Pain Experiences in Adult Burn Survivors During Rehabilitation and Recovery: A Qualitative Systematic Review

Title
Pain Experiences in Adult Burn Survivors During Rehabilitation and Recovery: A Qualitative Systematic Review
Publication Date
2025-08-30
Author(s)
Kornhaber, Rachel
( author )
OrcID: https://orcid.org/0000-0001-6556-6775
Email: rkornhab@une.edu.au
UNE Id une-id:rkornhab
Mc Kittrick, Andrea
Rossiter, Rachel
Cleary, Michelle
( author )
OrcID: https://orcid.org/0000-0002-1453-4850
Email: mcleary6@une.edu.au
UNE Id une-id:mcleary6
Type of document
Journal Article
Language
en
Entity Type
Publication
Publisher
Oxford University Press
Place of publication
United States of America
DOI
10.1093/jbcr/iraf031
UNE publication id
une:1959.11/72602
Abstract

Despite advancements in burn care, pain persists despite multidisciplinary management efforts. This review aimed to synthesize the qualitative research that explored the impact of pain on burn survivors’ rehabilitation and recovery. In September 2023, PubMed, Cumulative Index of Nursing and Allied Health Literature, and Scopus were searched for peer-reviewed published research in English. Nineteen articles from 17 studies met the inclusion criteria. The review used Thomas and Harden’s thematic synthesis framework for qualitative research evidence. Two descriptors of pain were described, physical and psychological pain. Pain in burn survivors, both physical and psychological, was complex, intertwined, and dynamic across 3 stages: before, during, and after interventions. This was found to closely align with Cleary et al.’s trauma-informed model of care in burn settings, which emphasizes a 3-stage process, underlining that pain is not static but evolves and fluctuates, necessitating adaptive and person-centered burn care and post-treatment mental health support. Adopting a Trauma-Informed Care (TIC) approach in burn injury settings is crucial. Individuals postburn encounter varying degrees of physical and psychological pain, which for some remains persistent. Using patient-reported measures throughout recovery deepens the understanding of burn survivors’ pain, respecting their personal experiences and insights. It is essential to conduct future longitudinal research and push for a burn-specific qualitative pain assessment to address these complex needs effectively.

Link
Citation
Journal of Burn Care and Research, 46(4), p. 818-832
ISSN
1559-0488
1559-047X
Start page
818
End page
832
Rights
Attribution-NonCommercial 4.0 International

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