Abstract
Purpose
This study was conducted to identify the caring experience of the mothers of childhood burn patients.
Methods
Data were collected from 28 mothers of childhood burn patients, through semi-structured in-depth interviews. Data were categorized and coded by using content analysis.
Results
27 categories and 102 statements were drawn from 4 domains. The analyzed domains were psychological sufferings, confronted harsh reality, coping method, and future concerns. Psychological sufferings were categorized heartache, sense of guilt, confusion, regret, depression, sorriness, getting hurt, frustration and upset feeling. Confronted harsh nature were categorized economic difficulty, physical burn-out, lack of caring other children and family troubles. Coping method were categorized positive thinking, having hope, ventilating feelings, accepting the situations, demanding help from family members, changing patterns of the burned child rearing, collecting information for burn treatment, refusing accept the condition of burned child, avoiding personal and social relationship, and reliance on religion. Concerns were categorized concerns of growth and adaptation of the burned child, anxiety for scar, concerns of adapting school life and vague future concerns.
Figures and Tables
Summary Statement
▪ What is already known about this topic?
There have been reported that depression, hopelessness, and stress response symptoms were significantly prominent in mothers of child with burns.
▪ What this paper adds?
Mothers of child with burns suffer from psychological problems, economic difficulty, physical burn-out, and lack of caring other children. They use the positive coping methods such as positive thinking, having hope, ventilating feelings, accepting the situations, demanding help from family members, collecting information for burn treatment, and reliance on religion.
▪ Implications for practice, education and/or policy
Psychological problems of mothers of child with burns should be assessed and social supports for caring both burn patients and other siblings should be provided.
References
1. Adriaenssens P, Boeckx W, Gilles B, Mertens S, Nijs P, Pyck K. Impact of facial burns on the family. Scand J Plast Reconstr Surg Hand Surg. 1987. 21(3):303–305.
2. Blakeney P, Creson D. Psychological and physical trauma: Treating the whole person. J ERW Mine Action. 2002. 6:88–97.
3. Blakeney P, Portman S, Rutan R. Familial values as factors influencing long-term psychological adjustment of children after severe burn injury. J Burn Care Rehabil. 1990. 11(5):472–475.
4. Burn Plastic Surgery Center of Hallym University Medical Center. Inpatients Statistics. 2010. from http://blog.daum.net/burnplasty/158.
5. El Hamaoui Y, Yaalaoui S, Chihabeddine K, Boukind E, Moussaoui D. Depression in mothers of burned children. Arch Womens Ment Health. 2006. 9(3):117–119. http://dx.doi.org/10.1007/s00737-006-0124-1.
7. Hall E, Saxe G, Stoddard F, Kaplow J, Koenen K, Chawla N, et al. Posttraumatic stress symptoms in parents of children with acute burns. Journal of Pediatric Psychology. 2006. 31(4):403–412. http://dx.doi.org/10.1093/jpepsy/jsj016.
9. Kent L, King H, Cochrance R. Maternal and child psychological sequelae in pediatric burn injuries. Burns. 2000. 26(4):317–322. http://dx.doi.org/10.1016/S0305-4179(99)00172-2.
10. Kim SN. Study on the effect of burn camp program for the child burn survivors and their patients. 2008. Ewha Womans University: Seoul;Unpublished master's thesis.
11. Kim SW, Choi TJ. Research methodology in education. 2007. Seoul: Hakjisa.
12. Lazarus RS, Folkman S. Stress, appraisal, and coping. 1984. New York: Springer.
13. LeDoux J, Meyer WJ 3rd, Blakeney PE, Herndon DN. Relationship between parental emotional states, family environment and the behavioural adjustment of pediatric burn survivors. Burns. 1998. 24(5):425–432. http://dx.doi.org/10.1016/S0305-4179(98)00038-2.
14. Lee GS, Yom YH. Relationship between behavioral responses of children with burns and parental anxiety and depression. J Korean Acad Child Health Nurs. 2009. 15(2):155–163. http://dx.doi.org/10.4094/jkachn.2009.15.2.155.
15. Lee JM. The role of medical social worker for burn patients and family. J Korean Burn Soc. 2010-a. 13(1):10–13.
16. Lee JM. Phenomenological study on post-discharge life experiences of burn patients. 2010-b. Seoul: Chung-Ang University;Unpublished master's thesis.
17. Lee MR. A study on the family caregiver's burden of burn patients. 2006. Seoul: Kyung Hee University;Unpublished master's thesis.
18. Meyer WJ, Blakeney P, Moore P, Murphy L, Robson M, Herndon D. Parental well-being and behavioral adjustment of pediatric survivors of burns. J Burn Care Rehabil. 1994. 15(1):62–68.
19. National Emergency Management Agency. Annual statistical report of burn. 2011. Seoul: Author.
20. Oh WH, Yoon HS, Choi S, Kim HD, Park SY, Jang HJ, et al. A study on the quality of life of burn patients-Focused on the needs of medical social work service-. J Korean Burn Soc. 2003. 6(2):99–110.
21. Park SY, Oh WH, Jang HJ, Lim JW, Jo JH. A study on the family caregiver's burden of burn patients. J Korean Burn Soc. 2001. 4(2):91–108.
22. Rizzone LP, Stoddard FJ, Murphy JM, Kruger LJ. Posttraumatic stress disorder in mothers of children and adolescents with burns. J Burn Care Rehabil. 1994. 15(2):158–163.
23. Roh YS, Lee MS. Caregiver burden, provider support and educational needs in caregivers of burn patients. J Korean Burn Soc. 2007. 10(2):95–99.