The Psychological Impact of First Burn Camp in Nicaragua.

Asociacion Pro-Ninos Quemados de Nicaragua (APROQUEN) is a comprehensive burn center that provides a holistic and integrated approach to treating burns. APROQUEN has set the standards internationally with acute treatment for burns, intensive care, reconstructive surgeries, nutritional care, rehabilitation, occupational therapy, and psychological treatment. APROQUEN is excelling within Central and South America with life-saving techniques and quality of care. It is imperative that burn centers in Central America recognize that the treatment of a child with a burn injury surpasses physical care to include psychological treatment for the complete well-being of the child. It is necessary to provide the tools necessary to reintegrate the child back into their environment. APROQUEN developed and implemented the first burn camp in Latin America, "Confio en Mi" (I trust myself). The camp theme focused on self-esteem. The camp program included theory (educational) and practice (applied) components where the campers through "classroom type" activities had the opportunity to reflect and share with other campers and camp staff on self-esteem, depression, and anxiety. Participants were children who survived major burns (N = 33; 58% women; ages 12-25; 61% <18) and were shown to have difficulty socializing. Comprehensive interviews were conducted to ensure fit for camp. Forty-two percent of the campers had not slept away from home since the burn injury. Mean TBSA = 20% and mean age at time of burn injury was 13. The majority of campers (46%) endured flame burn injuries, with 24% having scald injuries. Mean years postburn = 4.8 + 3.2. Most campers (40%) were enrolled in secondary school, 30% in elementary school, and 21% in college. Standardized measures (CDI-2 Parent Form and Child Form, Rosenberg Scale, APROQUEN Burn Camp Measure Parent and Child Form, Beck Anxiety Inventory, and Beck Depression Inventory) were given to all campers prior to attending camp. The same measures were given 2 weeks after the camp and again at 6 months. Paired samples' t-tests were conducted and significance was set at P <.05. The results indicate that Camp Confio en Mi had a significant impact on campers' level of anxiety, depression, and self-esteem. Future burn camps are an important part of the continued advancement of postpediatric burn care in Nicaragua. This study reveals the importance of future researches necessity to focus on generalizing the results of this study to other children who have experienced similar burn injuries.

Children's knowledge of cancer and its treatment: impact of an oncology camp experience.

Because pediatric oncology camps provide an opportunity for children who have had cancer to interact with their peers in an informal, recreational environment, this study was designed to determine (1) whether cancer and its treatment are discussed informally among the children, (2) what kinds of information are exchanged if such discussions take place, and (3) how these interactions might affect the children's knowledge and understanding of cancer and its treatment. The study included detailed, open-ended, structured interviews and observational accounts of the subjects before, during, and after camp. These interviews and observations in a sample of 50 children revealed that the children engaged in informal discussion about cancer and its treatment, and that information on a variety of topics, ranging from medical procedures to prognosis, was exchanged. Despite the lack of formal instruction, there was a significant increase in the children's knowledge about cancer and its treatment. Age, sex, diagnosis, years since diagnosis, treatment status and times at camp were not found to be significant determinants of gain in knowledge. No control group was studied, but we believe that the data support the conclusion that attending a camp for children with cancer improves their knowledge of the disease and its treatment.