چکیده مقاله
Background Burn injuries remain one of the most devastating forms of trauma in children, leading not only to physical morbidity but also profound and lasting psychosocial challenges. While acute burn management has been extensively studied, there is a paucity of synthesized evidence on the long-term psychosocial sequelae and effective multidisciplinary rehabilitation strategies in the pediatric population. Objectives To systematically review the available evidence on (1) psychosocial outcomes following pediatric burn injuries, and (2) rehabilitation approaches aiming to improve quality of life, social reintegration, and emotional well-being in affected children. Methods A systematic literature search was conducted in PubMed, Scopus, Web of Science, and CINAHL from inception to August 2025. Inclusion criteria: studies involving patients 18 years old with burn injuries, reporting psychosocial outcomes _x0002_6 months post-injury, and/or describing structured rehabilitation interventions. Exclusion criteria: animal studies, case reports, and studies without psychosocial outcome measures. Data extraction and risk of bias assessment (Cochrane RoB 2, ROBINS-I) were performed independently by two reviewers. A narrative synthesis was undertaken; meta-analysis was conducted when data homogeneity allowed. Results Of 1,237 identified records, 26 studies met inclusion criteria (n=3,482 children). Common long-term outcomes included anxiety, depression, post-traumatic stress symptoms, body image disturbance, and reduced school participation. Multidisciplinary rehabilitation programs- particularly those integrating psychological counseling, peer-support groups, and school reintegration plans-were associated with significant improvement in psychosocial scores (standardized mean difference range: 0.35-0.78, p 0.05). Heterogeneity in outcome measures (I_x0002_5: 62-79%) limited pooling in some domains. Evidence gaps were identified in low- and middle- income country (LMIC) settings and in trials with _x0002_6 years follow-up. Conclusions Pediatric burn injuries have substantial long-term psychosocial consequences. Structured, multi-component rehabilitation programs show promise in improving well-being and facilitating reintegration, but high-quality longitudinal RCTs are lacking 7especially in resource-limited contexts. Addressing these gaps is crucial for developing culturally sensitive, sustainable interventions.
کلیدواژهها
نویسندگان
Mehrshad Mohebifar
BSc Student in Nursing, Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Elham Salimpour
BSc in Nursing, Staff Nurse, Department of Nursing, Fajr Hospital, Marivan, Kurdistan, Iran
Reza Ghorbani
MSc Student in Wound Healing and Tissue Repair, Cardiff University, UK
Negin Hosseini
Nurse, Master student of critical care nursing, Alborz University of Medical Sciences, Karaj, Iran
شیوه ارجاع
Mohebifar, Mehrshad and Salimpour, Elham and Ghorbani, Reza and Hosseini, Negin,1404,Long-Term Psychosocial Outcomes and Rehabilitation Strategies after Pediatric Burn Injuries: A Systematic Review,37th International Congress on Pediatrics,Tehran
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مجموعه مقالات سی و هفتمین کنگره بیماری های کودکان17 مهر 1404 · تهران