Coping Strategies Adopted by Patients Sustaining Major Burns
DOI:
https://doi.org/10.51253/pafmj.v73i6.8473Keywords:
Burns, coping, Deep dermal burns, Exploratory study, StrategiesAbstract
Objective: To explore the various coping strategies used by patients sustaining major burns.
Study Design: Qualitative, exploratory study.
Place and Duration of Study: Department of Plastic and Reconstructive Surgery, Combined Military Hospital, Rawalpindi
Pakistan, from Jan to Jun 2021.
Methodology: A total of 15 patients were selected who had been admitted to CMH Rawalpindi after sustaining 20-45% total body surface area deep dermal or full thickness burns requiring operative intervention. Semi-structured interviews
comprising eleven questions were conducted, and the strategies which these patients used to cope with different
psychological issues post-major burns were identified. Subthemes and themes were identified, and the data was analyzed by manual thematic analysis.
Results: Eight coping strategies were identified: help from religion, support from family and friends, use of recreational
activities, getting out of the house, doing exercise, getting back into a routine, the role of doctors and the use of the internet.
Conclusion: Solace from religion and support from family and friends were the most widely used coping strategies in our
setup. Getting back to routine helped them feel normal. Relaxation techniques and exercise were helpful but infrequently
used. Social media and the internet were used as a diversion and recreational tool. None of our patients went for
psychological counselling or group therapy sessions or used anxiolytics or antidepressants, which are an important part of
treatment in the West.
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References
Duke JM, Randall SM, Vetrichevvel TP, McGarry S, Boyd JH, ReaS, et al. Long-term mental health outcomes after unintentionalburns sustained during childhood: a retrospective cohort study.Burns Trauma 2018: 6:32.https://doi.org/10.1186/s41038-018-0134-z.
Sadeghi-Bazargani H, Maghsoudi H, Soudmand-Niri M,Ranjbar F, Mashadi-Abdollahi H. Stress disorder and PTSD after
burn injuries: a prospective study of predictors of PTSD at Sina Burn Center, Iran. Neuropsychiatr Dis Treat 2011; 7(1): 425-429.
Rouzfarakh M, Deldar K, Froutan R, Ahmadabadi A, MazlomSR. The effect of rehabilitation education through social media
on the quality of life in burn patients: a randomized, controlled,clinical trial. BMC Med Inform Decis Mak 2021; 21(1): 70.
https://doi.org/10.1186/s12911-021-01421-0.
Lodha P, Shah B, Karia S, De Sousa A. Post-Traumatic StressDisorder (PTSD) Following Burn Injuries: A Comprehensive
Clinical Review. Ann Burns Fire Disasters 2020; 33(4): 276-287.
Van Niekerk A, Jacobs R, Hornsby N, Singh-Adriaanse R,Sengoelge M, Laflamme L. Enablers of psychosocial recovery in
pediatric burns: perspectives from the children, parents and burnrecovery support staff. BMC Pediatr 2020; 20(1): 289.
https://doi.org/10.1186/s12887-020-02180-z.
Bras M, Loncar Z, Brajković L, Gregurek R, Micković V. Copingwith severe burns in the early stage after burn injury. Coll
Antropol 2007; 31(1): 159-163.
Jibeen T, Mahfooz M, Fatima S. Spiritual Transcendence andPsychological Adjustment: The Moderating Role of Personality
in Burn Patients. J Relig Health 2018; 57(5): 1618-1633.https://doi.org/10.1007/s10943-017-0484-z.
Hefferon K, Grealy M, Mutrie N. Transforming from cocoon tobutterfly: The potential role of the body in the process of
posttraumatic growth. J Humanist Psychol 2010; 50(2): 224–247.
Cen Y, Chai J, Chen H, Chen J, Guo G, Han C, et al. Guidelinesfor burn rehabilitation in China. Burns Trauma 2015: 3: 20.
https://doi.org/10.1186/s41038-015-0019-3.
Bosmans MW, Hofland HW, De Jong AE, Van Loey NE. Copingwith burns: the role of coping self-efficacy in the recovery fromtraumatic stress following burn injuries. J Behav Med 2015; 38(4):642-651. https://doi.org/10.1007/s10865-015-9638-1.
Kornhaber R, Bridgman H, McLean L, Vandervord J. The role ofresilience in the recovery of the burn-injured patient: an
integrative review. Chronic Wound Care Manag Res 2016; 41.https://doi.org/10.2147/CWCMR.S94618.
Rivas E, Tran J, Gutierrez IL, Chapa M, Herndon DN, Suman OE.Rehabilitation Exercise Increases Physical Activity Levels in
Severely Burned Children While Improving Aerobic ExerciseCapacity and Strength. J Burn Care Res 2018; 39(6): 881-886.
https://doi.org/10.1093/jbcr/irx045.
Mamashli L, Mohaddes Ardebili F, Najafi Ghezeljeh T, Manafi F,Bozorgnejad M. Investigating the psychosocial empowermentinterventions through multimedia education in burn patients.World J Plast Surg. 2019; 8(3): 372-381.https://doi.org/10.29252/wjps.8.3.372.
Prensner JD, Yowler CJ, Smith LF, Steele AL, Fratianne RB.Music therapy for assistance with pain and anxiety management
in burn treatment. J Burn Care Rehabil 2001; 22(1): 83–88.
Kwaah CY, Essilfie G. Stress and coping strategies among distance education students at the University of Cape Coast,
Ghana. Turkish Online J Distance Educ 2017; 18(3): 120–134.
Fauerbach JA, Heinberg LJ, Lawrence JW, Bryant AG, Richter L, Spence RJ, et al. Coping with body image changes following a disfiguring burn injury. Health Psychol 2002 ;21(2):115-121.
Lavrentieva A, Depetris N, Rodini I. Analgesia, sedation and arousal status in burn patients: the gap between recommendations and current practices. Ann Burns Fire Disasters 2017; 30(2): 135-142.
Wu J, Zhai J, Liu GX. Coping strategies of eight patients with significant burn injury. J Burn Care Res 2009; 30(5): 889-893.
https://doi.org/10.1097/BCR.0b013e3181b48773.
Sirancova K, Raudenska J, Zajicek R, Dolezal D, Javurkova A. Psychological Aspects in Early Adjustment After Severe Burn
Injury. J Burn Care Res 2022; 43(1): 9-15. https://doi.org/10.1093/jbcr/irab038.
Tehranineshat B, Rakhshan M, Torabizadeh C, Fararouei M,Gillespie M. The dignity of burn patients: a qualitative
descriptive study of nurses, family caregivers, and patients. BMCNurs 2021; 20(1): 205.https://doi.org/10.1186/s12912-021-00725-w.
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