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酸性物质攻击对生活质量的影响:整合综述
Author(s) -
Didcott Sarah,
Taylor Julie
Publication year - 2019
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.14021
Subject(s) - biopsychosocial model , cinahl , medicine , poison control , quality of life (healthcare) , multidisciplinary approach , injury prevention , psycinfo , suicide prevention , medline , human factors and ergonomics , everyday life , psychology , nursing , psychological intervention , medical emergency , psychiatry , social science , sociology , political science , law
Aims To analyse quality of life post vitriolage and explore factors affecting an individual's everyday functioning after an acid attack. Design Integrative review. Data Sources Articles ( N = 570) retrieved from Medline, CINAHL Embase and Psychinfo between 2004–2017. Reference chaining and hand‐searching yielded 12 further articles. A total 12 articles were reviewed. Review Methods Whittemore and Knalf (2005) Journal of Advanced Nursing, 52, 546–553. Results Five themes were identified; contextual factors, physical wounds, psychological wounds, social wounds, and legal factors, as demonstrated by a conceptual model exploring traumatic events experienced by survivors. Conclusion The event, the burn injury itself, scarring and ocular damage are core factors that impair quality of life. Patients find it difficult to reintegrate into society following the assault and discrepancies between medico‐legal and social services further prevent them from achieving their pre‐morbid level of functioning. Nurses can use the biopsychosocial findings of this review to provide effective care for those assaulted by acid. It also provides a basis of discussion and application to other permanently disfiguring conditions and intentional injuries. Impact This review has found survivors of acid assaults experience legal, physical, psychological, and social problems. Findings suggest that no single person will have the same experiences since the burden of injury is dependent on socio‐cultural and contextual factors rather than the degree of injury alone. Inadequate coordination between multidisciplinary services hinders reintegration into society; causing permanent traumatization for some survivors. This review can assist nurses in understanding how acid assaults impact on quality of life to enable more holistic care provision.