2015, Number 1
<< Back Next >>
Mul Med 2015; 19 (1)
Psychological alterations in burned hospitalized patients
Fernández-Vega BFL, Puebla FI, Carrillo VL
Language: Spanish
References: 16
Page:
PDF size: 293.33 Kb.
ABSTRACT
Burns are traumatic injuries produced in a brusque way; the patients do not have time to be prepared as it occurs with the ¨elective¨ hospitalization. The present work has like a main objective to identify the more frequent psychological alterations of the patients hospitalized with burns, for this purpose it was performed a descriptive study of 62 hospitalized patients in the service of burned at Carlos M. de Cespedes Hospital in Bayamo, Granma, in the years 2012 and 2013. It was made a table with the variables: antecedents, age, sex, prognosis, cause of the injury, treatment received, as well as the psychological demonstrations suffered and referred by the patients in the evaluations performed by psychologists and psychiatrists in the cases required along with the different therapeutic ways applied. They most frequent was the combination of several psychological alterations (anxiety, fear, depression, irritability, etc.) with 27.4%. However in 51.6 % there were not comments on the emotional demonstrations, as well as the absence of assessment in some of the hospitalized patients. The greatest group of patients was under 15 years; the feminine sex prevailed, with predominance of more than a psychological alteration, with accidental injures and no psychiatric antecedents. A big amount of patients did not receive any kind of treatment.
REFERENCES
West DA, Shuck JM. Emotional problems of the severely burned patient. Surg Clin North Am. 1978; 58(6):1189-1204.
Hamburg DA, Hamburg B, Degoza S. Adaptative problems and mechanisms in severely burned patients. Psychiatry. 1953; 16(1): 1-20.
Jackson DM. The psychological effects of burns. Burns. 1974; 1(1): 70-4.
Kjaer GC. Psychiatric aspects of thermal burns. Northwest Med.1969; 68(6): 537-41.
Steiner H, Clark WR Jr. Psychiatric Complications of burned adults: A classification. J Trauma. 1977; 17(2): 134-43.
Niño García JA. Despersonalización en pacientes quemados. Rev Colomb Psiquiatr [Internet]. 2010 [citado 16 Nov 2014]; 39(1):168-77. Disponible en: http://www.redalyc.org/pdf/806/80615449012.pdf.
Johnson K, Krause J.La ansiedad psicológica después de una lesión por quemadura.[Internet].2011 [citado 16 Nov 2014]. Disponible en: http://www.msktc.org/lib/docs/burn-distress-span_bzedits.pdf.
Dalton R. Psiquiatría en la Unidad de Quemados. Manual de tratamiento en las quemaduras, un planteamiento interdisciplinario. La Habana:[s.n.];1987. p.245-24. (Edición revolucionaria)
Levenson J. Tratado de medicina psicosomática. Santiago: Ars médica; 2006. p. 665-94.
Blumenfield M, Strain J. Stanley Grossman Psychodynamic Approach. En: Psychosomatic medicine. Philadelphia: Lippincot; 2006. p. 309-38.
Seligman R. A psychiatric classification system for burned children. Am J Psychiatry. 1974; 131(1):41-6.
Breslin PW. The psychological reactions of children to burn traumata: A review. IMJ Ill Med J. 1975; 148(5):519-24.
Galdston R. The burning and healing of children. Psychiatry. 1972; 35(1):57-66.
Long RT, Cope O. Emotional problems of burned children. New Engl J Med. 1961; 264:1121-7.
Mckegney FP. The intensive care syndrome. The definition, treatment and reaction of a new “disease of medical progress.” ConnMed. 1966; 30(9):633-6.
Germán JL. Las reacciones emocionales del paciente. [Internet]. 1997 [citado 16 Nov 2014]. Disponible en: http://www.redmedica.com.mx/medicina/reacciones.html