
[6]	于庆,肖永强,胡晓燕,等.2723名上海市儿童看护人对小面积烧伤急救知识认知水平的横断面调查与分析[J].中华烧伤杂志,2019,35(3):198-204.DOI: 10.3760/cma.j.issn.1009-2587.2019.03.007.
[7]	NosanovLB,PrindezeNJ,SchneiderDM,et al.Prevalence and risk factors for acute stress disorder and posttraumatic stress disorder after burn injury[J].Am J Surg,2022,223(1):151-156.DOI: 10.1016/j.amjsurg.2021.07.035.
[8]	The National Child Traumatic Stress Network About child trauma 2023-10-19 https://www.nctsn.org/what-is-child-trauma/about-child-trauma The National Child Traumatic Stress Network.About child trauma[EB/OL].[2023-10-19].https://www.nctsn.org/what-is-child-trauma/about-child-trauma.
[9]	SaxeGN,StoddardF,HallE,et al.Pathways to PTSD, part I: children with burns[J].Am J Psychiatry,2005,162(7):1299-1304.DOI: 10.1176/appi.ajp.162.7.1299.
[10]	王卫平.儿科学[M].8版.北京:人民卫生出版社,2013:3-4.
[11]	American Psychiatric Association.精神障碍诊断与统计手册[M].张道龙,译.5版.北京:北京大学出版社,2015:264-266.
[12]	SaxeG,ChawlaN,StoddardF,et al.Child Stress Disorders Checklist: a measure of ASD and PTSD in children[J].J Am Acad Child Adolesc Psychiatry,2003,42(8):972-978.DOI: 10.1097/01.CHI.0000046887.27264.F3.
[13]	孔艳婷,张劲松,帅澜,等.儿童应激障碍检查表中文版的效度、信度[J].中国心理卫生杂志,2014,28(6):452-457.DOI: 10.3969/j.issn.1000-6729.2014.06.010.
[14]	程文凤,赵东旭,申传安,等.14岁以下儿童大面积烧伤的多中心流行病学调查[J].中华医学杂志,2017,97(6):462-467.DOI: 10.3760/cma.j.issn.0376-2491.2017.06.013.
[15]	WatsonP.PTSD as a public mental health priority[J].Curr Psychiatry Rep,2019,21(7):61.DOI: 10.1007/s11920-019-1032-1.
[16]	BattleDE.Diagnostic and statistical manual of mental disorders (DSM)[J].Codas,2013,25(2):191-192.DOI: 10.1590/s2317-17822013000200017.
[17]	HitchcockC,GoodallB,SharplesO,et al.Population prevalence of the posttraumatic stress disorder subtype for young children in nationwide surveys of the British general population and of children in care[J].J Am Acad Child Adolesc Psychiatry,2021,60(10):1278-1287.e3.DOI: 10.1016/j.jaac.2020.12.036.
[18]	席毛毛,雷芳,谢卫国.烧伤患儿心理康复的研究进展[J].中华烧伤杂志,2020,36(6):519-522.DOI: 10.3760/cma.j.cn501120-20190308-00095.
[19]	JordanKC,Di GennaroJL,von Saint André-von Arnim A,et al.Global trends in pediatric burn injuries and care capacity from the World Health Organization Global Burn Registry[J].Front Pediatr,2022,10:954995.DOI: 10.3389/fped.2022.954995.
[20]	陈朗,周国富,郑倩,等. 1 330例烧伤住院患儿流行病学调查[J].中华烧伤杂志,2018,34(2):111-113.DOI: 10.3760/cma.j.issn.1009-2587.2018.02.010.
[21]	何珊,左泽兰.1946例住院烧伤患儿流行病学调查[J].中华烧伤杂志,2018,34(10):696-700.DOI: 10.3760/cma.j.issn.1009-2587.2018.10.009.
[22]	NieC,WangT,YuH,et al.What're the risk factors for burned children in China? A review[J]. Advances in Social Sciences Research Journal,2018,5(6):295-299.DOI: 10.14738/assrj.56.4746.
[23]	SaxeG,StoddardF,ChawlaN,et al.Risk factors for acute stress disorder in children with burns[J].J Trauma Dissociation,2005,6(2):37-49.DOI: 10.1300/J229v06n02_05.
[24]	De YoungAC,KenardyJA,CobhamVE,et al.Prevalence, comorbidity and course of trauma reactions in young burn-injured children[J].J Child Psychol Psychiatry,2012,53(1):56-63.DOI: 10.1111/j.1469-7610.2011.02431.x.
[25]	De YoungAC,LandoltMA.PTSD in children below the age of 6 years[J].Curr Psychiatry Rep,2018,20(11):97.DOI: 10.1007/s11920-018-0966-z.
[26]	曹秀娟,周莹,虞露艳.烧伤儿童主要照顾者压力对儿童心理应激障碍的影响[J].中国妇幼保健,2022,37(23):4484-4487.DOI: 10.19829/j.zgfybj.issn.1001-4411.2022.23.040.
[27]	HeynSA,BailowitzS,RussellJD,et al.Sex-based variations of prefrontal structure and longitudinal symptoms in pediatric posttraumatic stress disorder[J].Depress Anxiety,2022,39(12):902-912.DOI: 10.1002/da.23296.
[28]	李翠莲,刘红林,刘玲,等.儿童意外伤害的危险因素分析[J].中国中西医结合儿科学,2022,14(1):53-57.DOI: 10.3969/j.issn.16743865.2022.01.014.

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A cross-sectional survey and analysis of influencing factors on the occurrence of post-burn psychological stress disorder in preschool children

doi: 10.3760/cma.j.cn501225-20230731-00028

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A cross-sectional survey and analysis of influencing factors on the occurrence of post-burn psychological stress disorder in preschool children

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