Psychotherapeutic interventions for burns patients and the potential use with Stevens-Johnson syndrome and toxic epidermal necrolysis patients: A systematic integrative review.


Journal

PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081

Informations de publication

Date de publication:
2022
Historique:
received: 25 11 2021
accepted: 09 06 2022
entrez: 27 6 2022
pubmed: 28 6 2022
medline: 30 6 2022
Statut: epublish

Résumé

The existing evidence demonstrates that survivors of SJS/TEN have reported long-lasting psychological effects of their condition. Burns patients experience similar psychological effects. It is important to look at ways to help allay the psychological complications of SJS/TEN. As there is an absence of evidence on SJS/TEN psychotherapeutic interventions, it was judged to be beneficial to determine the evidence underpinning psychotherapeutic interventions used with burns patients. The aim of this systematic integrative review was to synthesize the evidence relating to psychotherapeutic interventions used with adult burns patients and patients with SJS/TEN. The systematic review was guided by Whittemore and Knafl's integrative review process and the PRISMA guidelines. Nine databases were searched for English and French language papers published January 2008 to January 2021. The protocol for the review was registered with PROSPERO. Following a screening process, 17 studies were included in the review. Two themes were identified using content analysis, (i) Empirically supported psychotherapeutic treatments, (ii) Alternative psychotherapeutic treatments. This review revealed no evidence on specific psychotherapeutic interventions for patients with SJS/TEN. Some of the interventions used with burns patients, viz. relaxation therapy, hypnosis and cognitive behavioral therapy showed some significant benefits. However, the evidence for burns patients is mainly focused on pain and pain anxiety as outcomes. Following further research, some of the interventions deployed in burns patients may be applicable to SJS/TEN patients, particularly stress reduction techniques. In addition, the caring behaviours such as compassion, respect, and getting to know the patient as a person are important components to psychological care.

Sections du résumé

BACKGROUND
The existing evidence demonstrates that survivors of SJS/TEN have reported long-lasting psychological effects of their condition. Burns patients experience similar psychological effects. It is important to look at ways to help allay the psychological complications of SJS/TEN. As there is an absence of evidence on SJS/TEN psychotherapeutic interventions, it was judged to be beneficial to determine the evidence underpinning psychotherapeutic interventions used with burns patients.
AIMS AND OBJECTIVES
The aim of this systematic integrative review was to synthesize the evidence relating to psychotherapeutic interventions used with adult burns patients and patients with SJS/TEN.
METHOD
The systematic review was guided by Whittemore and Knafl's integrative review process and the PRISMA guidelines. Nine databases were searched for English and French language papers published January 2008 to January 2021. The protocol for the review was registered with PROSPERO.
RESULTS
Following a screening process, 17 studies were included in the review. Two themes were identified using content analysis, (i) Empirically supported psychotherapeutic treatments, (ii) Alternative psychotherapeutic treatments. This review revealed no evidence on specific psychotherapeutic interventions for patients with SJS/TEN. Some of the interventions used with burns patients, viz. relaxation therapy, hypnosis and cognitive behavioral therapy showed some significant benefits. However, the evidence for burns patients is mainly focused on pain and pain anxiety as outcomes.
CONCLUSION
Following further research, some of the interventions deployed in burns patients may be applicable to SJS/TEN patients, particularly stress reduction techniques. In addition, the caring behaviours such as compassion, respect, and getting to know the patient as a person are important components to psychological care.

Identifiants

pubmed: 35759493
doi: 10.1371/journal.pone.0270424
pii: PONE-D-21-37340
pmc: PMC9236256
doi:

Types de publication

Journal Article Systematic Review Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0270424

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Pauline O'Reilly (P)

Department of Nursing and Midwifery, University of Limerick, Limerick, Ireland.
Health Research Institute, University of Limerick, Limerick, Ireland.
Health Implementation Science and Technology (HIST) Research Cluster, University of Limerick, Limerick, Ireland.

Pauline Meskell (P)

Department of Nursing and Midwifery, University of Limerick, Limerick, Ireland.
Health Research Institute, University of Limerick, Limerick, Ireland.

Barbara Whelan (B)

Department of Nursing and Midwifery, University of Limerick, Limerick, Ireland.
Health Research Institute, University of Limerick, Limerick, Ireland.

Catriona Kennedy (C)

Department of Nursing and Midwifery, University of Limerick, Limerick, Ireland.
School of Nursing, Midwifery and Paramedic Practice, Robert Gordon University, Aberdeen, Scotland.

Bart Ramsay (B)

Charles Centre for Dermatology, University Hospital Limerick, ULHG, Limerick, Ireland.
School of Medicine, University of Limerick, Limerick, Ireland.

Alice Coffey (A)

Department of Nursing and Midwifery, University of Limerick, Limerick, Ireland.
Health Research Institute, University of Limerick, Limerick, Ireland.
Health Implementation Science and Technology (HIST) Research Cluster, University of Limerick, Limerick, Ireland.

Donal G Fortune (DG)

Health Research Institute, University of Limerick, Limerick, Ireland.
Department of Psychology, University of Limerick, Limerick, Ireland.

Sarah Walsh (S)

Dermatology Department, King's College Hospital, London, United Kingdom.

Saskia Ingen-Housz-Oro (S)

Dermatology Department, AP-HP, Henri Mondor Hospital, Créteil, France.
Reference Center for Toxic Bullous Dermatoses and Severe Drug Reactions TOXIBUL, Créteil, France.
Univ Paris Est Créteil EpiDermE, Créteil, France.

Christopher B Bunker (CB)

Department of Dermatology, University College London Hospitals NHS Foundation Trust, London, United Kingdom.

Donna M Wilson (DM)

Department of Nursing and Midwifery, University of Limerick, Limerick, Ireland.
Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.

Isabelle Delaunois (I)

Regional Medical Library, University Hospital Limerick, Limerick, Ireland.

Liz Dore (L)

Glucksman Library, University of Limerick, Limerick, Ireland.

Siobhan Howard (S)

Health Research Institute, University of Limerick, Limerick, Ireland.
Department of Psychology, University of Limerick, Limerick, Ireland.

Sheila Ryan (S)

Department of Nursing and Midwifery, University of Limerick, Limerick, Ireland.
Charles Centre for Dermatology, University Hospital Limerick, ULHG, Limerick, Ireland.

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