支持性心理干预联合阶段性健康教育对烧伤整形植皮患者预后影响的研究
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摘要
目的:研究支持性心理干预联合阶段性健康教育对烧伤整形植皮患者心理健康状态、相关知识掌握程度及生活质量的影响。方法:将2016年9月-2018年9月笔者医院106例烧伤整形植皮患者,采用随机数字表法均分为两组,每组各53例。两组患者均给予围术期常规治疗护理和阶段性健康教育,观察组在此基础上给予支持性心理治疗,疗程4周。比较两组干预后患者烧伤相关知识掌握程度、心理健康状态、自我效能及生活质量水平。结果:干预后,两组烧伤相关知识掌握程度评分均明显升高,且观察组评分高于对照组(P<0.05);两组Zung焦虑自评量表(SAS)、Zung抑郁自评量表(SDS)评分明显降低(P<0.05),且观察组SAS、SDS评分低于对照组;两组GSES量表评分明显升高(P<0.05),且观察一般自我效能感量表(GSES)评分高于对照组;两组简明烧伤患者健康量表(BSHS-A)躯体功能、心理健康、社会关系、一般健康状况评分及总分明显升高(P<0.05),且观察组各领域评分及总分高于对照组,差异均有统计学意义(P<0.05)。结论:采用支持性心理干预联合阶段性健康教育对烧伤整形植皮患者进行干预,可提升患者相关知识掌握程度、心理健康水平、自我效能及生活质量,对提升治疗效果和促进患者康复具有积极作用。
Objective To study the effects of supportive psychological intervention combined with staged health education on psychological health status, related knowledge mastery and quality of life in patients with burn and plastic skin grafting.Methods 106 patients with burn and plastic skin grafting in author's hospital from September 2016 to September 2018 were divided into two groups according to the random number table method, with 53 cases in each group. The two groups were given perioperative routine nursing treatment and staged health education, and observation group was additionally given supportive psychotherapy on this basis, and they were treated for 4 w. The mastery of burn-related knowledge, psychological health status,self-efficacy and quality of life level were compared between the two groups after intervention. Results After intervention,the scores of mastery of burn-related knowledge in the two groups were significantly increased, and the score in observation group was higher than that in control group(P<0.05). The scores of Zung Self-rating Anxiety Scale(SAS) and Zung Selfrating Depression Scale(SDS) were significantly decreased in the two groups(P<0.05), and the scores of SAS and SDS in observation group were lower than those in control group. The scores of GSES scale were significantly increased in the two groups(P<0.05), and the score of General Self-Efficacy Scale(GSES) scale in observation group was higher than that in control group. The scores of physical function, psychological health, social relationship and general health status score and the total score of Burn Specific Health Scale(BSHS-A) scale were significantly increased in the two groups(P<0.05), and the scores in all fields and the total score in observation group were higher than those in control group(P<0.05). Conclusion Supportive psychological intervention combined with staged health education for intervention of patients with burn and plastic skin grafting can improve the related knowledge mastery, psychological health level, self-efficacy and quality of life, and it has positive effects on improving the treatment effects and promoting the rehabilitation of patients.
Objective To study the effects of supportive psychological intervention combined with staged health education on psychological health status, related knowledge mastery and quality of life in patients with burn and plastic skin grafting.Methods 106 patients with burn and plastic skin grafting in author's hospital from September 2016 to September 2018 were divided into two groups according to the random number table method, with 53 cases in each group. The two groups were given perioperative routine nursing treatment and staged health education, and observation group was additionally given supportive psychotherapy on this basis, and they were treated for 4 w. The mastery of burn-related knowledge, psychological health status,self-efficacy and quality of life level were compared between the two groups after intervention. Results After intervention,the scores of mastery of burn-related knowledge in the two groups were significantly increased, and the score in observation group was higher than that in control group(P<0.05). The scores of Zung Self-rating Anxiety Scale(SAS) and Zung Selfrating Depression Scale(SDS) were significantly decreased in the two groups(P<0.05), and the scores of SAS and SDS in observation group were lower than those in control group. The scores of GSES scale were significantly increased in the two groups(P<0.05), and the score of General Self-Efficacy Scale(GSES) scale in observation group was higher than that in control group. The scores of physical function, psychological health, social relationship and general health status score and the total score of Burn Specific Health Scale(BSHS-A) scale were significantly increased in the two groups(P<0.05), and the scores in all fields and the total score in observation group were higher than those in control group(P<0.05). Conclusion Supportive psychological intervention combined with staged health education for intervention of patients with burn and plastic skin grafting can improve the related knowledge mastery, psychological health level, self-efficacy and quality of life, and it has positive effects on improving the treatment effects and promoting the rehabilitation of patients.
引文
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[14]Odejayi G,Flynn L.Supportive psychotherapy:perspectives on a model of supervision[J].Acad Psychiatry,2017,41(6):842-845.
[15]张骏,刘桂昌,宣煦,等.彝良地震伤员的支持性心理干预模式[J].中国循证医学杂志,2013,13(10):1155-1159.
[2]Hobbs K.Which factors influence the development of post-traumatic stress disorder in patients with burn injuries?A systematic review of the literature[J].Burns,2015,41(3):421-430.
[3]谢晓梅,丁雅霜,汪小琴,等.突发事件批量烧伤伤员12个月后心理健康状况调查分析[J].东南国防医药,2014,16(6):613-615.
[4]Lawrence JW,Qadri A,Cadogan J,et al.A survey of burn professionals regarding the mental health services available to burn survivors in the United States and United Kingdom[J].Burns,2016,42(4):745-753.
[5]岳丽青,王晓燕,彭欢,等.康复路径对深度烧伤手术后康复效果的影响[J].中国现代医学杂志,2016,26(7):126-132.
[6]中华医学会烧伤外科学分会.烧伤康复治疗指南(2013版)[J].中华烧伤杂志,2013,29(6):497-504.
[7]Hou Y,Li X,Yang L,et al.Factors associated with depression and anxiety in patients with end-stage renal disease receiving maintenance hemodialysis[J].Int Urol Nephrol,2014,46(8):1645-1649.
[8]王万玲,袁凌,魏在荣,等.烧伤康复期患者自我效能水平及其影响因素分析[J].山东医药,2016,56(16):79-81.
[9]吴红梅,马彩霞.红光治疗烧伤患者腿部供皮区的临床观察与护理[J].河北医药,2017,39(1):151-153,157.
[10]薛兵建,谢中垚,王大方.烧伤瘢痕患者心理康复的研究进展[J].中国美容整形外科杂志,2017,28(10):633-635.
[11]沈忠萍.烧伤患者97例的心理护理[J].中国临床研究,2013,26(2):196.
[12]王国军.烧伤患者住院期间生存质量评估[J].中国医药导报,2015,12(10):94-97,102.
[13]李秋香,冯群,马军霞.临床护理路径在烧伤患者健康教育中的应用价值[J].中国全科医学,2017,20(S2):316-317.
[14]Odejayi G,Flynn L.Supportive psychotherapy:perspectives on a model of supervision[J].Acad Psychiatry,2017,41(6):842-845.
[15]张骏,刘桂昌,宣煦,等.彝良地震伤员的支持性心理干预模式[J].中国循证医学杂志,2013,13(10):1155-1159.