严重烧伤患者早期心理干预的效果  

Effects of Early Psychological Intervention on Severe Burned Patients

作　　者：吴菁[1] 刘晓虹[1] 

机构地区：[1]第二军医大学护理学院,上海200433

出　　处：《解放军护理杂志》2010年第9期641-643,共3页Nursing Journal of Chinese People's Liberation Army

基　　金：军队"十一五"科研项目课题(06MB209);上海教委科研创新项目基金(09ZS84);上海市重点学科项目资助(B903)

摘　　要：目的探讨对严重烧伤患者早期心理干预的措施。方法根据Roy适应模式、危机干预、积极心理学等理论制定严重烧伤患者的心理干预方案。将47例研究对象按照入院先后顺序分别纳入到对照组和干预组,干预组患者实施心理干预至少2次/周,30min/次。采用医院焦虑抑郁量表、自制烧伤患者心理状况他评表,于患者入院时及入院后1个月评定其心理状态。结果患者入院时焦虑、抑郁检出率分别为89.4%和78.7%;经干预后,干预组患者焦虑、抑郁水平均较对照组患者明显下降,差异有统计学意义(P<0.05)。结论心理干预可显著降低严重烧伤患者早期的焦虑、抑郁水平,改善其总体心理状况。Objective To explore the effect of early psychological intervention on severe burned patients.Methods Psychological intervention strategies were developed based on Roy＇s adaptation model,crisis intervention techniques and positive psychology.A total of 47 burned patients were divided into the control group and the interventional group with psychological intervention（2 times/week,30 min/time）based on admission sequence.All the patients were surveyed with hospital anxiety and depression scale and a self-designed mental condition scale on admission and 1 month after admission on their mental status.Results The incident of anxiety and depression of the patients on admission were 89.4% and 78.7% respectively.The participants in the interventional group showed more improvement than those in the control group on anxiety and depression status（P0.05）.Conclusion Psychological intervention is helpful in reducing early anxiety and depression of severe burned patients and improving the general psychological status.

关 键 词：烧伤 心理干预 积极心理学 焦虑 抑郁 

分 类 号：R644[医药卫生—外科学] R493[医药卫生—临床医学]