Clinical and Psychological Sequelae in Major Post Burn Adult Survivors- A Study of 600 Cases

Abstract

Shammi Purwar1 , Shailendra Pal Singh2 , Vipin Kumar Gupta3

BACKGROUND Post burn survivors experience a series of traumatic events related to disease symptoms, functional capability, role performance, well-being, social stigmata and psychological adjustments to post burn disfigurement, although individual differences also play a key role. Almost all major post burn survivors suffer varying degrees of social and psychological disturbances. A burn injury leads to damage of tissues to varying degrees and up to varying levels. This finally leads to disfigurement and varying degrees of social withdrawal. We wanted to evaluate and analyse clinical sequelae of major burn injuries and their psychological effects in post burn adult survivors in case of major burns. METHODS We have included all patients coming to us through emergency department from September 2017 to December 2019. The patients included in this study are adult patients who suffered major burns. Patients with pre-existing psychological disorders or any post burn sequelae were not included. RESULTS In our study most of the burns were self-inflicted and were more common in females. Most commonly affected age group was 25-30 year. 70% patients were married. Psychological disturbances were also quite common as well as post burn complications. CONCLUSIONS A burn survivor is to be cared both at physical and psychological level. It is usually difficult for a burn victim to re-associate himself to the society, because of a group of emotions termed as “SCARED” i.e. Staring, Curiosity, Anguish, Recoil, Embarrassment and Dread.13 So, a holistic approach is needed towards survivors of burns and every effort should be made to re-associate them with the society. KEYWORDS Major Burn, Post Burn Psychological Disorder, Post Burn Sequelae

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