摘要
目的探讨正念行为训练联合早期康复锻炼对上肢重度烧伤后整形植皮患者伤残接受度的影响。方法选取2022年1月至2023年3月南昌大学第一附属医院收治的60例上肢重度烧伤后整形植皮患者作为研究对象,按照计算机随机数字分组法分为对照组(30例)与观察组(30例)。对照组采用早期康复锻炼,观察组采用正念行为训练联合早期康复锻炼。比较两组患者的腕关节功能及日常生活活动能力、伤残接受度及美观满意度评分、焦虑及抑郁心理评分、依从性。结果干预后,两组患者的Cooney及改良巴塞尔指数(MBI)评分高于干预前,且观察组评分高于对照组,差异有统计学意义(P<0.05)。干预后,两组患者的伤残接受度量表(AODS)及数字评分系统(NSS)评分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。干预后,两组患者的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组的依从率高于对照组,差异有统计学意义(P<0.05)。结论正念行为训练联合早期康复锻炼可以改善上肢重度烧伤后整形植皮患者的腕关节功能及日常生活活动能力,提升伤残接受度及美观满意度,减轻焦虑和抑郁心理。
Objective To explore the effect of mindfulness behavior training combined with early rehabilitation exercise on disability acceptance of patients with plastic skin grafting after severe upper extremity burn.Methods A total of 60 patients with plastic skin grafting after severe upper extremity burn admitted to the First Affiliated Hospital of Nanchang University from January 2022 to March 2023 were selected as the study objects,and they were divided into control group(30 cases)and observation group(30 cases)according to computer random number grouping method.The control group was received early rehabilitation exercise,and the observation group was received mindfulness behavior training combined with early rehabilitation exercise.The wrist function and ability of daily living,disability acceptance and aesthetic satisfaction scores,anxiety and depression scores and compliance were compared between the two groups.Results After intervention,the scores of Cooney and modified Barthel index(MBI)in two groups were higher than those before intervention,and the scores in the observation group were higher than those in the control group,with statistical significances(P<0.05).After intervention,the scores of acceptance of disability scale(AODS)and numerical score system(NSS)in two groups were higher than those before intervention,and the scores of observation group were higher than those of the control group,the differences were statistically significant(P<0.05).After intervention,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)of the two groups were lower than those before intervention,and the scores of observation group were lower than those of the control group,the differences were statistically significant(P<0.05).The compliance rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Mindfulness behavior training combined with early rehabilitation exercises can improve the wrist joint function and daily living ability of patients with plastic skin grafting after severe upper limb burns,improve disability acceptance and aesthetic satisfaction,and reduce anxiety and depression.
作者
陈卉
王伟芳
卢莉莉
王丽晖
藏雪莹
高来娣
朱文静
卢文欣
CHEN Hui;WANG Weifang;LU Lili;WANG Lihui;ZANG Xueying;GAO Laidi;ZHU Wenjing;LU Wenxin(Department of Burns,the First Affiliated Hospital of Nanchang University,Jiangxi Province,Nanchang330006,China)
出处
《中国当代医药》
CAS
2024年第16期164-167,共4页
China Modern Medicine
基金
江西省中医药管理局科技计划项目(SZYYB20224806)
江西省教育厅科学技术研究项目(GJJ2200151)。
关键词
正念行为训练
早期康复锻炼
重度烧伤
植皮
伤残接受度
美观
Mindfulness behavior training
Early rehabilitation exercise
Severe burns
Skin grafting
Disability acceptance
Beautiful
作者简介
通讯作者:王伟芳。
