摘要
目的探讨支持性心理疏导与阶段性健康教育联合干预对烧伤整形植皮患者预后效果。方法按随机数表法将方便选取的2019年1月—2021年1月该院收治的80例烧伤整形植皮患者分为两组,各40例,对照组行常规护理,研究组在此基础上增加支持性心理疏导与阶段性健康教育,对比两组患者心理状况评分、疼痛评分、生活质量情况。结果干预前两组患者SAS、SDS评分差异无统计学意义(t=0.013、0.014,P=0.989、0.989),干预后研究组SAS评分(46.63±1.35)分,SDS评分(47.02±2.00)分均低于对照组,差异有统计学意义(t=6.414、9.584,P<0.001);干预前两组患者VAS评分差异无统计学意义(t=0.171,P=0.865),干预后研究组VAS评分低于对照组[(1.58±0.20)分vs(4.25±1.00)分],差异有统计学意义(t=16.559,P<0.001);干预后研究组SF-36量表各指标评分均低于对照组,差异有统计学意义(t=47.761、13.539、27.889、30.438、27.923、25.595、10.322、31.037,P<0.001)。结论烧伤整形植皮患者接受支持性心理疏导与阶段性健康教育联合干预可缓解其负性情绪对治疗与护理工作带来的不良影响,减轻疼痛,提高生活质量。
Objective To investigate the prognostic effect of the combined intervention of supportive psychological counseling and staged health education on burn patients with plastic surgery and skin grafting.Methods The digital table method divided 80 patients with burn surgery and skin grafting who were conveniently selected and admitted to the hospital from January 2019 to January 2021 into two groups with 40 cases in each group.The control group re⁃ceived routine nursing,and the study group added supportive psychological counseling and staged health education on this basis.The psychological status score,pain score and quality of life of the two groups were compared.Results There was no statisticaly significant difference in SAS and SDS scores between the two groups before intervention(t=0.013,0.014,P=0.989,0.989).After the intervention,the SAS(46.63±1.35)points and SDS(47.02±2.00)points of the study group were lower than those of the control group,and the difference was statistically significant(t=6.414,9.584,P<0.001).There was no statistically significant difference in the VAS score between the two groups before the intervention(t=0.171,P=0.865).After the intervention,the VAS score of the study group was lower than that of the control group[(1.58±0.20)points vs(4.25±1.00)points],the difference was statistically significant(t=16.559,P<0.001).Af⁃ter intervention,the scores of each index of SF-36 scale in the study group were lower than those in the control group,the difference was statistically significant(t=47.761,13.539,27.889,30.438,27.923,25.595,10.322,31.037,P<0.001).Conclusion The combined intervention of supportive psychological counseling and staged health education for burn patients with plastic skin grafting can alleviate the adverse effects of negative emotions on treatment and nursing work,reduce pain,and improve quality of life.
作者
冯凤环
黄美霞
戴林玲
FENG Fenghuan;HUANG Meixia;DAI Linling(Department of Burn and Plastic Surgery,No.909 Hospital of Joint Logistics Support Force(Southeast Hospital Affili-ated to Xiamen University),Zhangzhou,Fujian Province,363000 China)
出处
《中外医疗》
2022年第16期163-166,171,共5页
China & Foreign Medical Treatment
关键词
支持性心理疏导
阶段性健康教育
烧伤整形
植皮
预后效果
Supportive psychological counseling
Staged health education
Burn plastic surgery
Skin grafting
Prognostic effect
作者简介
冯凤环(1989-),女,大专,护师,研究方向为烧伤护理;通信作者:戴林玲(1991-),女,大专,护师,研究方向为烧伤护理,E-mail:745424170@qq.com。
