延续性护理模式在深Ⅱ度烧伤患者院外抗瘢痕形成管理中的应用  

Application of Continuous Nursing Mode in Prevention of Scar Formation in Discharged Patients with Deep Second Degree Burns

作　　者：邱志红[1] QIU Zhihong(Department of Cosmetics,Plastic Surgery and Burns,the First Affiliated Hospital of Xiamen University,Xiamen 361003,Fujian Province,China)

机构地区：[1]厦门大学附属第一医院美容整形烧伤科,福建厦门361003

出　　处：《中国实用乡村医生杂志》2022年第12期77-80,共4页Chinese Practical Journal of Rural Doctor

摘　　要：目的探讨延续性护理模式在深Ⅱ度烧伤患者院外护理中的应用效果。方法收集2019—2021年厦门大学附属第一医院收治的深Ⅱ度烧伤患者97例,随机分为对照组48例和延续组49例。两组患者住院期间均采用常规护理措施,延续组在患者出院后采用延续性护理模式进行干预,比较两组干预6个月后的抗瘢痕行为能力、生活质量和瘢痕形成情况,评价工具分别为自我管理能力评价量表、生活质量综合评定问卷-74(generic quality of life inventory-74,GQOLI-74)和温哥华瘢痕量表(Vancouver scar scale,VSS)。结果延续组自我管理能力评价量表的遵医嘱行为、自我处理能力、心理适应能力评分及总分均高于对照组,差异有统计学意义(P<0.05);延续组GQOLI-74的躯体功能、心理功能、社会功能、物质生活状态评分和总分均高于对照组,差异有统计学意义(P<0.05);延续组VSS的色泽、厚度、血管分布、柔软度评分及总分均低于对照组,差异有统计学意义(P<0.05)。结论延续性护理模式应用于深Ⅱ度烧伤患者的院外护理,可以进一步提高患者的抗瘢痕行为能力和生活质量,并减轻瘢痕形成程度,值得临床推广应用。Objective To explore the application effect of continuous nursing mode in discharged patients with deep second degree burns.Methods A total of 97 patients with deep second degree burn admitted to the First Affiliated Hospital of Xiamen University from 2019 to 2021 were collected and randomly divided into control group(48cases)and continuation group(49 cases).Routine nursing measures were adopted for both groups of patients during hospitalization,and continuous nursing mode was adopted for patients in the continuation group after discharge.The anti-scarring behavior ability,quality of life and scar formation of the two groups after 6 months of intervention were compared.The evaluation tools were self-management ability evaluation scale,general quality of life inventory-74(GQOLI-74)and Vancouver scar scale(VSS).Results The scores and total scores of compliance behavior,selftreatment ability and psychological adaptability of the self-management ability evaluation scale in the continuation group were significantly higher than those in the control group,(P<0.05).GQOLI-74 scores and total scores of physical function,psychological function,social function and material life status in the continuation group were significantly higher than those in the control group(P<0.05).The color,thickness,blood vessel distribution,softness score and total score of VSS in the continuation group were significantly lower than those in the control group(P<0.05).Conclusion The continuous nursing mode applied to the discharged patients with deep second degree burns can further improve the anti-scarring behavior and quality of life of patients,and reduce the degree of scar formation,which is worthy of clinical application.

关 键 词：烧伤 深Ⅱ度 护理 延续性 瘢痕 管理 院外 

分 类 号：R473.6[医药卫生—护理学]