Psychological adjustments made by postburn injury patients: an integrative literature review

Authors: Klinge, Kerry¹; Chamberlain, Diane J.²; Redden, Maurine³; King, Lindy⁴

Source: Journal of Advanced Nursing, Volume 65, Number 11, November 2009 , pp. 2274-2292(19)

Publisher: Blackwell Publishing

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Abstract:

klinge k., chamberlain d.j., redden m. & king l. (2009) Psychological adjustments made by postburn injury patients: an integrative literature review. Journal of Advanced Nursing65(11), 2274-2292. Abstract Title.

Psychological adjustments made by postburn injury patients: an integrative literature review. Aim.

This paper is a report of a review examining the variables that predispose individuals to significant psychological maladjustment following burn injury. Background.

The psychological sequelae of burn injury are well documented; however, the variables that influence individuals' adjustment following burn injury lack consideration. Data sources.

MEDLINE, Cumulative Index of Nursing and Allied Health, and Psychological Abstracts were searched using the keywords burn injury, psychological, psychosocial, rehabilitation, premorbid psychopathology, adjustment, reintegration, body image, post-traumatic stress disorder, depression, coping. Other sources were found from a manual search of nursing, medical and psychological literature and references of identified and related papers. The search strategy was limited to English-language research published between 1997 and 2008. Review methods.

An integrative review of the studies was conducted over a 6-month time period during 2007-2008. Results.

Burn patients are a heterogeneous group and typically have comorbidities. While preburn personality and coping strategies can influence long-term psychological adjustment, the relationship between postburn adjustment and burn size and severity, and gender are poorly understood. Much of the literature focuses on the prevalence of psychological maladjustment rather than on identifying variables that influence psychological adjustment. Conclusion.

The diversity and complexity that characterize burn patients lead to unique adjustment difficulties. Recognizing these difficulties is the first step to offering appropriate intervention and treatment for this unique patient group.

Keywords: burn injury; burns patients; integrative literature review; nursing; postburn adjustments

Document Type: Research article

DOI: 10.1111/j.1365-2648.2009.05138.x

Affiliations: 1: Kerry Klinge BBus BNStudent BMBS School of Nursing & Midwifery, Faculty of Health Sciences, Flinders University, Adelaide, South Australia 2: Diane J. Chamberlain MNSc MPH RNSenior Lecturer, Co-ordinator Critical Care StudiesSchool of Nursing & Midwifery, Faculty of Health Sciences, Flinders University, Adelaide, South Australia 3: Maurine Redden BN PhD Grad Cert (Critical Care)Research AssistantSchool of Nursing & Midwifery, Faculty of Health Sciences, Flinders University, Adelaide, South Australia 4: Lindy King BN (Education) PhD RNSenior Lecturer, Associate Dean (Higher Degrees Programs)School of Nursing & Midwifery, Faculty of Health Sciences, Flinders University, Adelaide, South Australia

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