康复护理联合心理干预及康复功能训练治疗大面积烧伤患者的效果观察

详细信息    查看全文 | 推荐本文 |

英文篇名：Clinical effectiveness of rehabilitation nursing combined with psychological intervention and rehabilitation function training for patients with large area burn 作者：华英 ; 陈亚蓉 ; 张怡 英文作者：Hua Ying;Chen Yarong;Zhang Yi;Department of Burn and Plastic Surgery,No.951st Hospital of PLA; 关键词：康复护理 ; 心理干预 ; 康复训练 ; 大面积烧伤 ; 效果 英文关键词：rehabilitation nursing;;psychological intervention;;rehabilitation training;;large area burn;;effectiveness 中文刊名：ZLKF 英文刊名：Chinese Journal of Rehabilitation 机构：解放军第九五一医院烧伤整形科; 出版日期：2019-02-25 出版单位：中国康复 年：2019 期：v.34;No.166 语种：中文; 页：ZLKF201902013 页数：3 CN：02 ISSN：42-1251/R 分类号：34-36

摘要

目的:观察康复护理联合心理干预及康复功能训练对大面积烧伤患者的疗效。方法:选择我院69例大面积烧伤患者,随机分为2组,对照组34例采用常规护理,观察组35例采用常规康复护理联合心理干预及康复功能训练,入组时、出院3个月后采用Zung焦虑(SAS)、抑郁(SDS)自评量表评价患者心理状态,出院3个月后采用烧伤健康专用量表(BSHS-A)评价患者的生活质量,比较2组康复效果。结果:出院3个月后,观察组SAS、SDS评分明显低于入组时及对照组(P <0. 05),对照组治疗前后比较差异无统计学意义,治疗后,观察组疤痕增生程度明显低于对照组(P <0. 05),观察组心理功能、躯体功能、社会关系和一般健康状况评分均高于对照组(P <0. 05)。结论:康复护理联合心理干预及康复功能训练可明显改善大面积烧伤患者的心理状态,提高患者的康复效果和生活质量。
        Objective: To observe the clinical effectiveness of rehabilitation nursing combined with psychological intervention and rehabilitation function training for patients with large area burn. Methods: Sixty cases of extensive burn in our hospital were randomly divided into two groups. The control group of 34 cases received routine nursing,and the observation group of 35 cases received routine rehabilitation nursing combined with psychological intervention and rehabilitation function training. The psychological status of patients after admission and at 3 rd month after discharge were evaluated by the Zung Self-rating Anxiety Scale( SAS) and Depression Scale( SDS),the patients ' quality of life was assessed with the Burn Health Scale( BSHS-A),and the rehabilitation effects at 3 rd month after discharge were compared between the two groups.Results: At 3 rd month after discharge,the SAS and SDS scores in the observation group were significantly lower than those in the control group( P < 0. 05). The degree of scar proliferation in the observation group was significantly milder than that in the control group( P < 0. 05). The scores of psychological function,physical function,social relationship and general health status in the observation group were significantly higher than those in the control group( P < 0. 05). Conclusion:The rehabilitation nursing combined with psychological intervention and rehabilitation function training can significantly improve the psychological state of patients with extensive burns,and improve the rehabilitation effect and quality of life of patients.

引文

[1]邱玉友,江敏君.延续护理在预防烧伤后瘢痕增生中的应用[J].中华现代护理杂志,2017,23(17):2262-2265.
    [2]芦兰,樊文中.人性化护理模式在老年烧伤患者护理中的应用[J].国际护理学杂志,2017,36(7):947-948.
    [3]罗显利,余惠,陈丽映,等.脱细胞猪真皮基质敷料覆盖治疗小儿特重度烧伤深Ⅱ度创面的护理[J].解放军护理杂志,2017,34(17):56-58.
    [4]陈琛,陆巍,傅巧美,等.成人烧伤患者创面操作性疼痛护理与管理的证据综合[J].护理学杂志,2017,32(16):18-20.
    [5]华英,吐逊阿依·哈斯木,张怡,等.合理情绪行为护理对烧伤整形患者的影响[J].齐鲁护理杂志,2017,23(22):11-12.
    [6]柯斯奇,甘晚芳,李桂珍.综合康复护理对手臂部烧伤整形植皮患者预后的影响[J].中国美容医学,2017,26(10):120-123.
    [7]金荣,解海霞,刘艳,等.烧伤后瘢痕瘙痒患者的护理干预[J].护理学杂志,2015,30(2):38-39.
    [8]陈琛,陆巍,陈婧婧.烧伤创面操作性疼痛护理干预的研究进展[J].中华现代护理杂志,2017,23(23):3065-3068.
    [9]魏霞.烧伤后问题性皮肤的观察及护理[J].中国美容医学,2017,26(6):124-125.
    [10]李琳,戴嘉喜,许乐,等.福建省1166例成人烧伤住院患者流行病学分析及对护理工作的启示[J].国际护理学杂志,2017,32(22):3040-3046,3144.
    [11]彭杨,覃岭,秦花,等.认知行为护理干预在Ⅱ度烧伤病人中的应用[J].护理研究,2017,31(29):3692-3694.
    [12]张丹丹,彭爱爱,程丹,等.大面积烧伤患者发生谵妄实施护理干预的疗效[J].中华现代护理杂志,2016,22(6):836-838,839.
    [13]李琳,许乐,黄珍霞,等.手部烧伤康复护理干预模式的效果研究[J].中国护理管理,2015,15(8):954-958.
    [14]张代玉,舒斌.烧伤儿童出院后的康复和护理[J].中国医刊,2017,52(12):3-5.
    [15]李霞清,秦桂芳.手部烧伤患者康复护理干预模式的临床实践总结[J].海军医学杂志,2017,38(6):545-548.