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.
目的: 在于分析酸性物质攻击后的生活质量,并探讨在此之后影响日常行为的诸多因素。 设计: 整合综述。 资料来源: 2004至2017年间,在Medline、CINAHL、Embase和Psychinfo 上检索了(570篇)文章。参考链接和手工搜索产生了其他12篇文章。共审查了12篇文章。 综述方法: Whittemore and Knalf (2005) Journal of Advanced Nursing,52,546-553。 结果: 确定了五大主题;情境因素、身体创伤、心理创伤、社会创伤和法律因素,正如探讨幸存者创伤事件经历概念模型所证明的那样。 结论: 事故、烧伤本身、疤痕和眼睛损伤是影响生活质量的核心因素。在遭受酸性物质攻击后,患者发现很难重新融入社会,而且医疗、法律和社会服务之间的差异进一步阻碍了他们达到生病前的功能水平。护士们可以利用这篇综述的生物心理社会调查结果为那些遭受酸性物质攻击的患者提供有效的护理。它还为讨论和应用于其他永久性毁容病情和故意伤害提供了基础。 影响: 这篇综述发现,遭受酸性物质攻击的幸存者经历了法律、身体、心理和社会方面的问题。调查结果表明,没有一个人会有同样的经历,原因在于损伤带来的负担取决于社会文化和背景因素,而不仅仅是损伤程度。多学科服务之间的协调不足阻碍了 重新融入社会;给一些幸存者造成了永久性创伤。这篇综述可以帮助护士们了解酸性物质攻击对生活质量的影响,从而提供更为全面的护理。.
Keywords: acid assault; acid attack; acid burn; acid throwing; burns; chemical burns; integrative review; intentional violence; nursing; quality of life.
© 2019 John Wiley & Sons Ltd.